Volume 26, Issue 1 (4-2019)                   RJMS 2019, 26(1): 40-49 | Back to browse issues page

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mousavi S, kholafaie Z. Role of Pharmacist in Counseling Asthma Patients: A Study with Simulated Patient. RJMS 2019; 26 (1) :40-49
URL: http://rjms.iums.ac.ir/article-1-5241-en.html
Isfahan University of Medical Sciences, Isfahan, Iran , s.mousavi@pharm.mui.ac.ir
Abstract:   (2151 Views)
Background: Correct education of asthmatic patients by pharmacists play an important role in control of asthma disease and improvement of patients’ quality of life. This study aims to evaluate community pharmacists’ knowledge and skills by demonstrating the proper inhalation technique of asthma inhaler devices in Isfahan, Iran.
Methods: One hundred community pharmacies located in the Isfahan city were approached and four asthma devices were assessed (25 each of them): Metered dose inhaler (MDI), MDI with spacer, turbuhaler and revolizer. The investigator selected one device and asked the serving pharmacist to demonstrate how to use the device. Investigator completed a checklist of inhaler device use immediately after leaving the pharmacy.
Results: In total, 100 pharmacists (including 70 males with the mean age of 42.3±12.1) were approached. More than half of the pharmacists approached with MDI (with or without spacer) did not know how to use the optimal technique (i.e. all steps corrected all through). The majority of pharmacists (>90%) approached with turbuhaler did not know the proper technique. More than 70% of pharmacist had an adequate technique in handling revolizer. There was an inverse relationship between pharmacist’s knowledge and skill and age and work experience (r=-0.18, p: 0.037, and r=-0.16, p: 0.05 respectively).
Conclusion: The majority of community pharmacists lack the basic knowledge of proper use of commonly dispensed asthma inhaler devices. Considering, the positive impact of pharmacists in patient care and education, specific training and continuing educational programs directed specifically on asthma management is necessary.
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Type of Study: Research | Subject: Pharmacy

