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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 (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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“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]
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“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]
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“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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Information Technology Development Needs in Community Pharmacies: A Strategic Approach
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Heart failure assessment at the community pharmacy level: A feasibility pilot study
Bleske, B. E., Dillman, N. O., Cornelius, D., Ward, J. K., Burson, S. C., Diez, H. L., Pickworth, K. K., Bennett, M. S., Nicklas, J. M., & Dorsch, M. P. (2014) · Journal of the American Pharmacists Association · doi:10.1331/japha.2014.14039 · Cited by 9
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“[3] Barbanel D, Eldridge S, Griffiths C.”
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“Several studies involving community pharmacy-led asthma interventions have demonstrated a positive impact on patients’ asthma-related quality of life and peak expiratory flow rates [26-30].”
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Community pharmacist care impact on asthma management in adults*
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Pharmacist Critique Was Ill-Informed
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Development of a community pharmacy-based intervention for patients with uncontrolled asthma
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Pharmacist Detection of Peripheral Arterial Disease Through the Use of a Handheld Doppler
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Asthma Education in the Student Laboratory
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“Although many welldesigned studies (Narhi et al., 2000; Cordina et al., 2001; Herborg et al., 2001; Schulz et al., 2001; Barbanel et al., 2003; Emmerton et al., 2003; McLean et al., 2003; Saini et al., 2004; Mangiapane et al., 2005; Bunting and Cranor, 2006; Haahtela et al., 2006; Armour et al., 2007; Mehuys et al., 2…”
Iranian National Self-Care Support System Pattern
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Fm, I., Gómez‐Guzmán, M., Valverde-Merino, M. I., Piquer‐Martinez, C., & Zarzuelo-Romero, M. J. (2024) · Research in Social and Administrative Pharmacy · doi:10.1016/j.sapharm.2024.12.003 · Cited by 2
Testing annual asthma reviews for those who fail to attend: proof-of-concept study
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Self management for a man with asthma
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Home Telehealth Interventions for People with Asthma
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“Moreover, this review's results suggest that a community pharmacist with some basic training in asthma care or a trained nurse can deliver a simple telephone consolation resulting in improvements in asthma control and patient’s satisfaction [1], [2].”
Background
Metadata
- 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
- Health Sciences › Health Professions › Pharmacy › Pharmacy and Medical Practices
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › 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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