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Impact of community pharmacists' interventions on asthma self-management care

Authorized Users Only
2018
Authors
Kovačević, Milena
Ćulafić, Milica
Jovanović, Marija
Vučićević, Katarina
Vezmar-Kovačević, Sandra
Miljković, Branislava
Article (Published version)
Metadata
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Abstract
Background: Asthma self-management is aimed to improve the quality and effectiveness of asthma care by supporting the patients to manage their illness by themselves. Objective: The aim of the study was to evaluate the impact of pharmacist-delivered counselling on patients knowledge and beliefs about the medicines, adherence level, and asthma control. Methods: A prospective intervention study was conducted in community pharmacies. A total of 90 patients completed the study. Four questionnaires were used: (1) Beliefs about medicines questionnaire (BMQ), (2) Knowledge of asthma and asthma medicine (KAM), (3) Asthma control test (ACT), and (4) 8-item Morisky medication adherence scale questionnaire (MMAS-8). Questionnaires were completed at baseline and 3 months later. Results: Low level of adherence and poor asthma control were determined initially. Better asthma control was significantly associated with higher adherence level, lower concerns regarding the medication use, and knowledge of... triggers. Statistically significant improvement was found after 3 months in patients knowledge of asthma and its medications, their attitude towards medications (decrease in harm, overuse and concern; increase in necessity score), asthma control score (increased from 19 to 20, p lt 0.05) and level of adherence (MMAS-8 score decreased from 3 to 2 p lt 0.05). Better asthma control was achieved in 60% of patients. Sixteen patients (18%) were transferred from poor to well-controlled asthma, implying no need for patients' referral to the doctor and no additional cost for the health system. Conclusions: Improved disease control could be a result of enhanced knowledge and understanding of the disease-medication relationship, improved inhalation technique, and support on patients' adherence. Acquired knowledge and skills, as well as improved attitude, empowered patients to take a more active part in asthma management. Education in further patients' follow-up should consider topics tailored to the patients' characteristics, needs, and prior counselling schedule with issues discussed.

Keywords:
Asthma / Education / Pharmacy / Adherence / Beliefs / Knowledge
Source:
Respiratory Medicine, 2018, 14, 6, 603-611
Publisher:
  • Elsevier Science Inc, New York
Funding / projects:
  • Basic and Clinical Pharmacological research of mechanisms of action and drug interactions in nervous and cardiovascular system (RS-175023)

