Allergic rhinitis self-care advice in community pharmacies: A simulated patient study

Zande, Rian Lelie-van der; Koster, Ellen S.; Teichert, Martina; Bouvy, Marcel L.

doi:10.1016/j.rcsop.2021.100086

Cited by 5 publications

(7 citation statements)

References 15 publications

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“…Although mnemonics can allow for standardising information obtained from the patient, interpreting the acquired data can be problematic [ 33 ]. This difficulty was demonstrated in a simulated patient study on self-care advice for allergic rhinitis symptoms conducted in the Netherlands [ 11 ]. Problem analysis requires follow-up questions, correct problem identification and adequate problem-solving [ 11 , 34 ].…”

Section: Discussionmentioning

confidence: 99%

“…This difficulty was demonstrated in a simulated patient study on self-care advice for allergic rhinitis symptoms conducted in the Netherlands [ 11 ]. Problem analysis requires follow-up questions, correct problem identification and adequate problem-solving [ 11 , 34 ]. This study’s results align with earlier research findings that CPs exhibit poor clinical reasoning due to reliance on protocol-driven questioning [ 35 – 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, publications have indicated room for improvement in self-care advice in Dutch pharmacies, such as asking WWHAM questions and providing lifestyle advice [ 9 , 10 ]. Although the results of a simulated patient study on a condition-based self-care question for allergic rhinitis were satisfactory when advice was sought, the results were mediocre for symptom-based questions [ 11 ].…”

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators for providing self-care advice in community pharmacies: a qualitative study

et al. 2023

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Background Community pharmacies are easily accessible for self-care advice. Guidelines for providing self-care advice were introduced in several countries, including the Netherlands in the 1990s. Previous studies have indicated room for improvement in self-care advice in daily pharmacy practice. Aim To identify barriers and facilitators for providing self-care advice. Method Semi-structured interviews were conducted face-to-face or online with pharmacists and pharmacy assistants using a topic guide based on the Theoretical Domains Framework. The interviews were audio-recorded and transcribed verbatim. The transcripts were deductively analysed to identify barriers and facilitators for self-care counselling. COREQ guidelines were followed. Results In total, 13 pharmacists and 12 pharmacy assistants were interviewed to reach data saturation. In general, most themes addressed by pharmacists and pharmacy assistants belonged to similar domains. The following domains were frequently mentioned: environmental context and resources (e.g. priority for prescription drugs, privacy, collaboration with general practitioners, access to patients’ records), intentions (providing reliable advice), skills (communication, decision-making), knowledge (ready guideline knowledge), beliefs about consequences (patient safety), social influences (patient awareness of pharmacist role), reinforcement (lack of reimbursement for relatively time-consuming advice). Conclusion This study identifies barriers and facilitators for evidence-based self-care advice. Pharmacists should first support pharmacy assistants by helping them keep their knowledge and skills up to date and creating suitable pharmacy preconditions to facilitate improvements in self-care counselling. Second, collaboration with general practitioners regarding minor ailments should be improved.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Barriers and facilitators for providing self-care advice in community pharmacies: a qualitative study

et al. 2023

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“…Regarding the treatment of diarrhea, the current study showed that appropriate treatment of diarrhea was recommended by about half of the participated students before they started the usage of the developed application. This was mainly attributed to the poor assessment of the SP case [ 30 , 31 ]. On the other hand, a correct treatment was dispensed by nearly all participants after the usage of the developed application; this benefit may be linked to the ability of the application to enhance the assessment process of the patient case [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Design and evaluation of a new mobile application to improve the management of minor ailments: a pilot study

Mikhael

Al-Hamadani

Hadi

2022

BMC Health Serv Res

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Background Seeking pharmacist advice about minor ailments is a common practice among Iraqi patients because such advice is free and quick. Unfortunately, the assessment and management of minor ailments by Iraqi pharmacists were inappropriate. Therefore, this study aimed to develop a model for a mobile application that can assist community pharmacists in the diagnosis and management of minor ailments. Methods The scientific content of the application was based on the information in the symptoms in the pharmacy and British National Formulary books. The design and content of the application were approved by two experts. Thereafter, the application was built for Android mobiles using flutter technology and dart language. A pre-post pilot study was conducted to assess outcomes associated with use of the application, including user acceptance and appropriateness of clinical recommendations. Fifteen students from the College of Pharmacy/University of Baghdad who had an Android mobile participated in this study. Two different scenarios about diarrhea were used during the pilot study, in which the researcher acted as a patient (SP) and the participant student as a pharmacist. Results After using the application, the number of questions asked by the participated student to the SP was significantly increased to about double. Additionally, providing the SP with appropriate non-pharmacological and pharmacological therapy along with optimum counseling and education were also significantly improved. All study participants agreed on the application’s ease of use and ability to reduce diagnosis and medication errors. Conclusions The implementation of the newly developed mobile application, diarrhea management step by step, was associated with improvements in assessment and recommended treatments for diarrhea cases with good acceptance by a pilot sample of pharmacy students at Baghdad University.

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“…Once the diagnosis of AR is established, the initiation of treatment by using OTC medications and counseling are similar to office-based practice. The options of therapy in self-care include most of the available useful classes of medicines, such as second-generation oral antihistamines and intranasal corticosteroids [ 82 ]. With knowledge and advice, most patients would be able to manage their symptoms adequately without ongoing medical supervision.…”

Section: Framework For the Management Of Allergic Rhinitismentioning

confidence: 99%

Reshaping the Management of Allergic Rhinitis in Primary Care: Lessons from the COVID-19 Pandemic

Abdullah

Snidvongs

Poerbonegoro

et al. 2022

IJERPH

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The COVID-19 pandemic presented unique challenges to the delivery of healthcare for patients with allergic rhinitis (AR) following its disruption and impact on the healthcare system with profound implications. Reliance on self-care for AR symptom management was substantial during the pandemic with many patients encouraged to only seek in-person medical care when necessary. The advantage of digital technology becomes apparent when patients and healthcare providers had to change and adapt their method of interaction from the regular physical face-to-face consultation to telehealth and mobile health in the provision of care. Despite the pandemic and the ever-evolving post pandemic situation, optimal management of AR remains paramount for both patients and healthcare professionals. A reshaping of the delivery of care is essential to accomplish this goal. In this paper, we present what we have learned about AR management during the COVID-19 pandemic, the role of digital technology in revolutionizing AR healthcare, screening assessment in the identification and differentiation of common upper respiratory conditions, and a framework to facilitate the management of AR in primary care.

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Allergic rhinitis self-care advice in community pharmacies: A simulated patient study

Cited by 5 publications

References 15 publications

Barriers and facilitators for providing self-care advice in community pharmacies: a qualitative study

Barriers and facilitators for providing self-care advice in community pharmacies: a qualitative study

Design and evaluation of a new mobile application to improve the management of minor ailments: a pilot study

Reshaping the Management of Allergic Rhinitis in Primary Care: Lessons from the COVID-19 Pandemic

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