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Making sense of the extraordinary - An investigation of the content and prevalence of appraisals of nonordinary experiences.

Authors: Fortes P, Tavares L, Granjeiro G, Bortolini G, Maraldi E, Bortolini T, Hartle L, Lima M, Laport M, Moll J, Fischer R
Journal: PloS one
mental health psychology open access

Abstract

Non-communicable diseases, such as diabetes, hypertension, and cardiovascular disease, are leading causes of morbidity and mortality worldwide []. Addressing this growing burden requires effective health promotion and disease prevention (HPDP) strategies. Health promotion has been defined by the World Health Organization (WHO) as enabling people to live healthier lives by increasing their control over their health through improved health literacy and multisectoral actions to produce healthy environments and behaviors []. Accordingly, disease prevention involves population-level and individual-level interventions aimed at reducing the incidence, progression, and complications of chronic diseases and other health conditions []. HPDP services are fundamental components of public health efforts to improve population wellbeing. These services involve several interventions, such as screening programs, health education initiatives, and lifestyle counseling []. Available evidence indicates that HPDP services contribute to increased productivity, reduced disease burden, and lower healthcare costs across diverse populations [–]. While HPDP services are widely recognized as valuable, their integration into routine healthcare practice remains challenging. Barriers include limited time, lack of adequate training, poor integration of information technology systems, and limited professional experience among healthcare providers (HCPs) [,]. Worldwide, community pharmacists (CPs) are increasingly recognized as highly accessible HCPs, particularly in low- and middle-income countries [–]. As the scope of pharmacy practice continues to expand, CPs are anticipated to deliver preventive services in addition to their traditional dispensing responsibilities [–]. This shift is largely driven by the growing prevalence of chronic disease [], an aging population [], increasing pressure on healthcare systems [], and greater public awareness of health risks such as obesity [] and tobacco smoking []. Consequently, CPs are increasingly expected to contribute to public health initiatives through the delivery of HPDP services []. However, the extent to which pharmacists engage in these activities may be influenced by individual, organizational, and system-level factors [].