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dc.creatorKovačević, Milena
dc.creatorĆulafić, Milica
dc.creatorJovanović, Marija
dc.creatorVučićević, Katarina
dc.creatorVezmar-Kovačević, Sandra
dc.creatorMiljković, Branislava
dc.date.accessioned2019-09-02T12:08:09Z
dc.date.available2019-09-02T12:08:09Z
dc.date.issued2018
dc.identifier.issn1551-7411
dc.identifier.urihttp://farfar.pharmacy.bg.ac.rs/handle/123456789/3228
dc.description.abstractBackground: 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.en
dc.publisherElsevier Science Inc, New York
dc.relationinfo:eu-repo/grantAgreement/MESTD/Basic Research (BR or ON)/175023/RS//
dc.rightsrestrictedAccess
dc.sourceRespiratory Medicine
dc.subjectAsthmaen
dc.subjectEducationen
dc.subjectPharmacyen
dc.subjectAdherenceen
dc.subjectBeliefsen
dc.subjectKnowledgeen
dc.titleImpact of community pharmacists' interventions on asthma self-management careen
dc.typearticle
dc.rights.licenseARR
dcterms.abstractВезмар-Ковачевић, Сандра; Ћулафић, Милица; Јовановић, Марија; Вучићевић, Катарина; Миљковић, Бранислава; Ковачевић, Милена;
dc.citation.volume14
dc.citation.issue6
dc.citation.spage603
dc.citation.epage611
dc.citation.other14(6): 603-611
dc.citation.rankM21
dc.identifier.wos000434970900026
dc.identifier.doi10.1016/j.sapharm.2017.07.007
dc.identifier.pmid28778676
dc.identifier.scopus2-s2.0-85026505085
dc.identifier.rcubconv_4135
dc.type.versionpublishedVersion


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