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Pharmaceutical care services for asthma patients: a controlled intervention study.
M Schulz1, F Verheyen, S Mühlig
1Center for Drug Information and Pharmacy Practice, ABDA-Federal Union of German Associations of Pharmacists, Eschborn, Germany.
Journal of Clinical Pharmacology
|June 14, 2001
Summary
Community pharmacy interventions significantly improved asthma management, enhancing patients' quality of life and self-care skills over 12 months. This study highlights the role of pharmacists in asthma education and support.
Area of Science:
- Pharmacology
- Public Health
- Respiratory Medicine
Background:
- Asthma imposes significant social, psychological, and economic burdens.
- Patient education programs aim to improve asthma outcomes and quality of life.
- Community pharmacies can play a role in patient support and education.
Purpose of the Study:
- To evaluate the effectiveness of community pharmacy-based interventions on asthma patient outcomes.
- To assess the impact on lung function, health-related quality of life, and self-management.
- To determine the long-term effects of pharmaceutical care in asthma management.
Main Methods:
- A 12-month controlled intervention study involving 26 intervention and 22 control pharmacies.
- Patients (ages 18-65) with mild to severe asthma were allocated to intervention (n=161) or control (n=81) groups.
- Intervention included disease education, pharmacotherapy guidance, self-management support, and inhalation technique correction.
Main Results:
- Pharmaceutical care significantly improved inhalation technique.
- Asthma-specific quality of life and SF-36 mental health scores improved in the intervention group.
- Significant improvements were observed in evening peak flow, self-efficacy, and knowledge at 12 months.
Conclusions:
- Community pharmacy-based interventions are effective in improving asthma management.
- These programs enhance patient quality of life, self-management skills, and lung function.
- Pharmacists can effectively contribute to better asthma control and patient outcomes.