Pharmaceutical care for asthma patients: A Developing Country′s Experience

Subramaniam, Sriram; Varughese, J.; Nair, Manjuladevi Anandavalli Sukumaran; Balasubramanian, Rajalingam; Velu., Shivashankar; Bhojan, Chitra; Devarajan, Vidhya; Sabzghabaee, Ali Mohammad

doi:10.4103/2279-042x.108373

Cited by 20 publications

(35 citation statements)

References 20 publications

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“…The randomised control trials (RCTs) were conducted between 1995 and 2016; four South Asian trials were from India (labelled ‘majority’ South Asian), 30 – 33 four South Asian trials were from the UK 34 – 36 and one from Canada 37 (labelled ‘minority’ South Asian), and nine African-American trials were from the USA (labelled ‘minority’ African American) 26 – 34 (see Table 2 ). The overall risk of bias within trials was uncertain, 30 , 33 , 37 – 41 or high. 31 , 32 , 36 , 42 – 45 Three trials had low risk 34 , 35 , 46 (see Table 3 ).…”

Section: Resultsmentioning

confidence: 99%

“…drug administration Trained social scientist (-) Group; Modified Patients; Parents; 10–45; 276 (140/136) – Daily diary (included symptom assessment and financial workbook) Written material Asthma therapy PAAPs /four 2 hour sessions Shanmugam 33 India Provided pharmaceutical care through partnership of pharmacists and patients for good asthma control Indian Tertiary (university hospital) Education; sessions, asthma care diary in English and Tamil (including leaflet), PAAP and symptom log sheet No pharmaceutical care Not stated (English and Tamil) Written material; Modified Patients Age; −; 66 (33/33) – Medication counselling/not stated Other methods not stated ‘Minority’ South Asians trials Griffiths 34 UK Tested whether specialist nurses across ethnically diverse and deprived areas reduce unscheduled care South Asians (mostly Bangladeshi) White Caucasians, Other (Black/African Caribbean/Other) Primary/secondary (out-of-hours GP service/hospital) Education; training based on guidelines, nurse review with advice Usual care; single nurse visits to discuss asthma guidelines and check inhaler technique Trained nurse specialists (partially; PAAPs explained in Sylheti) Individual; Modified PAAP explained in English and Sylheti Written material; Ongoing clinical support for professionals on computer prompts Patients; 4–60; 164 (95/69) Deprived/urban Peak flow meters provided Telephone Oral corticosteroids/2 one hour visits for GP practices; 194 days Griffiths 35 UK Tested whether culturally specific education programmes adapted from USA interventions reduce unscheduled care South Asians (Bangladeshi, Pakistani, Indian, Sri Lankan) Primary (GP) Education; session including PAAP, nurse follow-ups to book appointments (CDSMP), research training with video based on guidelines, South Asian actors and manualised programme (PACE)/PACE; two seminars; CDSMP; 2-ho...…”

Section: Resultsmentioning

confidence: 99%

“…Participant characteristics : The ‘majority’ population in the South Asian trials comprised of Indians, 30 – 33 whereas ‘minority’ South Asian trials included Indians, 37 and mixed subcultures (e.g., Bangladeshi, Pakistani, Indian or Sri Lankan). 34 – 36 All Black population trials studied the African-American minority population in the USA.…”

Section: Resultsmentioning

confidence: 99%

“…Study setting : All ‘majority’ South Asian trials were based in tertiary care hospitals. 30 – 33 In contrast, ‘minority’ South Asian trials were conducted in primary care, 35 , 36 or a combination of community, primary care and hospital (secondary/tertiary) settings. 34 , 37 Similarly, the African-American trials were conducted in various settings: primary or secondary schools, 40 , 41 , 45 tertiary care hospitals, 39 , 42 emergency department 43 and three trials used a combination of settings; community, school and hospital (secondary/tertiary).…”

