{"id":98271,"date":"2025-10-23T02:26:15","date_gmt":"2025-10-23T02:26:15","guid":{"rendered":"https:\/\/www.newsbeep.com\/ie\/98271\/"},"modified":"2025-10-23T02:26:15","modified_gmt":"2025-10-23T02:26:15","slug":"exploring-community-pharmacy-professionals-knowledge-attitudes-and-practices-toward-medication-therapy-management-in-southwest-ethiopia-a-cross-sectional-study","status":"publish","type":"post","link":"https:\/\/www.newsbeep.com\/ie\/98271\/","title":{"rendered":"Exploring community pharmacy professionals\u2019 knowledge, attitudes, and practices toward medication therapy management in Southwest Ethiopia: a cross-sectional study"},"content":{"rendered":"<p>Our study revealed that 62.9% of community pharmacists exhibited a high level of knowledge regarding MTM services. This proportion is notably higher than the reported levels in Kenya<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 23\" title=\"Masero, M. O. et al. A call to strengthen medication therapy management training in the Kenyan pharmacy undergraduate curriculum&#x202F;: Feedback from a snapshot of the knowledge and practices among pharmacists in diverse disciplines. Pharm. Educ. 24(1), 13&#x2013;21 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR23\" id=\"ref-link-section-d72866843e2077\" rel=\"nofollow noopener\" target=\"_blank\">23<\/a> and Lebanon<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 26\" title=\"Domiati, S. et al. Knowledge of and readiness for medication therapy management among community pharmacists in Lebanon. Int. J. Clin. Pharm. 40(5), 1165&#x2013;1174. &#010;                  https:\/\/doi.org\/10.1007\/s11096-018-0666-0&#010;                  &#010;                 (2018).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR26\" id=\"ref-link-section-d72866843e2081\" rel=\"nofollow noopener\" target=\"_blank\">26<\/a> yet remains substantially lower than those observed in Nigeria (94%)<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 27\" title=\"Akonoghrere, R. et al. Knowledge, attitude and practice of medication therapy management among hospital pharmacists in Delta State. Acta Sci. Pharm. Sci. 4(8), 118&#x2013;126 (2020).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR27\" id=\"ref-link-section-d72866843e2085\" rel=\"nofollow noopener\" target=\"_blank\">27<\/a>, Indonesia (74.9%)<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Rendrayani, F. et al. Knowledge, attitude, and practice of medication therapy management: A national survey among pharmacists in Indonesia. Front. Public Health 11(1213520), 1&#x2013;15 (2023).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR25\" id=\"ref-link-section-d72866843e2089\" rel=\"nofollow noopener\" target=\"_blank\">25<\/a>, and Malaysia (97.5%)<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 28\" title=\"Al-Tameemi, N. K. &amp; Sarriff, A. Knowledge, attitude and practice of pharmacists on medication therapy management: A survey in Hospital Pulau Pinang, Penang. Malaysia. J Pharm Heal Care Sci. 5(1), 1&#x2013;9 (2019).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR28\" id=\"ref-link-section-d72866843e2093\" rel=\"nofollow noopener\" target=\"_blank\">28<\/a>. These discrepancies may be due to differences in practice settings, exposure to patient-centered care, and access to MTM training. For instance, hospital pharmacists are more exposed to inter-professional collaboration and clinical practices than those in community settings. Furthermore, access to continuing professional development and structured educational programs varies widely across countries, which may contribute to these observed knowledge gaps<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 20\" title=\"Rendrayani, F. et al. Pharmacists&#x2019; knowledge, attitude, and practice of medication therapy management&#x202F;: A systematic review. Healthcare. 10(12), 2513 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR20\" id=\"ref-link-section-d72866843e2098\" rel=\"nofollow noopener\" target=\"_blank\">20<\/a>. This emphasizes the need to strengthen MTM-focused continued professional development opportunities within community pharmacies, particularly in resource-limited settings.