{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,14]],"date-time":"2026-06-14T08:34:56Z","timestamp":1781426096263,"version":"3.54.1"},"reference-count":36,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2023,4,20]],"date-time":"2023-04-20T00:00:00Z","timestamp":1681948800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001871","name":"FCT\u2014Foundation for Science and Technology","doi-asserted-by":"publisher","award":["UIDB\/04567\/2020"],"award-info":[{"award-number":["UIDB\/04567\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"FCT\u2014Foundation for Science and Technology","doi-asserted-by":"publisher","award":["UIDP\/04567\/2020"],"award-info":[{"award-number":["UIDP\/04567\/2020"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001871","name":"FCT\u2014Foundation for Science and Technology","doi-asserted-by":"publisher","award":["CEEC\/CBIOS\/EPH\/2018"],"award-info":[{"award-number":["CEEC\/CBIOS\/EPH\/2018"]}],"id":[{"id":"10.13039\/501100001871","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Foundation for Science and Technology (FCT) Scientific Employment Stimulus","award":["UIDB\/04567\/2020"],"award-info":[{"award-number":["UIDB\/04567\/2020"]}]},{"name":"Foundation for Science and Technology (FCT) Scientific Employment Stimulus","award":["UIDP\/04567\/2020"],"award-info":[{"award-number":["UIDP\/04567\/2020"]}]},{"name":"Foundation for Science and Technology (FCT) Scientific Employment Stimulus","award":["CEEC\/CBIOS\/EPH\/2018"],"award-info":[{"award-number":["CEEC\/CBIOS\/EPH\/2018"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacy"],"abstract":"<jats:p>Malnutrition has important health impacts, especially in the elderly. Oral nutritional supplements (ONS) are effective strategies to help balance the nutritional needs of malnourished persons. Multiple ONS are available at community pharmacies, enabling pharmacists to have the possibility to implement strategies for prevention and monitoring of malnourished patients. The aim of this study was to characterize the experience of community pharmacists with the counseling and follow-up of users of ONS. A sample of 19 pharmacists from 19 different community pharmacies were interviewed. Apart from dispensing ONS to support patients that are preparing for diagnostic tests, the most frequently mentioned clinical condition for ONS counseling was malnutrition and dysphagia. When pharmacists consider dispensing ONS, three themes emerge: patient care, related to counselling tailored ONS to each patient\u2019s needs; interprofessional collaboration, with a special focus in the collaboration with registered dietitians; and training and education on ONS, looking to improve their knowledge and skills in ONS counselling and follow-up. Future studies exploring new forms of interaction between pharmacists and dietitians in this context should be developed, aiming to determine the workflow of an interdisciplinary service addressing the needs of community dwelling malnourished patients.<\/jats:p>","DOI":"10.3390\/pharmacy11020078","type":"journal-article","created":{"date-parts":[[2023,4,21]],"date-time":"2023-04-21T03:01:48Z","timestamp":1682046108000},"page":"78","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Pharmacists\u2019 Perceptions on Nutritional Counseling of Oral Nutritional Supplements in the Community Pharmacy: An Exploratory Qualitative Study"],"prefix":"10.3390","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6130-9453","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Greg\u00f3rio","sequence":"first","affiliation":[{"name":"CBIOS\u2014Universidade Lus\u00f3fona\u2019s Research Center for Biosciences & Health Technologies, 1749-024 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Tavares","sequence":"additional","affiliation":[{"name":"CBIOS\u2014Universidade Lus\u00f3fona\u2019s Research Center for Biosciences & Health Technologies, 1749-024 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3320-6748","authenticated-orcid":false,"given":"Emilia","family":"Alves","sequence":"additional","affiliation":[{"name":"CBIOS\u2014Universidade Lus\u00f3fona\u2019s Research Center for Biosciences & Health Technologies, 1749-024 Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"S12","DOI":"10.12968\/bjcn.2020.25.Sup8.S12","article-title":"Overview of Oral Nutrition Supplements and Their Use","volume":"25","author":"Taylor","year":"2020","journal-title":"Br. J. Community Nurs."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2898","DOI":"10.1016\/j.clnu.2021.02.005","article-title":"ESPEN Practical Guideline: Clinical Nutrition in Cancer","volume":"40","author":"Muscaritoli","year":"2021","journal-title":"Clin. Nutr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.gerinurse.2020.12.005","article-title":"Effects of Oral Nutrition Supplements in Persons with Dementia: A Systematic Review","volume":"42","author":"Tangvik","year":"2021","journal-title":"Geriatr. Nurs."