The role of non-clinicians in a goal setting model for the management of allergic rhinitis in community pharmacy settings

Smith, Lorraine; Nguyen, Tony; Seeto, Celina; Saini, Bandana; Brown, Lin

doi:10.1016/j.pec.2010.10.003

Cited by 20 publications

(24 citation statements)

References 25 publications

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“…The control group participants received ‘standard care’ for treating IAR. The findings of the impact of the intervention on clinical and humanistic outcomes have been reported previously 22 …”

Section: Methodsmentioning

confidence: 53%

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Strategies for the management of intermittent allergic rhinitis: an Australian study

Smith¹,

Brown²,

Saini³

et al. 2012

Health Expectations

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Objective Allergic rhinitis is increasing globally despite treatment focussed on pharmacotherapy. This study aimed to (i) examine the range and proportion of symptoms and triggers experienced by patients with intermittent allergic rhinitis (IAR); (ii) conduct a qualitative analysis of strategies devised to control symptoms and triggers; and (iii) measure medication adherence.Methods A qualitative and observational study of data drawn from a randomized controlled trial on patients with IAR. Strategies collaboratively devised by participants and pharmacist staff to minimize symptoms and triggers were analysed thematically. In the 10-day observational study, the participants recorded all symptoms and triggers of IAR along with use of medications and these were analysed descriptively.Results Number of 124 participants recorded 620 symptoms and identified 357 triggers of IAR. To minimize these, 579 strategies were devised in consultation with pharmacy staff. The frequency and type of strategy varied according to whether the goals were aimed at controlling symptoms or triggers. Adherence to a course of antihistamines over the 10-day trial was self-reported by participants with 36% indicating full adherence.Conclusion A large number and range of symptoms and triggers were identified, and individualized strategies were devised to minimize symptoms and triggers. Medication adherence was poor.Practice implications Patients with IAR can be assisted to identify their symptoms and triggers and develop relevant strategies to manage these. This approach has the potential to facilitate patient self-management of a chronic and incapacitating condition.

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Section: Methodsmentioning

confidence: 53%

“…The PARIS 22 study was a randomized controlled trial conducted through community pharmacies in metropolitan and outer metropolitan areas of Sydney, Australia, across two peak allergic rhinitis seasons: spring 2008 and autumn 2009. The study comprised of two visits, 10 days apart.…”

Section: Methodsmentioning

confidence: 99%

Strategies for the management of intermittent allergic rhinitis: an Australian study

Smith¹,

Brown²,

Saini³

et al. 2012

Health Expectations

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“…The specific role of pharmacists within ICPs can be evidenced through several strategies that have been initiated or completed in the AR management in the pharmacy, and in studies confirming the important impact of pharmacist interventions on AR outcomes . The specific areas of pharmacist impact in AR are summarized in Table .…”

Section: Pharmacist Challenge In Allergic Rhinitismentioning

confidence: 99%

ARIA pharmacy 2018 “Allergic rhinitis care pathways for community pharmacy”

Bosnic‐Anticevich

Costa

Menditto

et al. 2019

Allergy

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Pharmacists are trusted health care professionals. Many patients use over‐the‐counter (OTC) medications and are seen by pharmacists who are the initial point of contact for allergic rhinitis management in most countries. The role of pharmacists in integrated care pathways (ICPs) for allergic diseases is important. This paper builds on existing studies and provides tools intended to help pharmacists provide optimal advice/interventions/strategies to patients with rhinitis. The Allergic Rhinitis and its Impact on Asthma (ARIA)‐pharmacy ICP includes a diagnostic questionnaire specifically focusing attention on key symptoms and markers of the disease, a systematic Diagnosis Guide (including differential diagnoses), and a simple flowchart with proposed treatment for rhinitis and asthma multimorbidity. Key prompts for referral within the ICP are included. The use of technology is critical to enhance the management of allergic rhinitis. However, the ARIA‐pharmacy ICP should be adapted to local healthcare environments/situations as regional (national) differences exist in pharmacy care.

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“…Structural equation modelling (SEM) has been used to understand factors associated with pharmacy technician job satisfaction in relation to goals set (Desselle and Holmes 2007). The role of non-clinician pharmacy assistants (versus pharmacists) in a goal-setting model for management of allergic rhinitis in community pharmacy has been explored (Smith et al 2011). This study is interesting in that it straddles 'levels of work' within the organisation and highlights the fact that with training, pharmacy assistants can effectively deliver interventions that improve patient selfefficacy and quality of life.…”

Section: Goal Settingmentioning

confidence: 99%

Pharmacy Practice Research Methods

2015

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The role of non-clinicians in a goal setting model for the management of allergic rhinitis in community pharmacy settings

Cited by 20 publications

References 25 publications

Strategies for the management of intermittent allergic rhinitis: an Australian study

Strategies for the management of intermittent allergic rhinitis: an Australian study

ARIA pharmacy 2018 “Allergic rhinitis care pathways for community pharmacy”

Pharmacy Practice Research Methods

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