Asthma, Quality of Life
Conditions
Brief summary
Only a few well-designed studies have investigated the effect of pharmaceutical care on asthma patients and to date there are no published studies investigating this effect specifically on severe and refractory asthma. The objective of this study is evaluate the effect of pharmaceutical care on asthma control and quality of life (QoL) of patients with severe or refractory asthma compared with pharmacist dispensation only.
Interventions
Pharmacist intervention, focused on the optimization of drug therapy, identification and resolution of drug related problems, resulting in best asthma control and quality of life. Pharmacists document their initial and monthly follow up encounters using a specified form. An action plan for self management of these patients was prepared and discussed aiming at early identification and treatment of an exacerbation episode. Meetings will be held weekly with intervention team to discuss action plan and measure of outcomes of all problems identified.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients with severe/refractory asthma presenting other respiratory disease, * ≥ 18 years of age, * using high dose of inhaled corticosteroids (≥ 800mcg of budesonide or equivalent) * FEV1\<60%, * regular visitor of the pharmacy and the physicians.
Exclusion criteria
* participation in other intervention study during this study, * living in other cities, * could not participate in all visits of the study
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| asthma control of symptoms | 12 months | Measured by Asthma Control Questionnaire and medical evaluation |
Other
| Measure | Time frame | Description |
|---|---|---|
| Lung function improvement | 12 months | Measured by spirometry |
| Quality of life improvement | 12 months | Measured by Asthma Quality of Life questionnaire |
Countries
Brazil