Knowledge and perceptions of pharmacogenomics among pharmacists in Manitoba, Canada
Abstract
Objective: This work was designed to describe the knowledge and perceptions of pharmacogenomics (PGx) among pharmacists in the Canadian province of Manitoba. Methods: A 40-item, web-based survey was distributed to pharmacists in Manitoba. Results: Of 74 participants, one third had some education or training in PGx, and 12.2% had used PGx test results in their practice. Participants' self-rated knowledge of PGx testing and common PGx resources (e.g., Pharmacogenomics Knowledge Base, Clinical Pharmacogenetics Implementation Consortium) was low. Most pharmacists surveyed believe that PGx can improve medication efficacy (82.4%) or prevent adverse drug reactions (81.1%). Most (91%) desired more education on PGx. Conclusion: Manitoba pharmacists reported positive perceptions toward PGx. However, they are currently underprepared to implement PGx into practice.
Tweetable abstract
Manitoba pharmacists report positive perceptions toward pharmacogenomics (PGx). However, they are currently underprepared to implement PGx into practice, as evidenced by low self-rated knowledge of PGx and limited awareness of common PGx resources.
References
- 1. . Approaches and hurdles of implementing pharmacogenetic testing in the psychiatric clinic. Psychiatry Clin. Neurosci. Rep. 1(2), 1–11 (2022).
- 2. . The emergence, implementation, and future growth of pharmacogenomics in psychiatry: a narrative review. Psychol. Med. 53(16), 1–11 (2023).
- 3. Memphis. Implementation. Clinical Pharmacogenetics Implementation Consortium. Tennessee, USA (2024). https://cpicpgx.org/implementation/
- 4. . ASHP Statement on the pharmacist's role in clinical pharmacogenomics. Am. J. Health Syst. Pharm. 79(8), 704–707 (2022).
- 5. . The potential roles of pharmacists in the clinical implementation of pharmacogenomics. Pharmacy (Basel) 11(6), 180 (2023).
- 6. . The critical role of pharmacists in the clinical delivery of pharmacogenetics in the U.S. Pharmacy 11(5), 144 (2023).
- 7. . Applications for pharmacogenomics in pharmacy practice: a scoping review. Res. Social Adm. Pharm. 18(7), 3094–3118 (2022).
- 8. . Pharmacogenetic testing options relevant to psychiatry in Canada. Can. J. Psychiatry 65(8), 521–530 (2020).
- 9. . Horizon scan of clinical laboratories offering pharmacogenetic testing. Health Aff. (Millwood) 37(5), 717–723 (2018).
- 10. . Knowledge, perceptions, and attitudes toward pharmacogenomics among pharmacists and pharmacy students: a systematic review. Health Sci. Rep. 7(1), e1844 (2024).
- 11. . Experience, knowledge, and perceptions of pharmacogenomics among pharmacists and nurse practitioners in Alberta hospitals. Pharmacy 10(6), 139 (2022).
- 12. An evaluation of pharmacists' expectations towards pharmacogenomics. Pharmacogenomics 14(2), 165–175 (2013).
- 13. Opinion, experience and educational preferences concerning pharmacogenomics: an exploratory study of Quebec pharmacists. Pharmacogenomics 21(4), 235–245 (2020).
- 14. . Are pharmacists from the province of Quebec ready to integrate pharmacogenetics into their practice. Pharmacogenomics 21(4), 247–256 (2020).
- 15. Canadian Pharmacists Association (CPhA). Scope of Practice–English (2024). www.pharmacists.ca/advocacy/scope-of-practice/
- 16. A guide to using the theoretical domains framework of behaviour change to investigate implementation problems. Implement. Sci. 12(1), 77 (2017).
- 17. . Pharmacogenetic testing knowledge and attitudes among pediatric psychiatrists and pediatricians in Alberta, Canada. J. Can. Acad. Child Adolesc. Psychiatry 31(1), 18–27 (2022).
- 18. The REDCap consortium: building an international community of software platform partners. J. Biomed. Inform. 95, 103208 (2019).
- 19. . Ready or not, here it comes: direct-to-consumer pharmacogenomic testing and its implications for community pharmacists. J. Am. Pharm. Assoc. 59(5), 646–650 (2019).
- 20. . A continuing professional development program for pharmacists implementing pharmacogenomics into practice. Pharmacy (Basel) 8(2), 55 (2020).
- 21. Pharmacists as personalized medicine experts (PRIME): experiences implementing pharmacist-led pharmacogenomic testing in primary care practices. Pharmacy (Basel) 9(4), 201 (2021).
- 22. . Pharmacogenomics at the point of care: a community pharmacy project in British Columbia. J. Pers. Med. 11(1), 11 (2020).
- 23. . The efficacy of a didactic and case-based pharmacogenomics education program on improving the knowledge and confidence of Alberta pharmacists. Pharmgenomics Pers. Med. 15, 409–427 (2022).
- 24. Pharmacogenomics for Community Pharmacists Online Version. Pharmacy Association of Nova Scotia. Dartmouth, NS (2024). https://pans.ns.ca/pharmacy-professionals/professional-development/online-courses/pharmacogenomics-community-1
- 25. Pharmacogenomics Knowledgebase (PharmGKB). Educational resources for PharmGKB and PGxP (2024). www.pharmgkb.org/page/educationalResources
- 26. . A global evidence review of systemic factors influencing participation in pharmacy professional development activities. Res. Soc. Adm. Pharm. 17(3), 488–496 (2021).
- 27. . Pharmacogenetic testing in primary care practice: opinions of physicians, pharmacists and patients. Pharmacogenomics 20(8), 589–598 (2019).
- 28. Cost effectiveness of pharmacogenetic testing for drugs with Clinical Pharmacogenetics Implementation Consortium (CPIC) guidelines: a systematic review. Clin. Pharmacol. Ther. 112(6), 1318–1328 (2022).
- 29. Cost-effectiveness of pharmacogenomic-guided treatment for major depression. CMAJ 195(44), E1499–E1508 (2023).
- 30. . Pharmacogenetic testing a growing area as pilot projects, research get underway (2018). www.benefitscanada.com/news/bencan/pharmacogenetics-testing-offering-opportunities-in-disability-drug-cost-management/
- 31. Resolute Legal Disability Lawyers. Long-term disability and pharmacogenomic testing (2022). www.resolutelegal.ca/long-term-disability-and-pharmacogenomic-testing/
- 32. . PGx in psychiatry: patients' knowledge, interest, and uncertainty management preferences in the context of pharmacogenomic testing. Patient Educ. Couns. 104(4), 732–738 (2021).
- 33. More patients, pharmacists adopting pharmacogenomics. BC Pharmacy Association (2019). www.bcpharmacy.ca/tablet/fall-19/more-patients-pharmacists-adopting-pharmacogenomics
- 34. . Pharmacogenomics in advanced pharmacy practice experiences. Curr. Pharm. Teach. Learn. 2(4), 196–203 (2010).
- 35. . Professional opportunity for pharmacists to integrate pharmacogenomics in medication therapy. Can. Pharm. J. (Ott.) 151(3), 167–169 (2018).
- 36. . Pharmacogenomics in practice: a review and implementation guide. Front. Pharmacol. 14 (1189976), 1–23 (2023).
- 37. . American Pharmacists Association. Integrating pharmacogenomics into pharmacy practice via medication therapy management. J. Am. Pharm. Assoc. 51(6), e64–e74 (2011).
- 38. 2022 Health Technology Trends to Watch. Canadian Agency for Drugs and Technologies in Health (2022). www.cadth.ca/2022-health-technology-trends-watch-0