<\/p>\n<p>While most pharmacists recognized the beneficiaries and role of MTM in assisting with medication adherence and disease control\u2014a finding consistent with earlier studies<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2105\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 28\" title=\"Al-Tameemi, N. K. &amp; Sarriff, A. Knowledge, attitude and practice of pharmacists on medication therapy management: A survey in Hospital Pulau Pinang, Penang. Malaysia. J Pharm Heal Care Sci. 5(1), 1&#x2013;9 (2019).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR28\" id=\"ref-link-section-d72866843e2108\" rel=\"nofollow noopener\" target=\"_blank\">28<\/a>, a large majority lacked an understanding of the core elements and goals of MTM. This is in contrasts to studies conducted in Jordan, Yemen, and Malaysia, where most pharmacists correctly identified the goals and core elements of MTM<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2112\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Hatem, N. A. H., Ibrahim, M. I. M. &amp; Yousuf, S. Exploring knowledge, attitudes and practice toward medication therapy management services among pharmacists in Yemen. PLoS ONE 19(4), 1&#x2013;13. &#010;                  https:\/\/doi.org\/10.1371\/journal.pone.0301417&#010;                  &#010;                 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR22\" id=\"ref-link-section-d72866843e2115\" rel=\"nofollow noopener\" target=\"_blank\">22<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 28\" title=\"Al-Tameemi, N. K. &amp; Sarriff, A. Knowledge, attitude and practice of pharmacists on medication therapy management: A survey in Hospital Pulau Pinang, Penang. Malaysia. J Pharm Heal Care Sci. 5(1), 1&#x2013;9 (2019).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR28\" id=\"ref-link-section-d72866843e2118\" rel=\"nofollow noopener\" target=\"_blank\">28<\/a>. Due to their accessibility and drug therapy knowledge, pharmacists are well-positioned to serve as valuable providers of MTM services<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 2\" title=\"Smith, M. Pharmacists&#x2019; role in improving diabetes medication management. J Diabetes Sci. Technol. 3(1), 175&#x2013;179 (2009).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR2\" id=\"ref-link-section-d72866843e2122\" rel=\"nofollow noopener\" target=\"_blank\">2<\/a>. Therefore, to bridge the knowledge gap and ensure effective service delivery, it is essential for pharmacy professionals to receive adequate training on the goals, core elements, and overall benefits of MTM. Moreover, similar to the findings from Jordan and Yemen<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2126\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Hatem, N. A. H., Ibrahim, M. I. M. &amp; Yousuf, S. Exploring knowledge, attitudes and practice toward medication therapy management services among pharmacists in Yemen. PLoS ONE 19(4), 1&#x2013;13. &#010;                  https:\/\/doi.org\/10.1371\/journal.pone.0301417&#010;                  &#010;                 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR22\" id=\"ref-link-section-d72866843e2129\" rel=\"nofollow noopener\" target=\"_blank\">22<\/a>, our study found that younger pharmacy professionals had a higher level of MTM knowledge. This could be due to a shift in pharmacy education and practice with young pharmacists thought to provide patient-centered care, such as MTM<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 12\" title=\"Mekonnen, A. B. et al. Pharmacists&#x2019; journey to clinical pharmacy practice in Ethiopia: Key informants&#x2019; perspective. SAGE Open Med. 1, 2050312113502959 (2013).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR12\" id=\"ref-link-section-d72866843e2133\" rel=\"nofollow noopener\" target=\"_blank\">12<\/a>.<\/p>\n<p>With respect to attitude, only 45.7% of participants in our study exhibited a positive attitude toward MTM, a figure considerably lower than those reported in Jordan, Yemen, Nigeria, Malaysia, and Saudi Arabia<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2140\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Hatem, N. A. H., Ibrahim, M. I. M. &amp; Yousuf, S. Exploring knowledge, attitudes and practice toward medication therapy management services among pharmacists in Yemen. PLoS ONE 19(4), 1&#x2013;13. &#010;                  https:\/\/doi.org\/10.1371\/journal.pone.0301417&#010;                  &#010;                 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR22\" id=\"ref-link-section-d72866843e2143\" rel=\"nofollow noopener\" target=\"_blank\">22<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" title=\"Akonoghrere, R. et al. Knowledge, attitude and practice of medication therapy management among hospital pharmacists in Delta State. Acta Sci. Pharm. Sci. 4(8), 118&#x2013;126 (2020).