{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:22:56Z","timestamp":1789690976888,"version":"4.0.1"},"reference-count":32,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,5,3]],"date-time":"2025-05-03T00:00:00Z","timestamp":1746230400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/501100004286","name":"Santen","doi-asserted-by":"publisher","award":["SANTEN\/2023\/SOP\/001"],"award-info":[{"award-number":["SANTEN\/2023\/SOP\/001"]}],"id":[{"id":"10.13039\/501100004286","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objective<\/jats:title>\n                  <jats:p>To explore Malaysian community pharmacists\u2019 (CP) challenges in identifying and managing dry eye disease (DED) and opportunities to optimize DED care, as previous studies reported inconsistencies in DED identification by community pharmacy staff, and few publications describe Malaysian CP views on DED management in community pharmacy settings.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>Using the Social Ecological Theory for Community Health Promotion, individual in-depth interviews were conducted (May\u2013June 2023) with 20 CP in Malaysia\u2019s Klang Valley. Participants with diverse DED management experiences were recruited using purposive and snowball sampling until data saturation. Interviews were audio-recorded, transcribed, independently coded by two researchers, and thematically analysed.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Key findings<\/jats:title>\n                  <jats:p>CP faced 12 challenges in identifying and managing DED: patient-related (brand rigidity, \u2018quick fix\u2019 attitude, inadequate health literacy, and self-efficacy skills), provider-related (imprecise assessment, referral difficulties, knowledge gaps), therapeutics-related (short shelf life, affordability), and pharmacy-related (limited manpower, inadequate private consultation space, low eye health visibility). The 12 opportunities for optimizing DED care were community-related (eye health education, holistic approaches, public awareness), profession-related (decision-support mobile health applications integrated with evidence-based DED management protocols to streamline consultation processes, interdisciplinary collaborations), industry-related (pharmaceutical and medical device advancements, comparative data on medication value, promotion of proactive management), and organization-related (management-mandated resource allocation, ancillary staff education, and expanded products and services).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Malaysian CP encountered challenges in identifying and managing DED. Knowledge sharing and collaborations with ophthalmologists improve DED management by CP, while clinicians can stay updated on medication-related recommendations and treatment adherence. The role of digital health in these processes requires further study.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ijpp\/riaf027","type":"journal-article","created":{"date-parts":[[2025,4,8]],"date-time":"2025-04-08T13:49:22Z","timestamp":1744120162000},"page":"292-299","source":"Crossref","is-referenced-by-count":2,"title":["Challenges and opportunities in community pharmacists\u2019 identification and management of dry eye disease: a qualitative study"],"prefix":"10.1093","volume":"33","author":[{"given":"Shong Li","family":"Ng","sequence":"first","affiliation":[{"name":"School of Pharmacy, Faculty of Health and Medical Sciences, Taylor\u2019s University , Subang Jaya, 47500, Selangor ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Tey","sequence":"additional","affiliation":[{"name":"ISEC Penang Specialist Eye Centre , 56, Jalan Larut, 10050 Georgetown, Penang ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9338-735X","authenticated-orcid":false,"given":"Renukha","family":"Sellappans","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Faculty of Health and Medical Sciences, Taylor\u2019s University , Subang Jaya, 47500, Selangor ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raja Ahsan","family":"Aftab","sequence":"additional","affiliation":[{"name":"Faculty of Pharmacy, Universiti Malaya , 50603 Kuala Lumpur, Wilayah Persekutuan Kuala Lumpur ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yat Yin","family":"Leong","sequence":"additional","affiliation":[{"name":"AM PM Pharmacy Sdn Bhd, 23, Jalan Setia 3\/2A, Taman Setia Indah , 81100 Johor Bahru, Johor Darul Takzim ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei Qian","family":"Yau","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Faculty of Health and Medical Sciences, Taylor\u2019s University , Subang Jaya, 47500, Selangor ,","place":["Malaysia"]},{"name":"Digital Health and Medical Advancement Impact Lab, Taylor\u2019s University , Subang Jaya, 47500, Selangor ,","place":["Malaysia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3380-3072","authenticated-orcid":false,"given":"Bee Kim","family":"Tan","sequence":"additional","affiliation":[{"name":"School of Pharmacy, Faculty of Health and Medical Sciences, Taylor\u2019s University , Subang Jaya, 47500, Selangor ,","place":["Malaysia"]},{"name":"Digital Health and Medical Advancement Impact Lab, Taylor\u2019s University , Subang Jaya, 47500, Selangor 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