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Effectiveness of pharmacist intervention for asthma control improvement
E Mehuys1, L Van Bortel, L De Bolle
1Pharmaceutical Care Unit Ghent, Faculty of Pharmaceutical Sciences, Ghent University Hospital, Ghent, Belgium. els.mehuys@ugent.be
The European Respiratory Journal
|December 21, 2007
Summary
Pharmacist interventions improved asthma control in adults with poorly controlled asthma. Tailored education enhanced medication adherence and inhalation technique, leading to better outcomes.
Area of Science:
- Pharmacology
- Public Health
- Clinical Pharmacy
Background:
- Optimal medication use is crucial for effective asthma management.
- Community pharmacists play a key role in patient education and medication adherence.
- Previous interventions have shown varying success in improving asthma control.
Purpose of the Study:
- To evaluate the effectiveness of pharmacist-led interventions on asthma control in adult patients.
- To assess the impact of tailored education on inhalation technique and medication adherence.
- To determine if community pharmacy-based programs can improve therapeutic outcomes for asthma patients.
Main Methods:
- A 6-month randomized controlled trial involving 201 adult asthma patients across 66 community pharmacies in Belgium.
- Patients were assigned to either usual pharmacist care or a tailored intervention focusing on medication use and adherence.
- Asthma control was measured using the Asthma Control Test (ACT), alongside assessments of inhalation technique, adherence, and reliever medication use.
Main Results:
- While overall ACT scores did not significantly change, the intervention group showed significant improvement in ACT scores among patients with insufficiently controlled asthma at baseline.
- The intervention group demonstrated significantly better inhalation technique and adherence to controller medications.
- Patients receiving the intervention used less reliever medication and experienced fewer night-time awakenings due to asthma.
Conclusions:
- Community pharmacy-based interventions, tailored to individual patient needs, can significantly improve asthma control and therapeutic outcomes in adults.
- Focusing on inhalation technique and medication adherence is key to successful asthma management programs.
- Pragmatic, real-world pharmacy interventions offer a viable strategy for enhancing patient care in chronic respiratory diseases.
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