\" href=\"#ref-CR27\" id=\"ref-link-section-d72866843e2146\">27<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" title=\"Al-Tameemi, N. K. &amp; Sarriff, A. Knowledge, attitude and practice of pharmacists on medication therapy management: A survey in Hospital Pulau Pinang, Penang. Malaysia. J Pharm Heal Care Sci. 5(1), 1&#x2013;9 (2019).\" href=\"#ref-CR28\" id=\"ref-link-section-d72866843e2146_1\">28<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 29\" title=\"Alshehri, A. M. et al. Pharmacist intention to provide medication therapy management services in Saudi Arabia: A study using the theory of planned behaviour. Int. J. Environ. Res. Public Health 19(9), 5279 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR29\" id=\"ref-link-section-d72866843e2149\" rel=\"nofollow noopener\" target=\"_blank\">29<\/a>. Notably, less than half of the respondents supported the core elements of MTM and viewed it as a unique opportunity for pharmacists to participate in patient care on a broader scale. This finding diverges from reports in Yemen, Jordan, and the United States<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2153\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Hatem, N. A. H., Ibrahim, M. I. M. &amp; Yousuf, S. Exploring knowledge, attitudes and practice toward medication therapy management services among pharmacists in Yemen. PLoS ONE 19(4), 1&#x2013;13. &#010;                  https:\/\/doi.org\/10.1371\/journal.pone.0301417&#010;                  &#010;                 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR22\" id=\"ref-link-section-d72866843e2156\" rel=\"nofollow noopener\" target=\"_blank\">22<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 30\" title=\"Herbert, K. E. et al. Prediction of pharmacist intention to provide medicare medication therapy management services using the theory of planned behavior. Res. Soc. Adm. Pharm. 2(3), 299&#x2013;314 (2006).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR30\" id=\"ref-link-section-d72866843e2159\" rel=\"nofollow noopener\" target=\"_blank\">30<\/a>, where the majority of pharmacists supported both the core elements and the impact of MTM services in patient care. For example, in the United States, over 90.1% and 86.2% of pharmacists agreed that MTM services are a valuable service that enhance pharmacy practice career, and supports higher levels of patient care. Such discrepancies may stem from differences in healthcare delivery systems, workplace expectations, and availability of MTM-specific training. In settings where dispensing is prioritized over clinical services, pharmacists may view MTM as an added burden rather than a valuable service. Similar to previous studies<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Rendrayani, F. et al. Knowledge, attitude, and practice of medication therapy management: A national survey among pharmacists in Indonesia. Front. Public Health 11(1213520), 1&#x2013;15 (2023).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR25\" id=\"ref-link-section-d72866843e2163\" rel=\"nofollow noopener\" target=\"_blank\">25<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 27\" title=\"Akonoghrere, R. et al. Knowledge, attitude and practice of medication therapy management among hospital pharmacists in Delta State. Acta Sci. Pharm. Sci. 4(8), 118&#x2013;126 (2020).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR27\" id=\"ref-link-section-d72866843e2166\" rel=\"nofollow noopener\" target=\"_blank\">27<\/a>, our findings also showed that gender and level of qualification are associated with attitudes towards MTM, indicating demographic and educational factors may further influence pharmacy professionals\u2019 perceptions of MTM services.<\/p>\n<p>In the current study, only 41.9% of participants demonstrated good MTM practices, This proportion is higher than those reported in Yemen (11% ) and the USA (10%)<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Hatem, N. A. H., Ibrahim, M. I. M. &amp; Yousuf, S. Exploring knowledge, attitudes and practice toward medication therapy management services among pharmacists in Yemen. PLoS ONE 19(4), 1&#x2013;13. &#010;                  https:\/\/doi.org\/10.1371\/journal.pone.0301417&#010;                  &#010;                 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR22\" id=\"ref-link-section-d72866843e2173\" rel=\"nofollow noopener\" target=\"_blank\">22<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 31\" title=\"Doucette, W. R. et al. Evaluation of community pharmacy service mix: Evidence from the 2004 National Pharmacist Workforce Study. J. Am. Pharm. Assoc. 