Pharmaceutical care for adult asthma patients: A controlled intervention one‐year follow‐up study
Pharmaceutical care for adult asthma patients: A controlled intervention one‐year follow‐up study
Date
2020-04-20
Authors
Khdour, Maher R.
Elyan, Sabrin O.
Hallak, Hussein O.
Jarab, Anan S.
Mukattash, Tareq L.
Astal, Amr
Journal Title
Journal ISSN
Volume Title
Publisher
John Wiley & Sons
Abstract
Asthma is a clinical problem with social, psychological and economic burdens. To
improve patient disease management, different education programmes have been
developed. Challenges in asthma management may be partially attributed to nonadherence
or improper use of inhalers. This study aimed to implement and assess
hospital‐based pharmaceutical care services for asthmatic patients. A 12‐month, single‐
centre, randomized, controlled study was initiated in asthmatic adult patients who
had been divided into either a control or intervention group. Patients in the control
group received the usual care, and patients in the intervention group received patient
counselling per study protocol that covered asthma knowledge, control, adherence to
treatment and inhalation techniques. The main variables compared measurements at
baseline with those at 6 and 12 months. A total of 192 patients completed the study
protocol: 90 in the control group and 102 in the intervention group. The control
group included 90 patients, and the intervention group included 102 patients. Over
the course of the 12‐month follow‐up period, a significant difference was observed
between intervention and control groups with respect to asthma control (38.2%
vs 10.0%; P < .001), mean correct inhalation technique (confidence interval [CI]:
8.1, 7.8‐8.5 vs CI: 6.1; 5.6‐6.6; P = .01) and good medication adherence (60.7% vs
50.0%, P = .02). There were 34% and 25% decreases in emergency room visits and
hospital admissions, respectively, in the intervention group compared to the control
group. This study emphasizes the importance of patient counselling in asthma management
and the significant contribution that the pharmacist's intervention can have
on asthma control.
Description
Keywords
adherence, asthma control, inhaler technique, palestine, pharmaceutical care
Citation
Khdour MR, Elyan SO, HallakHO, Jarab AS, Mukattash TL, Astal A. Pharmaceutical care for adult asthma patients: A controlled intervention one‐year follow‐up study. Basic Clin Pharmacol Toxicol. 2020;126:332–340.