Impact of a Network System for Providing Proper Inhalation Technique by Community Pharmacists

Takemura, Masashi; Mitsui, Katsumi; Ido, Masako; Matsumoto, Masataka; Koyama, Misuzu; Inoue, Daiki; Takamatsu, Kazufumi; Itotani, Ryo; Ishitoko, Manabu; Suzuki, Shinichi; Aihara, Kensaku; Sakuramoto, Minoru; Kagioka, Hitoshi; Fukui, Motonari

doi:10.3109/02770903.2012.663847

Cited by 17 publications

(14 citation statements)

References 34 publications

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“…This cut-off score enabled us to identify patients who were non-adherent to inhaled medicine and resulted in a reliable AUC. Fiftytwo (46%) of 114 patients with asthma were accordingly classified as non-adherent, which is similar to the rate reported in our previous study (24,29). Age is associated with adherence to asthma inhalation treatment, with some studies revealing younger patients to be more non-adherent than older adults (29)(30)(31).…”

Section: Discussionsupporting

confidence: 71%

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Optimal cut-off value and clinical usefulness of the Adherence Starts with Knowledge-12 in patients with asthma taking inhaled corticosteroids

Takemura¹,

Nishio²,

Fukumitsu³

et al. 2017

J. Thorac. Dis.

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Background: Non-adherence to inhalation regimens is common in asthmatic patients. The Adherence Starts with Knowledge-12 (ASK-12) survey was developed to detect and address patient-specific barriers to medication adherence. Our objective is to investigate the clinical usefulness of the ASK-12 for assessing and addressing adherence to inhalation therapy in asthma. Methods: The ASK-12 was administered to 138 asthmatic patients. Using pharmacy-refill data, we examined the cut-off value of the ASK-12 to identify patients who were non-adherent to inhalation regimens and identify factors associated with non-adherence. To verify the usefulness of the ASK-12, inhalation regimens were prospectively switched to less-expensive and simpler (once-daily) dosing regimens in eight non-adherent asthmatic patients who reported specific-barriers in "inconvenience of twice-daily inhaler use" and "cost".Results: Valid responses were received from 114 (82.6%) patients. A significant correlation was found between pharmacy-refill rates and the ASK-12 total score (r=−0.55, P<0.0001). The optimal cut-off value of the ASK-12 total score to discriminate non-adherent patients (defined by pharmacy-refill rate <80%) was 23, with 71.4% specificity and 93.3% sensitivity. Using this value, 52 (45.6%) patients were classified as nonadherent. Univariate followed by multivariate analysis identified younger age as a predictor of non-adherence to inhalation regimens (odds ratio, 2.67; 95% CI, −0.95 to −0.06; P=0.027). Switching inhaled medicines in eight patients resulted in significant improvements in both ASK-12 scores and asthma control. Conclusions:The ASK-12 is a brief, practical, and clinically useful measure for assessing and addressing adherence to inhalation regimens in asthma.

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Section: Discussionsupporting

confidence: 71%

“…The ASK-12 questionnaire was administered as described elsewhere in the literature (24 Asthma Control Test (ACT) (26) was also implemented on the same day. The cut-off value of the ASK-12 total score used to identify non-adherence to inhalation therapy was determined using pharmacy-refill data as an objective measurement.…”

Section: Study Protocolmentioning

confidence: 99%

Optimal cut-off value and clinical usefulness of the Adherence Starts with Knowledge-12 in patients with asthma taking inhaled corticosteroids

Takemura¹,

Nishio²,

Fukumitsu³

et al. 2017

J. Thorac. Dis.

Self Cite

View full text Add to dashboard Cite

show abstract

“…It has been shown that pharmaceutical care of patients with obstructive respiratory diseases improves medication adherence [24][25][26][27] and achieves a better use of inhalers [26,[28][29][30] and control of the disease [31,32]. In a randomized controlled study to investigate the effect of a simple educational intervention concerning DPI technique delivered by community pharmacists to patients with asthma, a simple educational intervention taking only 2.5 min and targeting inhaler technique was feasible for delivery by community pharmacists and resulted in improved clinical and humanistic outcomes for patients with asthma [33].…”