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"17","DOI":"10.1590\/S1415-52732000000100003","article-title":"Obesidade: Atualiza\u00e7\u00e3o Sobre Sua Etiologia, Morbidade e Tratamento","volume":"13","author":"Pereira","year":"2000","journal-title":"Rev. De Nutr."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"1919","DOI":"10.1016\/j.jamda.2021.02.039","article-title":"Results of High-Protein, High-Calorie Oral Nutritional Supplementation in Malnourished Older People in Nursing Homes: An Observational, Multicenter, Prospective, Pragmatic Study (PROT-e-GER)","volume":"22","author":"Malafarina","year":"2021","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/S0140-6736(22)02612-5","article-title":"Malnutrition in Older Adults","volume":"401","author":"Dent","year":"2023","journal-title":"Lancet"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Kim, S.H., Lee, S.M., Jeung, H.C., Lee, I.J., Park, J.S., Song, M., Lee, D.K., and Lee, S.-M. (2019). The Effect of Nutrition Intervention with Oral Nutritional Supplements on Pancreatic and Bile Duct Cancer Patients Undergoing Chemotherapy. Nutrients, 11.","DOI":"10.3390\/nu11051145"},{"key":"ref_8","unstructured":"Medical Nutrition International Industry (2021, May 19). Optimising Nutrition in Healthcare: The Role of Oral Nutritional Supplements. Available online: https:\/\/www.medicalnutritionindustry.com\/files\/user_upload\/documents\/ONS_2012\/MNI_booklet_2012_PRT.pdf."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"120","DOI":"10.33233\/nb.v18i3.1111","article-title":"Aceita\u00e7\u00e3o de Suplemento Hipercal\u00f3rico e Hiperproteico Por Pacientes Oncol\u00f3gicos Em Um Hospital Escola de Pouso Alegre\/MG","volume":"18","author":"Dias","year":"2020","journal-title":"Nutr. Bras."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"4149","DOI":"10.1007\/s00520-022-06837-6","article-title":"Implications of Inappropriate Prescription of Oral Nutritional Supplements on the Quality of Life of Cancer Outpatients: A Cross-Sectional Comparative Study","volume":"30","author":"Hassanin","year":"2022","journal-title":"Support Care Cancer"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"16774","DOI":"10.1038\/s41598-022-19860-8","article-title":"Prevalence of Potentially Inappropriate Prescribing in Older Adults in Central and Eastern Europe: A Systematic Review and Synthesis without Meta-Analysis","volume":"12","author":"Brkic","year":"2022","journal-title":"Sci. Rep."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1016\/j.clnu.2019.03.003","article-title":"A Systematic Scoping Review of Interventions to Improve Appropriate Prescribing of Oral Nutritional Supplements in Primary Care","volume":"39","author":"Cadogan","year":"2020","journal-title":"Clin. Nutr."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"2845","DOI":"10.1111\/jan.14851","article-title":"Assessment of Compliance with Oral Nutritional Supplementation and Exploration of Barriers and Facilitators for Patients after Gastrectomy: A Mixed-Methods Study","volume":"77","author":"Wan","year":"2021","journal-title":"J. Adv. Nurs."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1007\/s11096-015-0140-1","article-title":"The Organizational Framework of Community Pharmacies in Europe","volume":"37","author":"Martins","year":"2015","journal-title":"Int. J. Clin. Pharm."},{"key":"ref_15","unstructured":"Ordem dos Nutricionistas (2019). Atua\u00e7\u00e3o Do Nutricionista Na Farm\u00e1cia Comunit\u00e1ria, Ordem dos Nutricionistas."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.sapharm.2020.04.008","article-title":"\u201cEach One Has Their Own Role\u201d: Exploratory Study on Consumers\u2019 Perceptions about Nutritionists Services Provided in Community Pharmacies","volume":"17","author":"Borralho","year":"2021","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_17","first-page":"100203","article-title":"An Exploration of the Self-Perceived Nutrition Competencies of Pharmacists","volume":"8","author":"Kelly","year":"2022","journal-title":"Explor. Res. Clin. Soc. Pharm."},{"key":"ref_18","doi-asserted-by":"crossref","unstructured":"Douglas, P., McCarthy, H., McCotter, L., Gallen, S., McClean, S., Gallagher, A., and Ray, S. (2019). Nutrition Education and Community Pharmacy: A First Exploration of Current Attitudes and Practices in Northern Ireland. Pharmacy, 7.","DOI":"10.3390\/pharmacy7010027"},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"1456","DOI":"10.1007\/s11096-020-01106-0","article-title":"Knowledge, Attitude and Practice of Community Pharmacists towards Nutrition Counseling","volume":"42","author":"Medhat","year":"2020","journal-title":"Int. J. Clin. Pharm."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"415","DOI":"10.1016\/j.clnesp.2021.04.024","article-title":"Healthcare Professionals\u2019 Perceptions of Malnutrition Management and Oral Nutritional Supplement Prescribing in the Community: A Qualitative Study","volume":"44","author":"Browne","year":"2021","journal-title":"Clin. Nutr. ESPEN"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"203","DOI":"10.20396\/tematicas.v22i44.10977","article-title":"A Amostragem Em Bola de Neve Na Pesquisa Qualitativa","volume":"22","author":"Vinuto","year":"2014","journal-title":"Tematicas"},{"key":"ref_22","unstructured":"Zoom Video Communications, Inc. (2023, March 16). Zoom, Available online: https:\/\/zoom.us\/."