DOI: 10.1016/j.sapharm.2017.07.007

ISSN: 1551-7411

PubMed: 28778676

WoS: 000434970900026

Scopus: 2-s2.0-85026505085
[ Google Scholar ]
21
11
URI
https://farfar.pharmacy.bg.ac.rs/handle/123456789/3228
Collections
  • Radovi istraživača / Researchers’ publications
Institution/Community
Pharmacy
TY  - JOUR
AU  - Kovačević, Milena
AU  - Ćulafić, Milica
AU  - Jovanović, Marija
AU  - Vučićević, Katarina
AU  - Vezmar-Kovačević, Sandra
AU  - Miljković, Branislava
PY  - 2018
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/3228
AB  - Background: Asthma self-management is aimed to improve the quality and effectiveness of asthma care by supporting the patients to manage their illness by themselves. Objective: The aim of the study was to evaluate the impact of pharmacist-delivered counselling on patients knowledge and beliefs about the medicines, adherence level, and asthma control. Methods: A prospective intervention study was conducted in community pharmacies. A total of 90 patients completed the study. Four questionnaires were used: (1) Beliefs about medicines questionnaire (BMQ), (2) Knowledge of asthma and asthma medicine (KAM), (3) Asthma control test (ACT), and (4) 8-item Morisky medication adherence scale questionnaire (MMAS-8). Questionnaires were completed at baseline and 3 months later. Results: Low level of adherence and poor asthma control were determined initially. Better asthma control was significantly associated with higher adherence level, lower concerns regarding the medication use, and knowledge of triggers. Statistically significant improvement was found after 3 months in patients knowledge of asthma and its medications, their attitude towards medications (decrease in harm, overuse and concern; increase in necessity score), asthma control score (increased from 19 to 20, p  lt  0.05) and level of adherence (MMAS-8 score decreased from 3 to 2 p  lt  0.05). Better asthma control was achieved in 60% of patients. Sixteen patients (18%) were transferred from poor to well-controlled asthma, implying no need for patients' referral to the doctor and no additional cost for the health system. Conclusions: Improved disease control could be a result of enhanced knowledge and understanding of the disease-medication relationship, improved inhalation technique, and support on patients' adherence. Acquired knowledge and skills, as well as improved attitude, empowered patients to take a more active part in asthma management. Education in further patients' follow-up should consider topics tailored to the patients' characteristics, needs, and prior counselling schedule with issues discussed.
PB  - Elsevier Science Inc, New York
T2  - Respiratory Medicine
T1  - Impact of community pharmacists' interventions on asthma self-management care
VL  - 14
IS  - 6
SP  - 603
EP  - 611
DO  - 10.1016/j.sapharm.2017.07.007
ER  - 
@article{
author = "Kovačević, Milena and Ćulafić, Milica and Jovanović, Marija and Vučićević, Katarina and Vezmar-Kovačević, Sandra and Miljković, Branislava",
year = "2018",
abstract = "Background: Asthma self-management is aimed to improve the quality and effectiveness of asthma care by supporting the patients to manage their illness by themselves. Objective: The aim of the study was to evaluate the impact of pharmacist-delivered counselling on patients knowledge and beliefs about the medicines, adherence level, and asthma control. Methods: A prospective intervention study was conducted in community pharmacies. A total of 90 patients completed the study. Four questionnaires were used: (1) Beliefs about medicines questionnaire (BMQ), (2) Knowledge of asthma and asthma medicine (KAM), (3) Asthma control test (ACT), and (4) 8-item Morisky medication adherence scale questionnaire (MMAS-8). Questionnaires were completed at baseline and 3 months later. Results: Low level of adherence and poor asthma control were determined initially. Better asthma control was significantly associated with higher adherence level, lower concerns regarding the medication use, and knowledge of triggers. Statistically significant improvement was found after 3 months in patients knowledge of asthma and its medications, their attitude towards medications (decrease in harm, overuse and concern; increase in necessity score), asthma control score (increased from 19 to 20, p  lt  0.05) and level of adherence (MMAS-8 score decreased from 3 to 2 p  lt  0.05). Better asthma control was achieved in 60% of patients. Sixteen patients (18%) were transferred from poor to well-controlled asthma, implying no need for patients' referral to the doctor and no additional cost for the health system. Conclusions: Improved disease control could be a result of enhanced knowledge and understanding of the disease-medication relationship, improved inhalation technique, and support on patients' adherence. Acquired knowledge and skills, as well as improved attitude, empowered patients to take a more active part in asthma management. Education in further patients' follow-up should consider topics tailored to the patients' characteristics, needs, and prior counselling schedule with issues discussed.",
publisher = "Elsevier Science Inc, New York",
journal = "Respiratory Medicine",
title = "Impact of community pharmacists' interventions on asthma self-management care",
volume = "14",
number = "6",
pages = "603-611",
doi = "10.1016/j.sapharm.2017.07.007"
}
Kovačević, M., Ćulafić, M., Jovanović, M., Vučićević, K., Vezmar-Kovačević, S.,& Miljković, B.. (2018). Impact of community pharmacists' interventions on asthma self-management care. in Respiratory Medicine
Elsevier Science Inc, New York., 14(6), 603-611.
https://doi.org/10.1016/j.sapharm.2017.07.007
Kovačević M, Ćulafić M, Jovanović M, Vučićević K, Vezmar-Kovačević S, Miljković B. Impact of community pharmacists' interventions on asthma self-management care. in Respiratory Medicine. 2018;14(6):603-611.
doi:10.1016/j.sapharm.2017.07.007 .
Kovačević, Milena, Ćulafić, Milica, Jovanović, Marija, Vučićević, Katarina, Vezmar-Kovačević, Sandra, Miljković, Branislava, "Impact of community pharmacists' interventions on asthma self-management care" in Respiratory Medicine, 14, no. 6 (2018):603-611,
https://doi.org/10.1016/j.sapharm.2017.07.007 . .

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