Effect of a pharmacist intervention on asthma control. A cluster randomised trial

Summary Introduction Achievement and maintenance of good asthma control is a major objective in asthma management. However, asthma control in many patients is suboptimal, due to improper use of asthma medications and non-adherence. The aim of this study was to evaluate the effect of a pharmacist int...

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Veröffentlicht in:Respiratory medicine 2013-09, Vol.107 (9), p.1346-1355
Hauptverfasser: García-Cárdenas, Victoria, Sabater-Hernández, Daniel, Kenny, Patricia, Martínez-Martínez, Fernando, Faus, María José, Benrimoj, Shalom I
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Sprache:eng
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Zusammenfassung:Summary Introduction Achievement and maintenance of good asthma control is a major objective in asthma management. However, asthma control in many patients is suboptimal, due to improper use of asthma medications and non-adherence. The aim of this study was to evaluate the effect of a pharmacist intervention on asthma control in adult patients. Methods A 6-month cluster randomized controlled trial was undertaken with allocation of community pharmacies to intervention or control group. Adult asthma patients in the intervention group received a protocol-based intervention addressing individual needs related to asthma control, inhaler technique and medication adherence. Patients in the control group received usual care. Main variables were measured at baseline, 3 and 6 months. Results 336 patients completed the study, 150 in the control group and 186 in the intervention group. The intervention resulted in enhanced asthma control: Patients receiving the intervention had an Odds ratio of 3.06 (95% CI:1.63–5.73; p  
ISSN:0954-6111
1532-3064
DOI:10.1016/j.rmed.2013.05.014