Examination of Barriers to Medication Adherence, Asthma Management, and Control Among Community Pharmacy Patients With Asthma

Makhinova, Tatiana; Barner, Jamie C.; Brown, Carolyn M.; Richards, Katherine; Rascati, Karen L.; Rush, Sharon; Nag, Arpita

doi:10.1177/0897190019840117

Cited by 5 publications

(4 citation statements)

References 30 publications

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“…At baseline, the reported barriers included items from all three domains, which signal a variety of possible reasons for nonadherence; hence, the recognition of specific barriers for patients may be an important step for implementing targeted counseling. This was also consistent with the results of a cross-sectional study using the same patient survey [29].…”

Section: Discussionsupporting

confidence: 90%

Improving Asthma Management: Patient–Pharmacist Partnership Program in Enhancing Therapy Adherence

et al. 2022

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Community pharmacist interventions can assist in improving adherence in patients with asthma. The objective of the study was to assess the feasibility of patient-centered counseling using the developed asthma-specific tools to identify barriers to adherence and identify their preliminary effect on adherence barrier score and asthma control. Adult patients with persistent asthma were invited to participate in a 3-month pre–post intervention study involving community pharmacist-provided patient-centered counseling. Bivariate analyses were conducted to determine whether there were changes in outcomes from the pre to post period. Of 36 recruited patients, 17 completed both pre and post surveys. At baseline, patients had a mean ACT score of 15.1 ± 3.5, with 94% having uncontrolled asthma, and an average of 4.2 ± 2.5 reported barriers. The following barriers were most common: not having an Asthma Action Plan (52.9%), use of inhaler more or less often than prescribed (47.1%) and forgetfulness (41.2%). The ACT score increased by 2.7 ± 5.4, which was not statistically significant; however, it might be clinically significant. Two barrier scores improved as a result of the intervention. Preliminary evidence on the feasibility of identifying and addressing patient-specific barriers to adherence delivered by pharmacists showed that it has the potential to resolve barriers and improve asthma outcomes.

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Section: Discussionsupporting

confidence: 90%

Improving Asthma Management: Patient–Pharmacist Partnership Program in Enhancing Therapy Adherence

et al. 2022

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“…It also reduces asthma exacerbations, which is consistent with an earlier study [ 33 ]. Patients who receive asthma education from their healthcare providers and community pharmacists have better asthma management [ 34 ]. Patients who can self-manage and have a high quality of life have fewer asthma attacks and can manage their disease more efficiently and easily than those who cannot [ 35 ].…”

Section: Discussionmentioning

confidence: 99%

“…Our study clearly links patient education with results. Asthma management may benefit from brochures, books, and self-practice cards [ 34 , 35 ].…”

Section: Discussionmentioning

confidence: 99%

Assessing the Impact of Health Education Intervention on Asthma Knowledge, Attitudes, and Practices: A Cross-Sectional Study in Erbil, Iraq

et al. 2023

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Asthma causes chronic coughing, wheezing, dyspnea, and chest pressure. This study assessed asthmatic patients’ knowledge, attitudes, and practice (KAP) of bronchial asthma and proper education on its meaning, risk factors, symptoms, diagnosis, management, and prevention practices. We performed a cross-sectional interventional asthma KAP survey in Erbil, Iraq. We adapted a validated study questionnaire from KAP studies in other nations to the Erbil situation and culture. In Erbil, Kurdistan, Iraq, two major hospitals’ asthma clinics were studied. We chose 250 asthmatic patients from October 2018 to July 2019. Health education was comprehensive. The health education program used a Kurdish PowerPoint with a printout. Twenty-five groups received two weeks of one-hour health education pre-intervention. Each group was questioned before, 2 weeks after, and 12 weeks after health education. All data were analyzed by SPSS v26. The mean age of the respondents was 37.52 ± 15.16, with 48.7% of the respondents having a positive family history of asthma. After 2 weeks of health education intervention, respondents had a higher knowledge score and positive attitudes compared to pre-education, and after 12 weeks of education, there was a significant difference (p < 0.001) with improvised prevention practice. Health education programs led to considerable improvements in asthmatic patients’ knowledge, attitudes, and practices regarding their condition. After receiving health education for a period of two weeks, the majority of the participants answered correctly regarding asthma, its causes, and the elements that trigger asthma attacks.

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“…lack of an AAP (AAN, 2020a; Amin et al, 2020; Makhinova et al, 2021; McQuaid, 2018; Riley et al, 2021).…”

Section: Coordinating Management Of a Student’s Chronic Health Condition At Schoolmentioning

confidence: 99%

The Vital Role of the School Nurse in Managing Asthma

2021

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Since asthma is the most common noncommunicable chronic childhood disease in the United States, school nurses will encounter students with this health condition. The purpose of this article is to present the school nurse as the leader in directing the management of a student’s chronic health condition at school. This article provides a table of resources and discusses many aspects of asthma management, including utilization of the student’s asthma action plan, student-specific school accommodation needs, the importance of developing individualized healthcare plans, providing education to school staff related to asthma management and determining of the family and student knowledge level, as well as strategies to minimize exacerbations. The article also explores school nurse opportunity to advocate for emergency asthma medication access as a part of emergency preparedness. School-based asthma management can be complex and school nurses have a pivotal role in asthma management in a school.

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Examination of Barriers to Medication Adherence, Asthma Management, and Control Among Community Pharmacy Patients With Asthma

Cited by 5 publications

References 30 publications

Improving Asthma Management: Patient–Pharmacist Partnership Program in Enhancing Therapy Adherence

Improving Asthma Management: Patient–Pharmacist Partnership Program in Enhancing Therapy Adherence

Assessing the Impact of Health Education Intervention on Asthma Knowledge, Attitudes, and Practices: A Cross-Sectional Study in Erbil, Iraq

The Vital Role of the School Nurse in Managing Asthma

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