46(3), 348&#x2013;355. &#010;                  https:\/\/doi.org\/10.1331\/154434506777069471&#010;                  &#010;                 (2006).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR31\" id=\"ref-link-section-d72866843e2176\" rel=\"nofollow noopener\" target=\"_blank\">31<\/a> but lower than rates observed in Indonesia (57.9%)<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Rendrayani, F. et al. Knowledge, attitude, and practice of medication therapy management: A national survey among pharmacists in Indonesia. Front. Public Health 11(1213520), 1&#x2013;15 (2023).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR25\" id=\"ref-link-section-d72866843e2180\" rel=\"nofollow noopener\" target=\"_blank\">25<\/a> and two studies from Nigeria<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 24\" title=\"Akonoghrere, R. O., Adje, U. D. &amp; Kobimowe, C. O. Medication therapy management&#x202F;: Awareness, attitude and practice of community pharmacists in Delta State. Int. J. Forensic Med. Invest. 6(1), 1&#x2013;21 (2020).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR24\" id=\"ref-link-section-d72866843e2184\" rel=\"nofollow noopener\" target=\"_blank\">24<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 27\" title=\"Akonoghrere, R. et al. Knowledge, attitude and practice of medication therapy management among hospital pharmacists in Delta State. Acta Sci. Pharm. Sci. 4(8), 118&#x2013;126 (2020).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR27\" id=\"ref-link-section-d72866843e2187\" rel=\"nofollow noopener\" target=\"_blank\">27<\/a>. Among the MTM services, verbal education and training was the most frequently performed activity. However, consistent with previous studies<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2191\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 22\" title=\"Hatem, N. A. H., Ibrahim, M. I. M. &amp; Yousuf, S. Exploring knowledge, attitudes and practice toward medication therapy management services among pharmacists in Yemen. PLoS ONE 19(4), 1&#x2013;13. &#010;                  https:\/\/doi.org\/10.1371\/journal.pone.0301417&#010;                  &#010;                 (2024).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR22\" id=\"ref-link-section-d72866843e2194\" rel=\"nofollow noopener\" target=\"_blank\">22<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Rendrayani, F. et al. Knowledge, attitude, and practice of medication therapy management: A national survey among pharmacists in Indonesia. Front. Public Health 11(1213520), 1&#x2013;15 (2023).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR25\" id=\"ref-link-section-d72866843e2197\" rel=\"nofollow noopener\" target=\"_blank\">25<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 32\" title=\"Moczygemba, L. R., Barner, J. C. &amp; Roberson, K. Texas pharmacists&#x2019; opinions about and plans for provision of medication therapy management services. J. Pharm. Sci. 48(1), 38&#x2013;45. &#010;                  https:\/\/doi.org\/10.1331\/JAPhA.2008.07015&#010;                  &#010;                 (2008).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR32\" id=\"ref-link-section-d72866843e2200\" rel=\"nofollow noopener\" target=\"_blank\">32<\/a>, more advanced practices\u2014such as formulating a medication treatment plan, performing a comprehensive medication review, documenting the care provided, and monitoring and evaluating the patient\u2019s response to therapy, were seldom practiced. This limited engagement may be due to a lack of skills in managing patient compliance and review therapy<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 33\" title=\"Wijaya, I. N. et al. Knowledge, attitude, and practice of pharmacists towards management of hypertension in primary care centers. J. Basic Clin. Physiol. Pharmacol. 30(6), 1&#x2013;6 (2020).