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

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Open access
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
Date
2013
Type
Journal Article

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Armour, Carol and Reddel, Helen and LeMay, Kate and Saini, Bandana and Smith, Lorraine and Bosnic-Anticevich, Sinthia and Song, Yun Ju et al. 2013. Feasibility and effectiveness of an evidence-based asthma service in Australian community pharmacies: a pragmatic cluster randomized trial. Journal of Asthma. 50 (3): pp. 302-309.
Source Title
Journal of Asthma
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This is an Author's Accepted Manuscript of an article published in the Journal of Asthma (2013), copyright Taylor & Francis, available online at http://www.tandfonline.com/10.3109/02770903.2012.754463

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Abstract

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.