Cited by 218Pharmacy and Medical PracticesAsthma and respiratory diseasesMedication Adherence and Compliance

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Effectiveness of pharmacist intervention for asthma control improvement

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Mehuys, E., Van Bortel, L., De Bolle, L., Van Tongelen, I., Annemans, L., Remon, J. P., Brusselle, G.·2008·European Respiratory Journal

DOI 10.1183/09031936.00112007

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Abstract

Education on optimal medication use is an essential strategy to improve asthma control. The current authors investigated whether pharmacist interventions, focused on appropriate use of asthma medication and tailor-made to the patient's current asthma control, would improve asthma control in adult patients. A 6-month randomised, controlled, parallel-group trial was conducted in 66 community pharmacies in Belgium. Patients were randomly assigned to receive usual pharmacist care (n = 94) or a pre-defined pharmacist intervention (n = 107). This intervention mainly focused on improving inhalation technique and medication adherence. Primary outcome was the level of asthma control, as assessed by the Asthma Control Test® (ACT). Mean ACT scores did not change from baseline for both study groups. However, a pre-defined subgroup analysis of patients having insufficiently controlled asthma at baseline showed that the intervention had significantly increased the ACT score after 6 months compared with usual care. The intervention also reduced, for the complete study group, reliever medication use and the frequency of night-time awakenings due to asthma. Inhalation technique and adherence to controller medication were significantly better in the intervention group. In conclusion, pragmatic community pharmacy-based programmes can significantly improve therapeutic outcomes in adult asthma patients.

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Authors: Mehuys, E., Van Bortel, L., De Bolle, L., Van Tongelen, I., Annemans, L., Remon, J. P., & Brusselle, G.
Affiliations: Ghent University Hospital (BE)
Corresponding author: Mehuys, E.
ORCID: Mehuys, E.
Annemans, L.
Brusselle, G.
Venue: European Respiratory Journal
Publisher: European Respiratory Society (ERS)
Published: 2007-12-19
Volume: 31
Issue: 4
Pages: 790-799
ISSN: 0903-1936 (ISSN-L)
1399-3003
DOI: 10.1183/09031936.00112007
OpenAlex: W2159371369
Cited by: 218
References: 33
Citations by year: 2026: 4 · 2025: 3 · 2024: 8 · 2023: 13 · 2022: 15 · 2021: 18 · 2020: 12 · 2019: 14 · 2018: 10 · 2017: 14 · 2016: 12 · 2015: 12 · 2014: 18 · 2013: 12 · 2012: 15
FWCI: 9.23
Type: journal article
Language: en
Open access: bronze
doi.org
Locations: European Respiratory Journal (publishedVersion)
PubMed (publishedVersion)
Ghent University Academic Bibliography (Ghent University) (submittedVersion)
VUBIR (Vrije Universiteit Brussel) (submittedVersion)
Funders: GlaxoSmithKline
Universitair Ziekenhuis Gent
Universiteit Gent
Topics: Health Sciences › Health Professions › Pharmacy › Pharmacy and Medical Practices
Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Asthma and respiratory diseases
Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
Keywords: asthma control, pharmacist intervention, community pharmacy, inhaler technique, medication adherence, controller medications, rescue medication, Asthma Control Test, adult asthma patients, patient education
MeSH terms: Administration, Inhalation, Adult, Asthma, Community Pharmacy Services, Female, Humans, Male, Middle Aged, Patient Compliance, Patient Education as Topic, Pharmacists, Self Administration, Severity of Illness Index, Anti-Asthmatic Agents

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Effectiveness of pharmacist intervention for asthma control improvement

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