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR33\" id=\"ref-link-section-d72866843e2204\" rel=\"nofollow noopener\" target=\"_blank\">33<\/a>. Encouragingly, evidence indicates that most pharmacists would be willing to provide MTM if they received appropriate training<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 34\" title=\"Bright, D. R., Lengel, A. J. &amp; Powers, M. F. Pharmacists&#x2019; perceptions of barriers to implementing medication therapy management and the role of pharmacy technicians in overcoming the barriers. J. Pharm. Technol. 25(6), 361&#x2013;367 (2009).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR34\" id=\"ref-link-section-d72866843e2209\" rel=\"nofollow noopener\" target=\"_blank\">34<\/a>, which supports the need to enhance training and continued professional development initiatives. Targeted training as well as systematic integration of MTM processes supported by comprehensive training for both pharmacists and pharmacy technicians enables to tailor MTM to routine workflows, increase MTM completion rates and leads to marked improvement in comprehensive medication review<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 35\" title=\"Hohmeier, K. C. et al. Targeting adaptability to improve Medication Therapy Management (MTM) implementation in community pharmacy. Implement. Sci. &#010;                  https:\/\/doi.org\/10.1186\/s13012-019-0946-7&#010;                  &#010;                 (2019).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR35\" id=\"ref-link-section-d72866843e2213\" rel=\"nofollow noopener\" target=\"_blank\">35<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 36\" title=\"Murray, M. E. et al. Impact and feasibility of implementing a systematic approach for medication therapy management in the community pharmacy setting: A pilot study. J. Pharm. Pract. 32(6), 664&#x2013;670. &#010;                  https:\/\/doi.org\/10.1177\/0897190018779847&#010;                  &#010;                 (2018).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR36\" id=\"ref-link-section-d72866843e2216\" rel=\"nofollow noopener\" target=\"_blank\">36<\/a>. Combined with supportive policies that establish clear pharmacists\u2019 roles and reimbursements<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 37\" title=\"Stafford, R. et al. Using an array of implementation strategies to improve success rates of pharmacist-initiated medication therapy management services in community pharmacies. Res. Soc. Adm. Pharm. 13(5), 938&#x2013;946. &#010;                  https:\/\/doi.org\/10.1016\/j.sapharm.2017.04.006&#010;                  &#010;                 (2017).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR37\" id=\"ref-link-section-d72866843e2220\" rel=\"nofollow noopener\" target=\"_blank\">37<\/a>, these interventions can ensure effective and sustainable MTM services in community pharmacies. Similar to findings from other studies<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Rendrayani, F. et al. Knowledge, attitude, and practice of medication therapy management: A national survey among pharmacists in Indonesia. Front. Public Health 11(1213520), 1&#x2013;15 (2023).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR25\" id=\"ref-link-section-d72866843e2224\" rel=\"nofollow noopener\" target=\"_blank\">25<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 38\" title=\"Athiyah, U. et al. Assessment of pharmacists&#x2019; knowledge, attitude and practice in chain community pharmacies towards their current function and performance in Indonesia. Pharm Pract. 17(3), 1&#x2013;7 (2019).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR38\" id=\"ref-link-section-d72866843e2227\" rel=\"nofollow noopener\" target=\"_blank\">38<\/a>, our study showed that pharmacy professionals with ten or fewer years of practice were more likely to demonstrate good MTM practices. This might be due to greater confidence in those with fewer years of practices, who are more familiar with patient-centered care<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 32\" title=\"Moczygemba, L. R., Barner, J. C. &amp; Roberson, K. Texas pharmacists&#x2019; opinions about and plans for provision of medication therapy management services. J. Pharm. Sci. 48(1), 38&#x2013;45. &#010;                  https:\/\/doi.org\/10.1331\/JAPhA.2008.07015&#010;                  &#010;                 (2008).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR32\" id=\"ref-link-section-d72866843e2231\" rel=\"nofollow noopener\" target=\"_blank\">32<\/a>.