{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T19:02:03Z","timestamp":1774551723185,"version":"3.50.1"},"reference-count":32,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2023,8,16]],"date-time":"2023-08-16T00:00:00Z","timestamp":1692144000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pharmacol."],"abstract":"<jats:p><jats:bold>Introduction:<\/jats:bold> An estimated 80% of the world\u2019s population use traditional and complementary medicine (T&amp;amp;CM) products as part of their healthcare, with many accessed through pharmacy. This cross-cultural study posed a set of professional practice responsibilities and actions to pharmacists related to T&amp;amp;CM products, with a view toward developing consensus, safeguarding, and promoting the health of the public.<\/jats:p><jats:p><jats:bold>Methods<\/jats:bold>: Data were collected from 2,810 pharmacists across nine countries during 2022 via a cross-sectional online survey reported in accordance with the guidelines of STrengthening the Reporting of OBservational studies in Epidemiology (STROBE) and the Checklist for Reporting Results of Internet E-Surveys (CHERRIES).<\/jats:p><jats:p><jats:bold>Results<\/jats:bold>: Of the 2,810 participants from nine countries, 2,341 completed all sections of the survey. Of these, most agreed (69%) that T&amp;amp;CM product use was common in the community they served, but most did not have adequate training to support consumer needs. Over 75% acknowledged that there were known and unknown safety risks associated with T&amp;amp;CM use. Of 18 professional responsibilities posed, 92% agreed that pharmacists should be able to inform consumers about potential risks, including T&amp;amp;CM side effects and drug\u2013herb interactions. The provision of accurate scientific information on the effectiveness of T&amp;amp;CM products, skills to guide consumers in making informed decisions, and communication with other healthcare professionals to support appropriate and safe T&amp;amp;CM product use were all ranked with high levels of agreement. In order to effectively fulfill these responsibilities, pharmacists agreed that regulatory reforms, development of T&amp;amp;CM education and training, and access to quality products supported by high-quality evidence were needed.<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> General agreement from across nine countries on eighteen professional responsibilities and several stakeholder actions serve as a foundation for the discussion and development of international T&amp;amp;CM guidelines for pharmacists.<\/jats:p>","DOI":"10.3389\/fphar.2023.1215475","type":"journal-article","created":{"date-parts":[[2023,8,17]],"date-time":"2023-08-17T12:26:03Z","timestamp":1692275163000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":8,"title":["Defining and supporting a professional role for pharmacists associated with traditional and complementary medicines: a cross-country survey of pharmacists"],"prefix":"10.3389","volume":"14","author":[{"given":"Joanna E.","family":"Harnett","sequence":"first","affiliation":[]},{"given":"Shane P.","family":"Desselle","sequence":"additional","affiliation":[]},{"given":"Marc\u00edlia Baticy","family":"Fernandes","sequence":"additional","affiliation":[]},{"given":"Dongning","family":"Yao","sequence":"additional","affiliation":[]},{"given":"Darko","family":"Modun","sequence":"additional","affiliation":[]},{"given":"Souheil","family":"Hallit","sequence":"additional","affiliation":[]},{"given":"Mariam","family":"Dabbous","sequence":"additional","affiliation":[]},{"given":"Mohd Shahezwan Abd","family":"Wahab","sequence":"additional","affiliation":[]},{"given":"Afonso Miguel","family":"Cavaco","sequence":"additional","affiliation":[]},{"given":"Maria","family":"Magalh\u00e3es","sequence":"additional","affiliation":[]},{"given":"Erwin Martinez","family":"Faller","sequence":"additional","affiliation":[]},{"given":"Jennifer M.","family":"Flores","sequence":"additional","affiliation":[]},{"given":"Jacklyn Risia D. 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