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Pharmacist provision of language-appropriate education for Asian patients with asthma
Peggy Soule Odegard1, Annie Lam, Alan Chun
1School of Pharmacy, University of Washington, Health Sciences Building, Room H361B, 1959 NE Pacific Street, Seattle, WA 98195, USA. podegard@u.washington.edu
Objective:
To improve asthma treatment outcomes in Asians living in Seattle and for whom English is a second language.
Design:
Pre-post design.
Setting:
International Community Health Services, Seattle, Washington.
Patients:
Asians older than 18 years with asthma and whose native language was not English.
Intervention:
Pharmacists or pharmacy students provided oral and written asthma education in the subject's native language.
Main Outcome Measures:
Self-reported use of valve-holding chambers and peak flow meters; self-reported asthma symptoms at baseline and 6 months after intervention; number of acute asthma-related (non-routine, non-follow-up) clinic visits during the 6 months before and after the intervention.
Results:
Thirty-two subjects, aged 42 to 88 years, participated. Subjects demonstrated a reduction in mean number of asthma attacks (3.7 to 1.0, P < .001) and night awakenings (1.4 to 0.3, P < .001). Patient satisfaction with the program was excellent. Spacer and peak flow meter use increased from 7 to 18 subjects (P < .001) and 1 to 14 subjects (P < .0002), respectively.
Conclusion:
Language-appropriate asthma education improved treatment outcome for patients whose native language was not English.
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