Can a self-management programme delivered by a community pharmacist improve asthma control? A randomised trial
Open accessAbstract
BACKGROUND: No randomised studies have addressed whether self-management for asthma can be successfully delivered by community pharmacists. Most randomised trials of asthma self-management have recruited participants from secondary care; there is uncertainty regarding its effectiveness in primary care. A randomised controlled study was undertaken to determine whether a community pharmacist could improve asthma control using self-management advice for individuals recruited during attendance at a community pharmacy. METHODS: Twenty four adults attending a community pharmacy in Tower Hamlets, east London for routine asthma medication were randomised into two groups: the intervention group received self-management advice from the pharmacist with weekly telephone follow up for 3 months and the control group received no input from the pharmacist. Participants self-completed the North of England asthma symptom scale at baseline and 3 months later. RESULTS: The groups were well matched at baseline for demographic characteristics and mean (SD) symptom scores (26.3 (4.8) and 27.8 (3.7) in the intervention and control groups, respectively). Symptom scores improved in the intervention group and marginally worsened in the control group to 20.3 (4.2) and 28.1 (3.5), respectively (p<0.001; difference adjusted for baseline scores=7.0 (95% CI 4.4 to 9.5). CONCLUSIONS: A self-management programme delivered by a community pharmacist can improve asthma control in individuals recruited at a community pharmacy. Further studies should attempt to confirm these findings using larger samples and a wider range of outcome measures.
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Thirteen RCTs targeting a range of conditions including asthma, T2DM, COPD, recurrent binge eating, chronic fatigue, major depression, low self-esteem, IBS and depression reported positive findings for all clinical and humanistic outcome measures.
“Thirteen RCTs targeting a range of conditions including asthma, T2DM, COPD, recurrent binge eating, chronic fatigue, major depression, low self-esteem, IBS and depression reported positive findings for all clinical and humanistic outcome measures (Table 4) [42, 66, 67, 72, 75, 80, 91, 92, 95, 100, 117].”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [80]
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Experimental — accuracy not yet measuredThree RCTs reported on the level of asthma control and symptoms.
“Three RCTs reported on the level of asthma control and symptoms”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [80]
Barbanel et al. found symptom scores improved in the intervention group and marginally worsened in the control group to 20.3 (4.2) and 28.1 (3.5), respectively (p<0.001; adjusted difference = 7.0 (95% CI: 4.4, 9.5)).
“Symptom scores improved in the intervention group and marginally worsened in the control group to 20.3 (4.2) and 28.1 (3.5), respectively (p<0.001; adjusted difference = 7.0 (95% CI: 4.4, 9.5).”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [80]
Barbanel et al. and Goudswaard et al. targeted asthma and T2DM respectively and produced positive improvements in clinical outcomes.
“Barbanel et al. [80] and Goudswaard et al. [42] targeted asthma and T2DM respectively and produced positive improvements in clinical outcomes.”
From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [80]
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- Authors
- Barbanel, D.
- Affiliations
- Queen Mary University of London (GB)
- Corresponding author
- Barbanel, D
- Venue
- Thorax
- Publisher
- BMJ
- Published
- 2003-10-01
- Volume
- 58
- Issue
- 10
- Pages
- 851-854
- ISSN
- 0040-6376 (ISSN-L)
- PMC
- PMC1746491
- OpenAlex
- W2141601684
- Cited by
- 125
- References
- 17
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 3 · 2022: 2 · 2021: 9 · 2020: 3 · 2019: 8 · 2018: 9 · 2017: 4 · 2016: 6 · 2015: 6 · 2014: 11 · 2013: 5 · 2012: 7
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Thorax (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacy and Medical Practices
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- asthma, self-management, community pharmacy, asthma control, telephone follow-up, primary care, symptom scores
- MeSH terms
- Administration, Inhalation, Adolescent, Adrenal Cortex Hormones, Adult, Aged, Asthma, Female, Follow-Up Studies, Humans, London, Male, Middle Aged, Patient Education as Topic, Peak Expiratory Flow Rate, Pharmacies, Pharmacists, Self Care, Treatment Outcome
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