Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial

Objective: To test the feasibility, effectiveness and sustainability of a pharmacy asthma service in primary care. Methods: A pragmatic cluster randomised trial in community pharmacies in four Australian states/territories in 2009. Specially trained pharmacists were randomised to deliver an asthma s...

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Main Authors: Armour, Carol, Reddel, Helen, LeMay, Kate, Saini, Bandana, Smith, Lorraine, Bosnic-Anticevich, Sinthia, Song, Yun Ju, Alles, Chehani, Burton, Deborah, Emmerton, Lynne, Stewart, Kay, Krass, Ines
Format: Journal Article
Published: Informa Healthcare 2013
Online Access:http://hdl.handle.net/20.500.11937/29980
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author Armour, Carol
Reddel, Helen
LeMay, Kate
Saini, Bandana
Smith, Lorraine
Bosnic-Anticevich, Sinthia
Song, Yun Ju
Alles, Chehani
Burton, Deborah
Emmerton, Lynne
Stewart, Kay
Krass, Ines
author_facet Armour, Carol
Reddel, Helen
LeMay, Kate
Saini, Bandana
Smith, Lorraine
Bosnic-Anticevich, Sinthia
Song, Yun Ju
Alles, Chehani
Burton, Deborah
Emmerton, Lynne
Stewart, Kay
Krass, Ines
author_sort Armour, Carol
building Curtin Institutional Repository
collection Online Access
description Objective: To test the feasibility, effectiveness and sustainability of a pharmacy asthma service in primary care. Methods: A pragmatic cluster randomised trial in community pharmacies in four Australian states/territories in 2009. Specially trained pharmacists were randomised to deliver an asthma service in two groups, providing 3 or 4 consultations over 6 months. People with poorly-controlled asthma or no recent asthma review were included. Follow-up for 12 months after service completion occurred in 30% of randomly-selected completing patients. Outcomes included change in asthma control (poor, fair/good) and Asthma Control Questionnaire (ACQ) score, inhaler technique, quality of life, perceived control, adherence, asthma knowledge and asthma action plan ownership. Objective: To test the feasibility, effectiveness and sustainability of a pharmacy asthma service in primary care. Methods: A pragmatic cluster randomised trial in community pharmacies in four Australian states/territories in 2009. Specially trained pharmacists were randomised to deliver an asthma service in two groups, providing 3 or 4 consultations over 6 months. People with poorly-controlled asthma or no recent asthma review were included. Follow-up for 12 months after service completion occurred in 30% of randomly-selected completing patients. Outcomes included change in asthma control (poor, fair/good) and Asthma Control Questionnaire (ACQ) score, inhaler technique, quality of life, perceived control, adherence, asthma knowledge and asthma action plan ownership. Conclusions: The pharmacy asthma service delivered clinically important improvements in both a 3-visit and 4-visit service. Pharmacists were able to recruit and deliver the service with minimal intervention suggesting it is practical to implement in practice. The 3-visit service would be feasible and effective to implement, with a review at 12 months.
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spelling curtin-20.500.11937-299802017-09-13T16:09:10Z Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial Armour, Carol Reddel, Helen LeMay, Kate Saini, Bandana Smith, Lorraine Bosnic-Anticevich, Sinthia Song, Yun Ju Alles, Chehani Burton, Deborah Emmerton, Lynne Stewart, Kay Krass, Ines Objective: To test the feasibility, effectiveness and sustainability of a pharmacy asthma service in primary care. Methods: A pragmatic cluster randomised trial in community pharmacies in four Australian states/territories in 2009. Specially trained pharmacists were randomised to deliver an asthma service in two groups, providing 3 or 4 consultations over 6 months. People with poorly-controlled asthma or no recent asthma review were included. Follow-up for 12 months after service completion occurred in 30% of randomly-selected completing patients. Outcomes included change in asthma control (poor, fair/good) and Asthma Control Questionnaire (ACQ) score, inhaler technique, quality of life, perceived control, adherence, asthma knowledge and asthma action plan ownership. Objective: To test the feasibility, effectiveness and sustainability of a pharmacy asthma service in primary care. Methods: A pragmatic cluster randomised trial in community pharmacies in four Australian states/territories in 2009. Specially trained pharmacists were randomised to deliver an asthma service in two groups, providing 3 or 4 consultations over 6 months. People with poorly-controlled asthma or no recent asthma review were included. Follow-up for 12 months after service completion occurred in 30% of randomly-selected completing patients. Outcomes included change in asthma control (poor, fair/good) and Asthma Control Questionnaire (ACQ) score, inhaler technique, quality of life, perceived control, adherence, asthma knowledge and asthma action plan ownership. Conclusions: The pharmacy asthma service delivered clinically important improvements in both a 3-visit and 4-visit service. Pharmacists were able to recruit and deliver the service with minimal intervention suggesting it is practical to implement in practice. The 3-visit service would be feasible and effective to implement, with a review at 12 months. 2013 Journal Article http://hdl.handle.net/20.500.11937/29980 10.3109/02770903.2012.754463 Informa Healthcare fulltext
spellingShingle Armour, Carol
Reddel, Helen
LeMay, Kate
Saini, Bandana
Smith, Lorraine
Bosnic-Anticevich, Sinthia
Song, Yun Ju
Alles, Chehani
Burton, Deborah
Emmerton, Lynne
Stewart, Kay
Krass, Ines
Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial
title Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial
title_full Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial
title_fullStr Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial
title_full_unstemmed Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial
title_short Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomised trial
title_sort feasibility and effectiveness of an evidence-based asthma service in australian community pharmacies: a pragmatic cluster randomised trial
url http://hdl.handle.net/20.500.11937/29980