2. 1. Olin JT, Wechsler ME. Asthma: pathogenesis and novel drugs for treatment. BMJ; 2014.349:g5517.
3. 2. Loftus PA, Wise SK. Epidemiology of asthma. Curr Opin Otolaryngol Head Neck Surg; 2016.24(3):245-9.
4. 3. Genuneit J, Seibold AM, Apfelbacher CJ, Konstantinou GN, Koplin JJ, Grutta S, et al. The state of asthma epidemiology: an overview of systematic reviews and their quality. Clin Transl Allergy; 2017.7:12.
5. 4. Croisant S. Epidemiology of asthma: prevalence and burden of disease. Adv Exp Med Biol; 2014.795:17-29.
6. 5. Beran D, Zar HJ, Perrin C, Menezes AM, Burney P. Burden of asthma and chronic obstructive pulmonary disease and access to essential medicines in low-income and middle-income countries. Lancet Respir Med; 2015.3(2):159-70.
7. 6. Varmaghani M, Farzadfar F, Sharifi F, Rashidain A, Moin M, Moradi-Lakeh M, et al. Prevalence of Asthma, COPD, and Chronic Bronchitis in Iran: A Systematic Review and Meta-analysis. Iran J Allergy Asthma Immunol; 2016.15(2):93-104.
8. 7. Becker AB, Abrams EM. Asthma guidelines: the Global Initiative for Asthma in relation to national guidelines. Curr Opin Allergy Clin Immunol; 2017.17(2):99-103.
9. 8. Al-Muhsen S, Horanieh N, Dulgom S, Al Aseri Z, Vazquez-Tello A, Halwani R, et al. Poor asthma education and medication compliance are associated with increased emergency department visits by asthmatic children. Ann Thorac Med; 2015.10(2):123-31.
10. 9. Sari N, Osman M. The effects of patient education programson medication use among COPD
11. patients: a propensity score matching with a difference-in-difference regression approach. BMC Health Serv Res; 2015.15:332.
12. 10. Rajanandh M, Nageswari A, Ilango K. Impact of pharmacist provided patient education on knowledge, attitude, practice and quality of life in asthma patients in a South Indian hospital. J Med Sci; 2014.14(5):254.
13. 11. Garcia-Cardenas V, Armour C, Benrimoj SI, Martinez-Martinez F, Rotta I, Fernandez-Llimos F. Pharmacists' interventions on clinical asthma outcomes: a systematic review. Eur Respir J; 2016.47(4):1134-43.
14. 12. Mesquita AR, Lyra DP, Brito GC, Balisa-Rocha BJ, Aguiar PM, de Almeida Neto AC. Developing communication skills in pharmacy: a systematic review of the use of simulated patient methods. Patient Educ Couns; 2010.78(2):143-8.
15. 13. Xu T, de Almeida Neto AC, Moles RJ. A systematic review of simulated‐patient methods used in community pharmacy to assess the provision of non‐prescription medicines. Int J Pharm Pract; 2012.20(5):307-19.
16. 14. Watson M, Norris P, Granas A. A systematic review of the use of simulated patients and pharmacy practice research. Int J Pharm Pract; 2006.14(2):83-93.
17. 15. Khan TM, Azhar S. A study investigating the community pharmacist knowledge about the appropriate use of inhaler, Eastern Region AlAhsa, Saudi Arabia. Saudi Pharm J; 2013.21(2):153-7.
18. 16. Zolfaghari B, Sabzghabaee AM, Alizadeh NS, Kabiri P. Knowledge, Attitude, and Performance of Community Pharmacists in Isfahan on Herbal Drugs, 2008. Iran J Med Educ; 2010.9(4):311-20.
19. 17. Bailey W, Hess D. The use of inhaler devices in adults. UpToDate Retrieved from http://www uptodate com/contents/the-use-of-inhaler-devices-in-adults. 2014.
20. 18. Rajan SK, Gogtay JA. Ease-of-use, preference, confidence, and satisfaction with Revolizer®, a novel dry powder inhaler, in an Indian population. Lung India; 2014.31(4):366.
21. 19. Hämmerlein A, Müller U, Schulz M. Pharmacist‐led intervention study to improve inhalation technique in asthma and COPD patients. J Eval Clin Pract; 2011.17(1):61-70.
22. 20. Kshatriya RM, Khara NV, Paliwal RP, Patel SN. Evaluation of proficiency in using different inhaler devices among intern doctors. J Fam Med Prim Care; 2016.5(2):362-366.
23. 21. Osman A, Hassan A, Imad S, Ibrahim MIM. Are Sudanese community pharmacists capable to prescribe and demonstrate asthma inhaler devices to patrons?: A mystery patient study. Pharm Pract (Granada); 2012.10(2):110-5.
24. 22. Adnan M, Karim S, Khan S, Al-Wabel N. Comparative evaluation of metered-dose inhaler technique demonstration among community pharmacists in Al Qassim and Al-Ahsa region, Saudi-Arabia. Saudi Pharm J; 2015.23(2):138–142.
25. 23. Al Qahtani ISA, Almoteb TM, Al Worafi YM. Competency of Metered-Dose Inhaler Use among Saudi Community Pharmacists: A Simulation Method Study. RRJPPS; 2015.4(2):37-1.
26. 24.Dizdar EA, Civelek E, Sekerel BE. Community pharmacists’ perception of asthma: a national survey in Turkey. Pharm World Sci; 2007.29(3):199-204.
27. 25. Buxton JA, Babbitt R, Clegg CA, Durley SF, Epplen KT, Marsden LM, et al. ASHP guidelines: Minimum standard for ambulatory care pharmacy practice. Am J Health Syst Pharm; 2015.72(14):1221-36.
28. 26. Basheti IA, Armour CL, Reddel HK, Bosnic-Anticevich SZ. Long-term maintenance of pharmacists' inhaler technique demonstration skills. Am J Pharm Educ; 2009.73(2):32.

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