A pharmacy asthma service achieves a change in patient responses from increased awareness to taking responsibility for their asthma

Naik-Panvelkar, Pradnya; Saini, Bandana; LeMay, Kate; Emmerton, Lynne; Stewart, Kay; Burton, Deborah; Bosnic‐Anticevich, Sinthia; Krass, Ines; Smith, Lorraine; Armour, Carol

doi:10.1111/ijpp.12134

Cited by 16 publications

(12 citation statements)

References 29 publications

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“…Recent studies demonstrated that pharmaceutical care services improve drug adherence and health outcomes by focusing on inhalation technique and patient education [11e24]. This may also lead to enhanced disease awareness, changes in patients' beliefs and attitudes towards treatment and improved self-efficacy and control [25].…”

Section: Introductionmentioning

confidence: 99%

Drug-related problems and pharmacist interventions in a cohort of patients with asthma and chronic obstructive pulmonary disease

Apikoğlu-Rabuş

Yesilyaprak²,

İzzettin

2016

Respiratory Medicine

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Section: Introductionmentioning

confidence: 99%

Drug-related problems and pharmacist interventions in a cohort of patients with asthma and chronic obstructive pulmonary disease

Apikoğlu-Rabuş

Yesilyaprak²,

İzzettin

2016

Respiratory Medicine

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“…Further to that, a literacy-sensitive, culturally and linguistically appropriate approach should also be incorporated [69][70][71][72][73]. Despite the fact that correct inhaler technique can be taught within 2 and 8 min (depending on the device), the health care practitioner may need to invest additional time with the patient over time, providing sustained experience/multiple visits to change patient's perceptions of their asthma severity, beliefs, health behavior, and enhanced self-efficacy [74]. As part of this process, perhaps tools like the In-CheckDial, Inhalation Manager, Aerosol Inhalation Monitor (AIM) [52,53], which are often used to evaluate patients' breathing maneuvers as they relate to the use of different inhalers, could be used to engage patients around their inhaler technique.…”

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confidence: 99%

Identifying Critical Errors: Addressing Inhaler Technique in the Context of Asthma Management

et al. 2018

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Medication use has always played a highly significant role in the overall management of asthma, with appropriate use being linked to good asthma control. However, while patients with asthma enjoy the 'luxury' of having medications delivered directly to the lungs via inhaler devices, with that comes the additional challenge of ensuring that inhaler devices are used correctly. Research and practice provides evidence to the challenges associated with inhaler use and the particular steps that patients perform incorrectly. While this problem is well documented, acknowledged and reported, little has changed in 40 years, and the proportion of patients using inhaler devices remains unacceptably high. This review focuses on aspects specific to the errors that patient's make, the significance of these errors, and the important considerations for health care practitioners in supporting patients in correctly using their inhalers. This review highlights the complexities associated with patient's making inhaler technique errors and highlights the opportunities that lie in future technological developments of inhaler devices. Now more than ever, in the era of precision medicine, it is important that we address inhaler technique use once and for all.Keywords: Asthma control; Critical errors; Health behavior; Health care practitioners; Inhaler devices; Maintenance; Mastery; Skills THE IMPORTANCE OF MEDICATION USE IN OUR UNDERSTANDING OF RESPIRATORY DISEASEAfter decades of research, practice, and perceived knowledge, we find ourselves at crossroads in our understanding and management of airway diseases, such as asthma [1]. While asthma is an obstructive airways disease, which Pulm Ther (2018) 4:1-12 https://doi.org/10.1007/s41030-018-0051-0 to our current knowledge can neither be prevented nor cured, it is a disease that fluctuates in severity and 'control', is exacerbated by varying triggers, and its course over an individual's lifetime is essentially unpredictable [1]. While the conversation about asthma and airways disease more broadly is not the focus of this review, it becomes particularly relevant in our consideration of the use of medications. It is critical, now more than ever, that we understand the role of medication use, as it can provide us with further understanding about respiratory disease more broadly [2]. Given that asthma management is reliant on the use of medications [3], ensuring that patients use their medications correctly has become more than just a practical matter; it is a complex and critical issue. Correct medication use has become a fundamental step in our exploration and understanding of disease traits [1,2]: with careful and more precise evaluation of patient's response to treatment becoming integral to our understanding of disease endotypes and our evolution towards precision medicine [1,2]. For this reason, if for no other, it is now more important than ever that we address inhaler use, especially our knowledge of critical errors, which can 'cloud' our understanding of treatment success. T...

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“…Our survey showed high physician acceptance of pharmacists' monitoring of therapy, an approach associated with increased drug adherence. [23,24] Physicians also strongly endorsed pharmacists' prescribing a holding chamber, medications to treat minor conditions and smoking cessation aids; this is supported by the proven benefit of pharmacists' interventions in asthma care on inhaler technique, quality of life and asthma control, [9,25,26] renewing or extending of the ICS prescription as well as adjusting its form and posology were also highly accepted. Recognising that a key reason for suboptimal ICS use is the insufficient number of renewals authorised by physicians, [27,28] pharmacists' renewal of asthma controller drugs has the potential to increase the use of maintenance ICS.…”

Section: Discussionmentioning

confidence: 99%

Physician agreement regarding the expansion of pharmacist professional activities in the management of patients with asthma

Tilly-Gratton

Lamontagne

Blais

et al. 2016

International Journal of Pharmacy Practice

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A pharmacy asthma service achieves a change in patient responses from increased awareness to taking responsibility for their asthma

Abstract: A sustained experience/multiple visits in a service may lead to more concrete changes in patient perceptions of severity, beliefs, health behaviours and enhanced self-efficacy and control. The study highlights a need for such asthma services in the community.

Cited by 16 publications

References 29 publications

Drug-related problems and pharmacist interventions in a cohort of patients with asthma and chronic obstructive pulmonary disease

Drug-related problems and pharmacist interventions in a cohort of patients with asthma and chronic obstructive pulmonary disease

Identifying Critical Errors: Addressing Inhaler Technique in the Context of Asthma Management

Physician agreement regarding the expansion of pharmacist professional activities in the management of patients with asthma

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