Comprehensive Long-Term Management Program for Asthma: Effect on Outcomes in Adult African-Americans

Kelso, Tiffany M.; Abou‐Shala, Nabil; Heilker, Greta M.; Arheart, Kristopher L.; Portner, Tracy S.; Self, Timothy H.

doi:10.1016/s0002-9629(15)41721-5

Cited by 56 publications

(34 citation statements)

References 23 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Pharmacists who have extensive training in pharmacotherapy and patient counseling are readily available to the public (i.e., no need for appointments or fees for a brief consultation in the pharmacy) and have access to individual patient drug-usage data. Intensive interventions by clinic-based pharmacists have been shown to decrease hospitalizations, [4][5][6] decrease emergency department (ED) visits, 5,6 and improve quality-of-life scores. 6 These clinic-based pharmacist asthma interventions consisted of multiple appointments with dedicated time for asthma education.…”

Section: Introductionmentioning

confidence: 99%

Asthma Friendly Pharmacies: A Model to Improve Communication and Collaboration among Pharmacists, Patients, and Healthcare Providers

et al. 2011

View full text Add to dashboard Cite

Pharmacists, with expertise in optimizing drug therapy outcomes, are valuable components of the healthcare team and are becoming increasingly involved in public health efforts. Pharmacists and pharmacy technicians in diverse community pharmacy settings can implement a variety of asthma interventions when they are brief, supported by appropriate tools, and integrated into the workflow. The Asthma Friendly Pharmacy (AFP) model addresses the challenges of providing patient-focused care in a community pharmacy setting by offering education to pharmacists and pharmacy technicians on asthma-related pharmaceutical care services, such as identifying or resolving medication-related problems; educating patients about asthma and medication-related concepts; improving communication and strengthening relationships between pharmacists, patients, and other healthcare providers; and establishing higher expectations for the pharmacist's role in patient care and public health efforts. This article describes the feasibility of the model in an urban community pharmacy setting and documents the interventions and communication activities promoted through the AFP model.

show abstract

Section: Introductionmentioning

confidence: 99%

Asthma Friendly Pharmacies: A Model to Improve Communication and Collaboration among Pharmacists, Patients, and Healthcare Providers

et al. 2011

View full text Add to dashboard Cite

show abstract

“…[19][20][21] Ultimately, 15 educational 22-36 and 9 system-level studies were included. [37][38][39][40][41][42][43][44][45] (Table 1) The education-based interventions primarily targeted patients while the system-level interventions targeted providers and/or health systems.…”

Section: Resultsmentioning

confidence: 99%

“…Nine system-level studies met criteria for this review. The setting was primarily outpatient; [40][41][42][43][44][45] three were inpatient-based. [37][38][39] Two utilized health disparities collaboratives to introduce quality improvement interventions.…”

Section: Intervention Sub-typesmentioning

confidence: 99%

“…42,44,45 These interventions were similar in that they were clinicbased and utilized experts, including pharmacists 44,45 and specialty-based clinics (e.g., allergists). 42,45 All three found a relative 42,45 or absolute 44 decrease between 63-87 %; the control group in one study actually had increased ED visits by 71 %. 42 These three studies, along with another clinicbased intervention that used multiple sessions and a hospital-based nurse-led intervention, both by Mayo, followed hospital admissions.…”

Section: Intervention Outcomesmentioning

confidence: 99%

“…37,38,44 Kelso's comprehensive long-term management program decreased sleep loss by 63 % and night awakenings by 43 %. 44 Akerman's continuous quality improvement program at an inner-city ED 36 decreased absolute relapse rates by 83 %. However, Rydman's ED observation unit 37 did not show a relative decrease in relapse rates.…”

Section: 35mentioning

confidence: 99%

See 2 more Smart Citations

Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review

et al. 2012

View full text Add to dashboard Cite

OBJECTIVES:To systematically review the literature to characterize interventions with potential to improve outcomes for minority patients with asthma. DATA SOURCES: Medline, PsycINFO, CINAHL, Cochrane Trial Databases, expert review, reference review, meeting abstracts. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND INTEVENTIONS: Medical Subject Heading (MeSH) terms related to asthma were combined with terms to identify intervention studies focused on minority populations. Inclusion criteria: adult population; intervention studies with majority of non-White participants. STUDY APPRAISAL AND SYNTHESIS OF METHODS:Study quality was assessed using Downs and Black (DB) checklists. We examined heterogeneity of studies through comparing study population, study design, intervention characteristics, and outcomes. RESULTS: Twenty-four articles met inclusion criteria. Mean quality score was 21.0. Study populations targeted primarily African American (n=14), followed by Latino/a (n=4), Asian Americans (n=1), or a combination of the above (n=5). The most commonly reported post-intervention outcome was use of health care resources, followed by symptom control and self-management skills. The most common intervention-type studied was patient education. Although less-than half were culturally tailored, language-appropriate education appeared particularly successful. Several system-level interventions focused on specialty clinics with promising findings, although health disparities collaboratives did not have similarly promising results. LIMITATIONS: Publication bias may limit our findings; we were unable to perform a meta-analysis limiting the review's quantitative evaluation. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS:Overall, education delivered by health care professionals appeared effective in improving outcomes for minority patients with asthma. Few were culturally tailored and one included a comparison group, limiting the conclusions that can be drawn from cultural tailoring. Systemredesign showed great promise, particularly the use of team-based specialty clinics and long-term follow-up after acute care visits. Future research should evaluate the role of tailoring educational strategies, focus on patient-centered education, and incorporate outpatient follow-up and/or a team-based approach.

show abstract

A Comprehensive Educational Program Improves Clinical Outcome Measures in Inner-City Patients With Asthma

George¹,

O'Dowd²,

Martin³

et al. 1999

Arch Intern Med

View full text Add to dashboard Cite

show abstract

Comprehensive Long-Term Management Program for Asthma: Effect on Outcomes in Adult African-Americans

Cited by 56 publications

References 23 publications

Asthma Friendly Pharmacies: A Model to Improve Communication and Collaboration among Pharmacists, Patients, and Healthcare Providers

Asthma Friendly Pharmacies: A Model to Improve Communication and Collaboration among Pharmacists, Patients, and Healthcare Providers

Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review

A Comprehensive Educational Program Improves Clinical Outcome Measures in Inner-City Patients With Asthma

Contact Info

Product

Resources

About