{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T11:47:08Z","timestamp":1785757628763,"version":"3.56.0"},"reference-count":34,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T00:00:00Z","timestamp":1785715200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005188","name":"California\u2019s Tobacco-Related Disease Research Program","doi-asserted-by":"publisher","award":["T33PC6880"],"award-info":[{"award-number":["T33PC6880"]}],"id":[{"id":"10.13039\/100005188","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pharmacy"],"abstract":"<jats:p>Community pharmacies are increasingly providing health care services like tobacco treatment and disease-related management but need sustainable models for implementation. As several state Medicaid programs reimburse for community health worker (CHW) services, one promising model is to have pharmacy technicians engage with patients as designated CHWs. This qualitative study interviewed staff in seven California pharmacies about their experience with and perspectives on implementing community pharmacy technicians as CHWs. Guided by implementation science frameworks, data were hand-coded and analyzed iteratively using thematic analysis. Relative advantage and compatibility of CHWs was high across all pharmacies. Pharmacy culture aligned with CHW values, and CHW integration helped formalize the work that pharmacy staff were already doing. Challenges included the complexity of billing and obtaining payment for services provided. Despite these barriers, pharmacies successfully integrated and expanded their CHW services, ranging from social service connections to tobacco treatment or disease-related management education. Pharmacy peer networks, health plan champions and patient outcome improvements accelerated diffusion. Community pharmacies provide a trusted setting for delivering both CHW education and extending health care services, but broad implementation will need health plans to improve policy and procedure with guidance specifically for the pharmacy context that helps overcome administrative barriers.<\/jats:p>","DOI":"10.3390\/pharmacy14050114","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T10:24:07Z","timestamp":1785752647000},"page":"114","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Building Tobacco Treatment Capacity and Sustainability: A Qualitative Study on Implementation of Community Pharmacy Technicians as Community Health Workers"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8993-4066","authenticated-orcid":false,"given":"Cindy V.","family":"Valencia","sequence":"first","affiliation":[{"name":"Center for Healthcare Policy and Research, University of California Davis, Sacramento, CA 95817, USA"},{"name":"Tobacco Cessation Policy Research Center, University of California Davis Comprehensive Cancer Center, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5357-138X","authenticated-orcid":false,"given":"Robin L.","family":"Corelli","sequence":"additional","affiliation":[{"name":"Tobacco Cessation Policy Research Center, University of California Davis Comprehensive Cancer Center, Sacramento, CA 95817, USA"},{"name":"Department of Clinical Pharmacy, University of California San Francisco, San Francisco, CA 94143, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shin-Ping","family":"Tu","sequence":"additional","affiliation":[{"name":"Tobacco Cessation Policy Research Center, University of California Davis Comprehensive Cancer Center, Sacramento, CA 95817, USA"},{"name":"Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa M.","family":"Gosdin","sequence":"additional","affiliation":[{"name":"Center for Healthcare Policy and Research, University of California Davis, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elisa K.","family":"Tong","sequence":"additional","affiliation":[{"name":"Tobacco Cessation Policy Research Center, University of California Davis Comprehensive Cancer Center, Sacramento, CA 95817, USA"},{"name":"Department of Internal Medicine, University of California Davis, Sacramento, CA 95817, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,3]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1816","DOI":"10.1016\/j.japh.2022.07.003","article-title":"Access to community pharmacies: A nationwide geographic information systems cross-sectional analysis","volume":"62","author":"Berenbrok","year":"2022","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"102272","DOI":"10.1016\/j.japh.2024.102272","article-title":"The role of pharmacy in promoting public health: Pharmacy and public health in 2050","volume":"65","author":"Strand","year":"2024","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_3","unstructured":"California Department of Public Health (2024). California Tobacco Prevention Program. California Facts and Figures 2024."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"1040","DOI":"10.1592\/phco.27.7.1040","article-title":"Tobacco Interventions Delivered by Pharmacists: A Summary and Systematic review","volume":"27","author":"Dent","year":"2007","journal-title":"Pharmacother. J. Hum. Pharmacol. Drug Ther."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1016\/j.sapharm.2013.04.015","article-title":"Effectiveness of tobacco use cessation interventions delivered by pharmacy personnel: A systematic review","volume":"10","author":"Mdege","year":"2013","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1111\/jcpt.12131","article-title":"Meta-analysis of the effectiveness of smoking cessation interventions in community pharmacy","volume":"39","author":"Saba","year":"2014","journal-title":"J. Clin. Pharm. Ther."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Ellis Hilts, K., Elkhadragy, N., Corelli, R.L., Hata, M., Tong, E.K., Vitale, F.M., and Hudmon, K.S. (2024). Closing the tobacco treatment gap: A Qualitative study of tobacco cessation service implementation in community pharmacies. Pharmacy, 12.","DOI":"10.3390\/pharmacy12020059"},{"key":"ref_8","unstructured":"California State Legislature (2025). California Business and Professions Code 4052. Assembly Bill 1503, Chapter 196, Statutes of 2025. Effective, January 1, 2026."},{"key":"ref_9","unstructured":"California Department of Health Care Services (2026, July 22). Recommendations for Community Health Workers (CHW) Services for Eligible Medi-Cal Members, Available online: https:\/\/www.dhcs.ca.gov\/providers-partners\/community-health-workers\/."