Safer Pharmaceutical Safer Pharmaceutical Disposal Practices ...
Safer Pharmaceutical Disposal sposa Practices act ces tthrough oug a Pilot Program for Consumers Consumers
Julie Becker, Ph.D., MPH T Teresa Mendez-Quigley, M d Q i l MSW, MSW LSW Kelly Anderson Paula Conolly © J. Becker, Ph.D., MPH
The Problem
What happens pp to these medications when they are unused, unwanted or expired? Prescription Over-the-counter Homeopathic Vitamins © J. Becker, Ph.D., MPH
Answer: The medications often get flushed and get into our waterways. waterways. 2
The Evidence
© J. Becker, Ph.D., MPH
Abnormal fish gonad with eggs and sperm.
3
Stakeholders’ Perspectives p • Qualitative study: >70 people interviewed • S Semi-structured i t t d recorded d d ttelephone l h interviews lasting at least 15 minutes. • Snowball Sno ball sample for recruitment recr itment • No incentives, IRB approved • Data Analysis: Theme and #3 #1 content analyses (latent and manifest) #2
© J. Becker, Ph.D., MPH
4
Current Disposal p Practices MOST participants ti i t did NOT discuss di disposal options with consumers MOST did NOT know k how h to t dispose di of medications FEW knew k where h unused d medications di ti ended up or how disposed of ALL agreed d they th needed d d more education for professionals like th themselves l and d would ld like lik materials to distribute to th public the bli © J. Becker, Ph.D., MPH
5
Green Sticker Pilot Program Program
© J. Becker, Ph.D., MPH
6
Preliminary e a y Results esu ts How frequently do you go to this pharmacy? 0.45
How frequently do you go to any pharmacy? 70.0%
0.4 60.0% 0.35 0.3
50.0%
0.25 40.0% 0.2 0.15
30.0%
0.1 20.0% 0.05 0
10.0%
Once a Several Once a Several Once a day times a week times a month week month © J. Becker, Ph.D., MPH
Pre Pilot
0.0%
Mid Point
Once a Several Once a Several Once a day times a week times a month week month
Preliminary y Results 40.0%
How do you dispose of medications?
35 0% 35.0%
30.0%
25.0%
20.0%
15.0%
10 0% 10.0%
5.0%
0.0%
Flush
Trash no wrap Trash wrapped; Give to someone HHW, Special else Collection
© J. Becker, Ph.D., MPH
Keep it
Pre Pilot
Finish it
Mid Point
8
Preliminary Results 60.0%
50.0%
40.0% 40 0%
30.0%
20.0%
10.0%
0.0%
S Seen the th llogo? ? © J. Becker, Ph.D., MPH
Pre Pilot
R Received i d a Fl Flyer? ?
L t 3 mths Last th disposed di d off meds?
Mid Point 9
Preliminary Analysis • Of those who had seen the flyer(54.2%), flyer(54 2%) folks were able to identify key parts including: “Do not dump, Put in trash not drain dump drain, Do not put in drain, drain Do not flush, Wrap in trash, Coffee grounds in trash, Throw in trash, Only yg glanced at flyer, y Wrap p in trash, Put in coffee can, Received flyer today, Coffee grounds; black out your name.”
• More people recognized the logo ((Pre:6%;; Midpoint: p 29%)) • Behavioral change is slow, but awareness is increasing. © J. Becker, Ph.D., MPH
10
Next Steps • Complete the pilot with analysis by May 2011 2011. • Identify successes and barriers • Expand pilot to multiple sites • Expand pilot to state • Expand to nationwide
© J. Becker, Ph.D., MPH
11
Contact information and Acknowledgements Thank you to our contributors: Jim Reginelli, RPh April Grant, MPA, Temple University Angelique Hill, Neumann College Rachel Davidovics, Drexel University Julie Becker, Ph.D., MPH info@when org [email protected]
© J. Becker, Ph.D., MPH
This pilot program was funded by a grant from Philadelphia Water Department
12
Julie Becker, Ph.D., MPH T Teresa Mendez-Quigley, M d Q i l MSW, MSW LSW Kelly Anderson Paula Conolly © J. Becker, Ph.D., MPH
The Problem
What happens pp to these medications when they are unused, unwanted or expired? Prescription Over-the-counter Homeopathic Vitamins © J. Becker, Ph.D., MPH
Answer: The medications often get flushed and get into our waterways. waterways. 2
The Evidence
© J. Becker, Ph.D., MPH
Abnormal fish gonad with eggs and sperm.
3
Stakeholders’ Perspectives p • Qualitative study: >70 people interviewed • S Semi-structured i t t d recorded d d ttelephone l h interviews lasting at least 15 minutes. • Snowball Sno ball sample for recruitment recr itment • No incentives, IRB approved • Data Analysis: Theme and #3 #1 content analyses (latent and manifest) #2
© J. Becker, Ph.D., MPH
4
Current Disposal p Practices MOST participants ti i t did NOT discuss di disposal options with consumers MOST did NOT know k how h to t dispose di of medications FEW knew k where h unused d medications di ti ended up or how disposed of ALL agreed d they th needed d d more education for professionals like th themselves l and d would ld like lik materials to distribute to th public the bli © J. Becker, Ph.D., MPH
5
Green Sticker Pilot Program Program
© J. Becker, Ph.D., MPH
6
Preliminary e a y Results esu ts How frequently do you go to this pharmacy? 0.45
How frequently do you go to any pharmacy? 70.0%
0.4 60.0% 0.35 0.3
50.0%
0.25 40.0% 0.2 0.15
30.0%
0.1 20.0% 0.05 0
10.0%
Once a Several Once a Several Once a day times a week times a month week month © J. Becker, Ph.D., MPH
Pre Pilot
0.0%
Mid Point
Once a Several Once a Several Once a day times a week times a month week month
Preliminary y Results 40.0%
How do you dispose of medications?
35 0% 35.0%
30.0%
25.0%
20.0%
15.0%
10 0% 10.0%
5.0%
0.0%
Flush
Trash no wrap Trash wrapped; Give to someone HHW, Special else Collection
© J. Becker, Ph.D., MPH
Keep it
Pre Pilot
Finish it
Mid Point
8
Preliminary Results 60.0%
50.0%
40.0% 40 0%
30.0%
20.0%
10.0%
0.0%
S Seen the th llogo? ? © J. Becker, Ph.D., MPH
Pre Pilot
R Received i d a Fl Flyer? ?
L t 3 mths Last th disposed di d off meds?
Mid Point 9
Preliminary Analysis • Of those who had seen the flyer(54.2%), flyer(54 2%) folks were able to identify key parts including: “Do not dump, Put in trash not drain dump drain, Do not put in drain, drain Do not flush, Wrap in trash, Coffee grounds in trash, Throw in trash, Only yg glanced at flyer, y Wrap p in trash, Put in coffee can, Received flyer today, Coffee grounds; black out your name.”
• More people recognized the logo ((Pre:6%;; Midpoint: p 29%)) • Behavioral change is slow, but awareness is increasing. © J. Becker, Ph.D., MPH
10
Next Steps • Complete the pilot with analysis by May 2011 2011. • Identify successes and barriers • Expand pilot to multiple sites • Expand pilot to state • Expand to nationwide
© J. Becker, Ph.D., MPH
11
Contact information and Acknowledgements Thank you to our contributors: Jim Reginelli, RPh April Grant, MPA, Temple University Angelique Hill, Neumann College Rachel Davidovics, Drexel University Julie Becker, Ph.D., MPH info@when org [email protected]
© J. Becker, Ph.D., MPH
This pilot program was funded by a grant from Philadelphia Water Department
12