<\/p>\n<p>Similar to findings widely reported in the literature, the most common barriers to delivering MTM services in this study were lack of training, lack of time, limited staff, and lack of inter-professional collaboration. A recent systematic review comprehensively highlighted these barriers across diverse healthcare settings, underscoring the impact on effective implementation of MTM<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 20\" title=\"Rendrayani, F. et al. Pharmacists&#x2019; knowledge, attitude, and practice of medication therapy management&#x202F;: A systematic review. Healthcare. 10(12), 2513 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR20\" id=\"ref-link-section-d72866843e2239\" rel=\"nofollow noopener\" target=\"_blank\">20<\/a>. Consistent with our findings, previous studies have also revealed similar constraints in MTM service delivery<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2243\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" title=\"Rendrayani, F. et al. Knowledge, attitude, and practice of medication therapy management: A national survey among pharmacists in Indonesia. Front. Public Health 11(1213520), 1&#x2013;15 (2023).\" href=\"#ref-CR25\" id=\"ref-link-section-d72866843e2246\">25<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" title=\"Domiati, S. et al. Knowledge of and readiness for medication therapy management among community pharmacists in Lebanon. Int. J. Clin. Pharm. 40(5), 1165&#x2013;1174. &#10;                  https:\/\/doi.org\/10.1007\/s11096-018-0666-0&#10;                  &#10;                 (2018).\" href=\"#ref-CR26\" id=\"ref-link-section-d72866843e2246_1\">26<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" title=\"Akonoghrere, R. et al. Knowledge, attitude and practice of medication therapy management among hospital pharmacists in Delta State. Acta Sci. Pharm. Sci. 4(8), 118&#x2013;126 (2020).\" href=\"#ref-CR27\" id=\"ref-link-section-d72866843e2246_2\">27<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 28\" title=\"Al-Tameemi, N. K. &amp; Sarriff, A. Knowledge, attitude and practice of pharmacists on medication therapy management: A survey in Hospital Pulau Pinang, Penang. Malaysia. J Pharm Heal Care Sci. 5(1), 1&#x2013;9 (2019).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR28\" id=\"ref-link-section-d72866843e2249\" rel=\"nofollow noopener\" target=\"_blank\">28<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 39\" title=\"Shah, B. &amp; Chawla, S. A needs assessment for development and provision of medication therapy management services in New York City. J. Pharm. Pract. 24(3), 339&#x2013;344. &#010;                  https:\/\/doi.org\/10.1177\/0897190010396584&#010;                  &#010;                 (2011).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR39\" id=\"ref-link-section-d72866843e2252\" rel=\"nofollow noopener\" target=\"_blank\">39<\/a>. Lack of training has consistently emerged as a significant barrier, impeding pharmacists\u2019 confidence and competence in delivering MTM<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 16\" title=\"Ferreri, S. P., Hughes, T. D. &amp; Snyder, M. E. Medication therapy management: Current challenges. Integr. Pharm. Res. Pract. 9, 71&#x2013;81 (2020).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR16\" id=\"ref-link-section-d72866843e2256\" rel=\"nofollow noopener\" target=\"_blank\">16<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 39\" title=\"Shah, B. &amp; Chawla, S. A needs assessment for development and provision of medication therapy management services in New York City. J. Pharm. Pract. 24(3), 339&#x2013;344. &#010;                  https:\/\/doi.org\/10.1177\/0897190010396584&#010;                  &#010;                 (2011).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR39\" id=\"ref-link-section-d72866843e2259\" rel=\"nofollow noopener\" target=\"_blank\">39<\/a>. Moreover, a lack of training may intensify other challenges such as time management within busy pharmacy workflows and collaboration with other healthcare providers<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 21\" title=\"Jarab, A. S. et al. Pharmacists&#x2019; knowledge and attitudes toward medication therapy management service and the associated challenges and barriers for its implementation. Saudi Pharm. J. 30(6), 842&#x2013;848. &#010;                  https:\/\/doi.org\/10.1016\/j.jsps.2022.03.008&#010;                  &#010;                 (2022).