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"207","DOI":"10.1177\/0897190017738916","article-title":"Pharmacy Students and Pharmacy Technicians in Medication Reconciliation: A Review of the Current literature","volume":"32","author":"Champion","year":"2017","journal-title":"J. Pharm. Pract."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1093\/ajhp\/zxab391","article-title":"Identifying key roles of the pharmacy technician in primary care settings","volume":"79","author":"Gadd","year":"2021","journal-title":"Am. J. Health-Syst. Pharm."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Chamberlain, R., Huyton, J., and James, D. (2020). Pharmacy technicians\u2019 roles and responsibilities in the community pharmacy sector: A Welsh perspective. Pharmacy, 8.","DOI":"10.3390\/pharmacy8020097"},{"key":"ref_13","unstructured":"California Department of Health Care Access and Information (2026, July 22). Languages Spoken by California\u2019s Health Workforce, Available online: https:\/\/catalog.data.gov\/dataset\/health-workforce-languages-spoken-data?from_hint=eyJxIjoiRXN0aW1hdGVzIGJ5IHJlZ2lvbiJ9."},{"key":"ref_14","unstructured":"California Health Care Foundation (2026, July 22). California\u2019s Pharmacists and Pharmacy Technicians, California Health Care Almanac Quick Reference Guide. Available online: https:\/\/www.chcf.org\/wp-content\/uploads\/2024\/11\/HealthCareWorkforceAlmanac2024PharmacistsQRG.pdf."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1016\/j.japh.2015.11.011","article-title":"SafeMed: Using pharmacy technicians in a novel role as community health workers to improve transitions of care","volume":"56","author":"Bailey","year":"2016","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e48","DOI":"10.1016\/j.japh.2021.04.022","article-title":"Addressing social determinants of health in community pharmacy: Innovative opportunities and practice models","volume":"61","author":"Foster","year":"2021","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.japh.2023.10.024","article-title":"Cross-training pharmacy personnel as community health workers","volume":"64","author":"Triyasakorn","year":"2023","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1016\/j.japh.2023.08.022","article-title":"Pharmacy technicians trained as community health workers: A prospective multicenter cohort study","volume":"64","author":"Yoon","year":"2023","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"349","DOI":"10.1093\/intqhc\/mzm042","article-title":"Consolidated criteria for reporting qualitative research (COREQ): A 32-item checklist for interviews and focus groups","volume":"19","author":"Tong","year":"2007","journal-title":"Int. J. Qual. Health Care"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1186\/s13012-025-01450-7","article-title":"The Consolidated Framework for Implementation Research (CFIR) User Guide: A five-step guide for conducting implementation research using the framework","volume":"20","author":"Reardon","year":"2025","journal-title":"Implement. Sci."},{"key":"ref_21","unstructured":"Rogers, E.M. (2023). Diffusion of Innovations, Free Press. [5th ed.]."},{"key":"ref_22","unstructured":"CPESN (2026, July 22). About CPESN USA. Available online: https:\/\/cpesn.com\/about-cpesn-usa."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun","year":"2006","journal-title":"Qual. Res. Psychol."},{"key":"ref_24","first-page":"CD003698","article-title":"Community pharmacy personnel interventions for smoking cessation","volume":"2019","author":"Sharrad","year":"2019","journal-title":"Cochrane Database Syst. Rev."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"3158","DOI":"10.1016\/j.sapharm.2021.09.001","article-title":"Community pharmacy technicians\u2019 engagement in the delivery of brief tobacco cessation interventions: Results of a randomized trial","volume":"18","author":"Corelli","year":"2021","journal-title":"Res. Soc. Adm. Pharm."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1016\/j.japh.2018.11.006","article-title":"Exploring the expanded role of the pharmacy technician in medication therapy management service implementation in the community pharmacy","volume":"59","author":"Hohmeier","year":"2019","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1016\/j.japh.2022.02.005","article-title":"Implementation and evaluation of social determinants of health practice models within community pharmacy","volume":"62","author":"Foster","year":"2022","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"102490","DOI":"10.1016\/j.japh.2025.102490","article-title":"Implementing a community health worker model to address health-related social needs in a community pharmacy network: A pragmatic evaluation","volume":"65","author":"Daly","year":"2025","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/s13012-019-0867-5","article-title":"Factors influencing national implementation of innovations within community pharmacy: A systematic review applying the Consolidated Framework for Implementation Research","volume":"14","author":"Weir","year":"2019","journal-title":"Implement. Sci."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1176\/appi.ps.20220187","article-title":"A pragmatic Cluster-Randomized trial of provider education and community health worker support for tobacco cessation","volume":"74","author":"Evins","year":"2022","journal-title":"Psychiatr. Serv."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1176\/appi.ps.20240044","article-title":"Implementation of community Health worker support for tobacco cessation: A Mixed-Methods Study","volume":"76","author":"Foo","year":"2024","journal-title":"Psychiatr. Serv."},{"key":"ref_32","unstructured":"California Department of Health Care Services (2026, July 22). Community Health Worker (Preventive Services). [Supervising Provider Definition Includes Pharmacy, p. 2] Updated May 2026, Available online: https:\/\/mcweb.apps.prd.cammis.medi-cal.ca.gov\/assets\/03BBA223-8762-4A94-A268-209510E15E37\/chwprev.pdf?access_token=6UyVkRRfByXTZEWIh8j8QaYylPyP5ULO."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"S156","DOI":"10.1016\/j.japh.2019.06.014","article-title":"Implementation of technician-driven medication therapy management program in community pharmacies","volume":"59","author":"Burnside","year":"2019","journal-title":"J. Am. Pharm. Assoc."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"103107","DOI":"10.1016\/j.japh.2026.103107","article-title":"Evaluation of a community health worker certification program and participants\u2019 self-assessed preparedness","volume":"66","author":"Chu","year":"2026","journal-title":"J. Am. Pharm. 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