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review

Ahmed

Steed

Harris

et al. 2018

npj Prim Care Resp Med

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South Asian and other minority communities suffer poorer asthma outcomes, have a higher rate of unscheduled care and benefit less from most existing self-management interventions when compared to the majority population. Possible reasons for these differences include failure to implement asthma self-management strategies, or that strategies implemented were inappropriate for their needs; alternatively, they may relate to the minority and/or lower socioeconomic status of these populations. We aimed to synthesise evidence from randomised controlled trials for asthma self-management in South Asian and Black populations from different sociocultural contexts, and identify barriers and facilitators to implementing self-management. We systematically searched eight electronic databases, and research registers, and manually searched relevant journals and reference lists of reviews. Seventeen trials met the inclusion criteria and were analysed narratively. We found two culturally targeted interventions compared to fifteen culturally modified interventions. Interventions used diverse self-management strategies; education formed a central component. Interventions in South Asian and African-American minority communities were less effective than interventions delivered in indigenous populations in South Asia, though the latter trials were at higher risk of bias. Education, with continuous professional support, was common to most interventions. Facilitators to asthma self-management included: ensuring culturally/linguistically appropriate education, adapting to learning styles, addressing daily stressors/social support and generic self-management strategies. In conclusion, when developing and evaluating self-management interventions aimed at different cultures, the influence of sociocultural contexts (including whether patients are from a minority or indigenous population) can be important for the conceptualisation of culture and customisation of self-management strategies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review

Ahmed

Steed

Harris

et al. 2018

npj Prim Care Resp Med

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“…5,6,[13][14][15] Patient support programs, such as medication management and counseling, have the potential to improve patient's disease control and medication adherence. 16,17 A previous pharmacist intervention study has shown a positive impact on patients' knowledge about asthma and medication. 18 Other studies have shown that pharmacist interventions were effective in improving the inhaler device technique skills, 19,20 and a randomized controlled trial demonstrated that pharmacist interventions improved both medication adherence and inhaler device technique in patients with chronic obstructive pulmonary disease (COPD).…”

Section: Introductionmentioning

confidence: 99%

<p>Exploring Patient’s Perspectives and Experiences After Start with Inhalation Maintenance Therapy: A Qualitative Theory-Based Study</p>

Kuipers¹,

Wensing²,

Smet³

et al. 2020

PPA

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Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review

2014

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Background Pharmacists' counseling has improved health-related outcomes in many acute and chronic conditions. Several studies have shown how pharmacists have been contributing to reduce morbidity and mortality related to drug-therapy (MMRDT). However, there still is a lack of reviews that assemble evidence-based clinical pharmacists' counseling. Equally, there is also a need to understand structure characteristics, processes and technical contents of these clinical services. Aim of the review To review the structure, processes and technical contents of pharmacist counseling or education reported in randomized controlled trials (RCT) that had positive health-related outcomes. Methods We performed a systematic search in specialized databases to identify RCT published between 1990 and 2013 that have evaluated pharmacists' counseling or educational interventions to patients. Methodological quality of the trials was assessed using the Jadad scale. Pharmacists' interventions with positive clinical outcomes (p < 0.05) were evaluated according to patients' characteristics, setting and timing of intervention, reported written and verbal counseling. Results 753 studies were found and 101 RCT matched inclusion criteria. Most of the included RCTs showed a Jadad score between two (37 studies) and three (32 studies). Pharmacists were more likely to provide counseling at ambulatories (60 %) and hospital discharge (25 %); on the other hand pharmacists intervention were less likely to happen when dispensing a medication. Teaching back and explanations about the drug therapy purposes and precautions related to its use were often reported in RCT, whereas few studies used reminder charts, diaries, group or electronic counseling. Most of studies reported the provision of a printed material (letter, leaflet or medication record card), regarding accessible contents and cultural-concerned informations about drug therapy and disease. Conclusion Pharmacist counseling is an intervention directed to patients' health-related needs that improve inter-professional and inter-institutional communication, by collaborating to integrate health services. In spite of reducing MMRDT, we found that pharmacists' counseling reported in RCT should be better explored and described in details, hence collaborating to improve medication-counseling practice among other countries and settings.

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Pharmaceutical care for asthma patients: A Developing Country′s Experience

Cited by 20 publications

References 20 publications

Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review

Interventions to enhance the adoption of asthma self-management behaviour in the South Asian and African American population: a systematic review

<p>Exploring Patient’s Perspectives and Experiences After Start with Inhalation Maintenance Therapy: A Qualitative Theory-Based Study</p>

Assessment of pharmacist-led patient counseling in randomized controlled trials: a systematic review

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