Survey of Pharmacists' Awareness of and Attitudes towards Emergency Contraception
Before you begin the interview with a pharmacist, introduce yourself. Explain the purpose of the interview and ask the pharmacist if this is a good time for a 10-minute interview or if she/he will give you an appointment at another mutually convenient time. Discuss how results will be used. At the conclusion, don't forget to thank the pharmacist for his/her time.
A. Awareness
- Approximately how many youth between the ages of 13 and 21 years come into your pharmacy for prescription items per week? __________
- How often do youth under age 21 ask you questions about their health (i.e. skin problems, birth control, general aches and pains)?
Daily __________
Several times a week __________
Several times a month __________
Several times a year __________
Never __________
- Do you have a physical space in your pharmacy that can be used to counsel customers in private?
Yes __________
No __________
- In the past year, have any youth under age 21 asked your advice about preventing pregnancy?
Yes __________
No __________
- In the past year, approximately how often did youth bring in prescriptions or ask for emergency contraceptive pills (ECP)?
Never __________
Several times a year __________
Several times a month __________
Several times a week __________
Don't know __________
- Would your pharmacy be willing to disseminate inserts or pamphlets about ECP to customers who purchase condoms, pregnancy test kits, etc.?
Yes __________
No __________
- Would your pharmacy be willing to display posters, pamphlets, etc. about ECP?
Yes __________
No __________
- Does your pharmacy currently stock Plan B® or ECPs?
Yes __________
No __________
B. Attitudes
- To what extent do you agree with the following statements?
|
|
Completely
Disagree |
Somewhat
Disagree |
Somewhat
Agree |
Completely
Agree |
Not
Sure |
|
a. Emergency contraceptive pills are safe for adolescents. |
1 |
2 |
3 |
4 |
5 |
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b. Adolescents would not use other contraceptive methods effectively if ECPs were easily available. |
1 |
2 |
3 |
4 |
5 |
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c. Repeated use of ECP can pose health risks. |
1 |
2 |
3 |
4 |
5 |
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d. ECP should be available over the counter, without prescription for teens under 18. |
1 |
2 |
3 |
4 |
5 |
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e. ECP can cause birth defects if taken by pregnant women. |
1 |
2 |
3 |
4 |
5 |
- How comfortable are you talking to adolescents about emergency contraceptive pills?
Very uncomfortable __________
Somewhat comfortable __________
Somewhat uncomfortable __________
Very comfortable __________
Adapted with permission by Vincent McBride and Brenda Rhodes Miller, DC Campaign to Prevent Teen Pregnancy and Laura Davis, Advocates for Youth from a survey of Pharmacists' Awareness and Attitudes towards Emergency Contraception developed by the Academy for Educational Development in New York City.
Updated January 2008
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