Promotion of Lifestyle Modification in the Management of Hypertension Using Social Cognitive Theory: Perspectives for Pharmacists

Hypertension is a global public health problem and promotion of lifestyle modification (PLM) by health professionals is a key aspect in the management of hypertension. The perspectives of community pharmacists about PLM among adults with hypertension have not been explored in Nigeria though they play an essential role in healthcare in the community. A phenomenological study was conducted to document the perspectives of community pharmacists about PLM using in-depth interviews and social cognitive theory as the guiding framework. The aim was to explore the perspectives of community pharmacists about their roles and actual practice of PLM among adults with hypertension. The knowledge, experiences, and barriers to the practice of PLM by 12 community pharmacists were explored. From a thematic analysis of transcribed data, 3 categories (perception of roles, perception of practice, pharmacy school curriculum), and an overarching theme evolved to capture the perspectives of community pharmacists about PLM in hypertension. The overarching theme was that the roles and practice of PLM by community pharmacists among hypertensive patients is influenced by cognitive factors, pharmacy school training, agency (self-efficacy and patient factors), and social structure (stakeholders and environmental factors). These findings may aid the design of appropriate interventions that can help community pharmacists to contribute more meaningfully to the management of hypertension through PLM in adults.