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1177\/1609406919874596","article-title":"Using Zoom Videoconferencing for Qualitative Data Collection: Perceptions and Experiences of Researchers and Participants","volume":"18","author":"Archibald","year":"2019","journal-title":"Int. J. Qual. Methods"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1483","DOI":"10.1016\/j.sapharm.2020.02.020","article-title":"Differential Diagnosis in Pharmacy Practice: Time to Adopt Clinical Reasoning and Decision Making","volume":"16","author":"Rutter","year":"2020","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_25","first-page":"100247","article-title":"Australian Community Pharmacy Service Provision Factors, Stresses and Strains: A Qualitative Study","volume":"9","author":"Yong","year":"2023","journal-title":"Explor. Res. Clin. Soc. Pharm."},{"key":"ref_26","first-page":"79","article-title":"Follow-up in Community Pharmacy Should Be Routine, Not Extraordinary","volume":"151","author":"MacCallum","year":"2018","journal-title":"Can. Pharm. J. \/ Rev. Des Pharm. Du Can."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s13012-021-01138-8","article-title":"Data-Driven Approach for Tailoring Facilitation Strategies to Overcome Implementation Barriers in Community Pharmacy","volume":"16","author":"Moussa","year":"2021","journal-title":"Implement. Sci."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1016\/j.sapharm.2016.02.008","article-title":"How to Best Manage Time Interaction with Patients? Community Pharmacist Workload and Service Provision Analysis","volume":"13","author":"Cavaco","year":"2017","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1177\/17151635211018479","article-title":"Exploring the Perspectives and Strategies of Ontario Community Pharmacists to Improve Routine Follow-up for Patients with Diabetes: A Qualitative Study","volume":"154","author":"Surkic","year":"2021","journal-title":"Can. Pharm. J."},{"key":"ref_30","first-page":"48","article-title":"A Percep\u00e7\u00e3o de Farmac\u00eauticos Acerca Da Possibilidade de Implanta\u00e7\u00e3o Da Aten\u00e7\u00e3o Farmac\u00eautica Na Pr\u00e1tica Profissional","volume":"12","author":"Fegadolli","year":"2010","journal-title":"Rev. Espa\u00e7o Para A Sa\u00fade"},{"key":"ref_31","first-page":"37","article-title":"Are Pharmacists the Ultimate Barrier to Pharmacy Practice Change?","volume":"143","author":"Rosenthal","year":"2010","journal-title":"Can. Pharm. J. \/ Rev. Des Pharm. Du Can."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Kizaki, H., Ota, T., Mashima, S., Nakamura, Y., Kiyokawa, S., Kominato, H., Satoh, H., Sawada, Y., and Hori, S. (2021). Questionnaire Survey Investigation of the Present Status of Dietetic Consultation at Community Pharmacies from the Perspectives of Registered Dietitians and Pharmacists. BMC Health Serv. Res., 21.","DOI":"10.1186\/s12913-021-06959-3"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1111\/jhn.12867","article-title":"A Qualitative Exploration of Dietitians\u2019 Experiences of Prescribing Oral Nutritional Supplements to Patients with Malnutrition: A Focus on Shared Tailoring and Behaviour Change Support","volume":"34","author":"Liljeberg","year":"2021","journal-title":"J. Hum. Nutr. Diet."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1016\/j.clnu.2017.06.017","article-title":"ESPEN Expert Group Recommendations for Action against Cancer-Related Malnutrition","volume":"36","author":"Arends","year":"2017","journal-title":"Clin. Nutr."},{"key":"ref_35","unstructured":"Ordem dos Nutricionistas (2023, March 16). Compet\u00eancias Profissionais do Nutricionista. Porto. January, 2023. Available online: https:\/\/www.ordemdosnutricionistas.pt\/documentos\/COMPETENCIAS_PROFISSIONAIS_DO_NUTRICIONISTA_20230117.pdf."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"48","DOI":"10.1186\/1478-4491-7-48","article-title":"The Global Pharmacy Workforce: A Systematic Review of the Literature","volume":"7","author":"Hawthorne","year":"2009","journal-title":"Hum. Resour. Health"}],"container-title":["Pharmacy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2226-4787\/11\/2\/78\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:20:04Z","timestamp":1760124004000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2226-4787\/11\/2\/78"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,20]]},"references-count":36,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["pharmacy11020078"],"URL":"https:\/\/doi.org\/10.3390\/pharmacy11020078","relation":{},"ISSN":["2226-4787"],"issn-type":[{"value":"2226-4787","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,4,20]]}}}