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR21\" id=\"ref-link-section-d72866843e2263\" rel=\"nofollow noopener\" target=\"_blank\">21<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 25\" title=\"Rendrayani, F. et al. Knowledge, attitude, and practice of medication therapy management: A national survey among pharmacists in Indonesia. Front. Public Health 11(1213520), 1&#x2013;15 (2023).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR25\" id=\"ref-link-section-d72866843e2266\" rel=\"nofollow noopener\" target=\"_blank\">25<\/a>. Therefore, addressing training gaps through structured educational programs is recommended to enhance pharmacists\u2019 skills and self-efficacy, which may indirectly allow them to overcome other barriers such as time management, inter-professional relationships, and staffing pressure by improving efficient work flow and prioritization of MTM services<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" title=\"Bright, D. R., Lengel, A. J. &amp; Powers, M. F. Pharmacists&#x2019; perceptions of barriers to implementing medication therapy management and the role of pharmacy technicians in overcoming the barriers. J. Pharm. Technol. 25(6), 361&#x2013;367 (2009).\" href=\"#ref-CR34\" id=\"ref-link-section-d72866843e2270\">34<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" title=\"Hohmeier, K. C. et al. Targeting adaptability to improve Medication Therapy Management (MTM) implementation in community pharmacy. Implement. Sci. &#10;                  https:\/\/doi.org\/10.1186\/s13012-019-0946-7&#10;                  &#10;                 (2019).\" href=\"#ref-CR35\" id=\"ref-link-section-d72866843e2270_1\">35<\/a>,<a data-track=\"click\" data-track-action=\"reference anchor\" data-track-label=\"link\" data-test=\"citation-ref\" aria-label=\"Reference 36\" title=\"Murray, M. E. et al. Impact and feasibility of implementing a systematic approach for medication therapy management in the community pharmacy setting: A pilot study. J. Pharm. Pract. 32(6), 664&#x2013;670. &#010;                  https:\/\/doi.org\/10.1177\/0897190018779847&#010;                  &#010;                 (2018).\" href=\"http:\/\/www.nature.com\/articles\/s41598-025-20694-3#ref-CR36\" id=\"ref-link-section-d72866843e2273\" rel=\"nofollow noopener\" target=\"_blank\">36<\/a>.<\/p>\n<p>Limitations: This is a cross-sectional study design with a small sample size, which may restrict the generalizability of the findings to all community pharmacy professionals in Ethiopia. Consequently, future studies should consider a nationwide study with a large sample size to provide more representative data. Moreover, interventional studies aimed at designing an educational intervention to improve pharmacy professionals\u2019 attitudes and practices toward MTM are needed. Despite these limitations, this is the first study in Ethiopia to explore community pharmacy professionals\u2019 KAP regarding MTM, providing a baseline for future researches and policy development.<\/p>\n","protected":false},"excerpt":{"rendered":"Our study revealed that 62.9% of community pharmacists exhibited a high level of knowledge regarding MTM services. This&hellip;\n","protected":false},"author":2,"featured_media":98272,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34],"tags":[61192,1733,41743,103,397,396,2026,61,60,521,61191,2027,82],"class_list":{"0":"post-98271","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-healthcare","8":"tag-community-pharmacy-professionals","9":"tag-diseases","10":"tag-ethiopia","11":"tag-health","12":"tag-health-care","13":"tag-healthcare","14":"tag-humanities-and-social-sciences","15":"tag-ie","16":"tag-ireland","17":"tag-medical-research","18":"tag-medication-therapy-management","19":"tag-multidisciplinary","20":"tag-science"},"_links":{"self":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/98271","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/comments?post=98271"}],"version-history":[{"count":0,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/posts\/98271\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media\/98272"}],"wp:attachment":[{"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/media?parent=98271"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/categories?post=98271"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.newsbeep.com\/ie\/wp-json\/wp\/v2\/tags?post=98271"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}