b Department of Obstetrics & Gynaecology, University Hospital Gasthuisberg Leuven, Belgium; c Intensive Care and Department of Pediatric Surgery and Division of Neonatology Erasmus MC, Sophia Children’s Hospital, Rotterdam, The Netherlands E-mail address: michael.ceulemans@kuleuven.be (M. Ceulemans). Background: Due to existing illnesses or pregnancy related ailments, pregnant women are regularly exposed to medicines. Furthermore, women willing to get pregnant would benefit from information on pre- conceptional folic acid intake or smoking and alcohol cessation. Pharma- cists can play an important role in counselling (potentially) pregnant and lactating women, and thereby improve maternal and fetal health. The aim of this study was to evaluate the current quality of pregnancy related counselling in Belgian community pharmacies. Methods: A mystery shopping study was organized in 40 randomly selected community pharmacies in Flanders, Belgium. Every pharmacy was visited twice in November-December 2017 by a simulated patient (aged 22-23 years). In case 1, the mystery patient asked for a pregnancy test; in case 2 an over-the-counter medicine against nausea was requested (8w pregnant women). Results: In 80 pharmacy visits, mystery patients were counselled 45 times by a pharmacist and 35 times by a pharmacy technician. Questions were barely asked when dispensing pregnancy tests (mean 1.4; range 0-5). Folic acid intake was spontaneously discussed in only 10% of the conversations. In 73% of the cases necessity to start folic acid from today onwards was not emphasized. No single pharmacist or technician discussed what to do in case of a positive pregnancy test. Mean number of questions asked in case 2 was 2.6 (range 0-9); hence only 30% of pharmacists/technicians were aware of ongoing pregnancy at the time of medication proposal. Despite information about ongoing pregnancy during the further conversation, incorrect dosing was still advised in 39% of the cases. Non-pharmacological advice was discussed in 35% of the cases. Conclusions: Current pregnancy related counselling in Belgian commu- nity pharmacies was found to be limited. Both insufficient preconceptional advice and dosing errors were observed. Remarkably, some findings were not specifically related to pregnancy counselling, but rather reflect inad- equate general counselling competencies. BARRIERS TO PRENATAL CARE AMONG PREGNANT ARAB WOMEN LIVING IN BELGIUM Michael Ceulemans, Raneem Chaar, Veerle Foulon. Clinical Pharmacology & Pharmacotherapy, Department of Pharmaceutical and Pharmacological Sciences, KU Leuven, Leuven, Belgium E-mail address: Michael.ceulemans@kuleuven.be (M. Ceulemans). Background: The recent influx of immigrants is challenging the healthcare system of many Western societies, including Belgium. Pregnant immi- grants may be confronted with barriers to prenatal care. Therefore, exploration of these barriers is crucial to enhance their access to prenatal care and the counselling role of health care professionals. The aim of this study was to identify barriers to prenatal care among pregnant Arab women who recently migrated to Belgium. Methods: A qualitative study involving semi-structured interviews with pregnant Arab women was carried out in Belgium between February and July 2017. Pregnant women, >18y old, not speaking sufficient Dutch, French or English and living in Belgium for at least three months were eligible for partipication, independent of pregnancy trimester. The in- terviews were carried out by a bilingual researcher (Arab/English). All interviews were recorded and transcribed verbatim. Data analysis was performed using a thematic framework in NVivo 11. Results: In total, 21 pregnant Arab women were interviewed, of which 17 interviews were eligible for analysis. Aspects related to language, communication, psychology, finances, culture and education were identi- fied as main barriers to prenatal care. Certain perceptions about pharma- cists, lack of communication, receiving little or no information and unpleasant experiences seemed to negatively affect pharmacist-patient interaction. Conclusions: Pregnant Arab women living in Belgium are faced with various barriers to prenatal care, impeding their access to efficient health care. Strategies for improving communication and health literacy are needed, as well as additional attention to overcome psychological and financial barriers. As easily accessible health care professionals, commu- nity pharmacists can play an important role in the counselling of these women, for example as a critical source of information on health products or to guide these women more accurately through our health care system. So far, however, pregnant Arab women do not perceive the community pharmacist as a trust-worthy healthcare professional. EXPLORING DETERMINANTS OF PATIENT BEHAVIOUR BASED ON THE THEORETICAL DOMAINS FRAMEWORK WHICH AFFECT ADHERENCE TO PRESCRIBED MEDICATION: A SYSTEMATIC REVIEW Katya Sacco a , Lorna West a , Derek Steward b , Maria Cordina a . a Medicines Use Research Group, Department of Clinical Pharmacology and Therapeutics, Faculty of Medicine and Surgery, University of Malta, Malta; b School of Pharmacy and Life Sciences Robert Gordon University, Aberdeen Scotland, United Kingdom E-mail address: pisces6390@hotmail.com (K. Sacco). Background: Medication non-adherence is a major public health issue, which leads to negative health and economic outcomes. The Theoretical Domains Framework (TDF) is a model which allows systematic evaluation and assessment of barriers - and enablers that influence behaviour change. It is therefore an appropriate framework to apply when studying aspects which affect adherence to medication. The aim of this study was to sys- tematically review published literature that applied the TDF to explore the behavioural determinants which affect adherence amongst patients requiring prescribed medication. Methods: In line with the registered protocol (PROSPERO 2017:CRD42017067454), seven electronic databases namely Cochrane Li- brary including the Cochrane Database of Systematic Reviews (CDSR), CINAHL, MEDLINE, International Pharmaceutical Abstracts (IPA), PsycINFO, SAGE, Web of Science, were searched for articles in the English language that explored medication adherence amongst patients (<18 years) using or were mapped to the TDF domains. Studies which included patients of any ethnicity who are at least on one prescribed acute or regular medication were included in the study. Data extraction and quality assessment using a critical appraisal tool were conducted. Results: Out of the 562 titles retrieved, only seven were eligible for review (five qualitative studies and two systematic reviews).The most cited facilitator was ‘ beliefs about consequences’ whilst the most prevalent barriers to adherence were ‘social influence’, ’ beliefs about consequences’ and ‘memory, attention and decision processors’. Overall, the papers were of very high quality but it was of partial quality in terms of research design. Conclusions: The systematic review has identified the most prevalent behavioural determinants based on the TDF that act as barriers and facil- itators to prescribed medication adherence. These behavioural de- terminants need to be recognised when targeting factors for non- adherence. NURSES’ AND PHARMACISTS’ PERCEPTIONS OF PSYCHOTROPIC MONITORING IN AUSTRALIAN AGED CARE FACILITIES Aili V. Langford a , Timothy F. Chen a , Chris Roberts b , Carl R. Schneider a . a Faculty of Pharmacy, The University of Sydney, Australia; b Sydney Medical School (Northern), The University of Sydney, Australia E-mail address: alan4883@uni.sydney.edu.au (A.V. Langford). Background: Current evidence suggests that the modest benefit of psy- chotropic use in the geriatric population is outweighed by associated morbidity and mortality. Psychotropic monitoring by Health Care Pro- fessionals (HCPs) may be valuable in reducing adverse effects and improving clinical rationale. The extent to which psychotropic monitoring occurs in Aged Care Facilities (ACFs) and influencing factors are not well established. This study aimed to explore psychotropic monitoring from the perspective of registered nurses and accredited pharmacists. Methods: A purposive sample of 22 HCPs working in ACFs was recruited. Abstracts / Research in Social and Administrative Pharmacy 14 (2018) e23ee56 e27