Section: Discussionmentioning

confidence: 99%

Knowledge, Attitudes and Preferences Among Spanish Community Pharmacists Regarding Inhaled Therapy (The Optim Pharmacy Study)

Giner

Roura

Torres³

et al. 2016

Int J Pharm Pharm Sci

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Objective: To assess knowledge, attitudes, and preferences regarding inhaled therapy among Spanish community pharmacists.Methods: An 11-item questionnaire was developed and distributed to community pharmacists throughout the country. Data collected included demographics, the source of knowledge of inhaler use, known and preferred devices, steps for correct use of metered-dose (pMDI) and dry-powder (DPI) inhalers, important variables when prescribing an inhaler device, patient education, and checking inhaler technique.Results: Of a total of 3000 questionnaires delivered, 1722 (57.4%) were returned. The most common source of knowledge was the package insert (46.9%) followed by personal experience (33.3%). Diskus TM and Turbuhaler TM Conclusion: In spite of the increasing involvement of Spanish community pharmacists in patients' care, their knowledge of inhaler use and attitudes towards inhaled therapy needs to improve, so that they can provide better patient education.were the best-known devices (96.4% and 93.4%), and DPIs the preferred inhalers. Although more than half of the surveyed pharmacists were aware of the most important step for correct inhalation with pMDI and DPI, only 18% identified the correct answer 'Patient's preference' as the most important variable when prescribing an inhaler device. Most of the respondents had inadequate knowledge of inhaled therapies. Statistically, significant differences were found according to geographical areas. Moreover, the mean score on inhaled therapy with one knowledge source was higher than for those with none (P<0.05). Additionally, patient education was poor.

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“…Other health professionals, such as physicians in other areas of specialty, respiratory therapists, nurses or pharmacists may even be involved in the education process for patients. [24][25][26] Future work should focus on the effectiveness of the review at each visit and on the knowledge and training of health professionals in this field.…”

Section: Discussionmentioning

confidence: 99%

Assessment of Inhalation Technique in Clinical and Functional Control of Asthma and Chronic Obstructive Pulmonary Disease

et al. 2015

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Acta Med Port 2015 Nov-Dec;28(6):702-707 RESUMOIntrodução: A doença pulmonar obstrutiva crónica e a asma afectam quase 300 milhões de indivíduos em todo o mundo. A terapêutica inalatória associa-se frequentemente a erros na técnica realizada reduzindo a eficácia e adesão. Objectivo: Avaliar a técnica inalatória e sua relação com o controlo clínico e funcional em asma e doença pulmonar obstrutiva crónica. Material e Métodos: Estudo transversal analítico incluindo doentes com asma e doença pulmonar obstrutiva crónica medicados com dispositivos inalatórios. Recolheram-se dados demográficos e existência de ensino prévio da técnica. Avaliou-se a técnica inalatória em: Passo 1 -expiração prévia; Passo 2 -activação do dispositivo; Passo 3 -inspiração; Passo Step 1 -device activation;Step 2 -previous expiration;Step 3 -inspiration;Step 4 -end inspiratory pause. Teaching inhalation technique has a positive impact on its future performance. Most patients make mistakes, affecting clinical control in asthma, although in chronic obstructive pulmonary isease no relation was found. This is an ongoing work that aims to reevaluate inhalation technique after patients' education and its further impact.

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Impact of a Network System for Providing Proper Inhalation Technique by Community Pharmacists

Abstract: Our network system may improve asthma control and adherence to inhalation regimens.

Cited by 17 publications

References 34 publications

Optimal cut-off value and clinical usefulness of the Adherence Starts with Knowledge-12 in patients with asthma taking inhaled corticosteroids

Optimal cut-off value and clinical usefulness of the Adherence Starts with Knowledge-12 in patients with asthma taking inhaled corticosteroids

Knowledge, Attitudes and Preferences Among Spanish Community Pharmacists Regarding Inhaled Therapy (The Optim Pharmacy Study)

Assessment of Inhalation Technique in Clinical and Functional Control of Asthma and Chronic Obstructive Pulmonary Disease

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