Evidence map›Paper›PMID 25883692›Full record

ArticlePharmacy practice

An exploration of clinical interventions provided by pharmacists within a complex asthma service.

Kate S Lemay, Bandana Saini, Sinthia Bosnic-Anticevich, Lorraine Smith, Kay Stewart, Lynne Emmerton, Deborah L Burton, Ines Krass, Carol L Armour

Open access · diamondAbstract read
In one paragraph

Article in Pharmacy practice. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Kate S LemayWoolcock Institute of Medical Research, The University of Sydney . Sydney, NSW ( Australia ). kate.lemay@sydney.edu.au.
Bandana SainiFaculty of Pharmacy, The University of Sydney . Sydney, NSW ( Australia ). bandana.saini@sydney.edu.au.
Sinthia Bosnic-AnticevichWoolcock Institute of Medical Research, The University of Sydney ; and Sydney Local Health District. Sydney, NSW ( Australia ). sinthia.bosnic-anticevich@sydney.edu.au.
Lorraine SmithFaculty of Pharmacy, The University of Sydney . Sydney, NSW ( Australia ). lorraine.smith@sydney.edu.au.
Kay StewartCentre for Medicine Use and Safety, Monash University , VIC ( Australia ). Kay.Stewart@monash.edu.
Lynne EmmertonSchool of Pharmacy, Faculty of Health Sciences, Curtin University , Perth, WA ( Australia ). Lynne.Emmerton@curtin.edu.au.
Deborah L BurtonCharles Sturt University , Orange, NSW ( Australia ). dburton@csu.edu.au.
Ines KrassFaculty of Pharmacy, The University of Sydney . Sydney, NSW ( Australia ). ines.krass@sydney.edu.au.
Carol L ArmourWoolcock Institute of Medical Research, The University of Sydney ; and Sydney Local Health District, Sydney, NSW ( Australia ). carol.armour@sydney.edu.au.
University of Sydney · AUCharles Sturt University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPharmacists in Australia are accessible health care professionals, and their provision of clinical pharmacy interventions in a range of areas has been proven to improve patient outcomes. Individual clinical pharmacy interventions in the area of asthma management have been very successful. An understanding of the nature of these interventions will inform future pharmacy services. What we do not know is when pharmacists provide a complex asthma service, what elements of that service (interventions) they choose to deliver.

objectiveTo explore the scope and frequency of asthma-related clinical interventions provided by pharmacists to patients in an evidence-based complex asthma service.

methodsPharmacists from 4 states/territories of Australia were trained in asthma management. People with asthma had 3 or 4 visits to the pharmacy. Guided by a structured patient file, the pharmacist assessed the patient's asthma and management and provided interventions where and when considered appropriate, based on their clinical decision making skills. The interventions were recorded in a checklist in the patient file. They were then analysed descriptively and thematically.

resultsPharmacists provided 22,909 clinical pharmacy interventions over the service to 570 patients (398 of whom completed the service). The most frequently delivered interventions were in the themes 'Education on asthma', 'Addressing trigger factors', 'Medications - safe and effective use' and 'Explore patient perspectives'. The patients had a high and ongoing need for interventions. Pharmacists selected interventions based on their assessment of perceived need then revisited and reinforced these interventions.

conclusionPharmacists identified a number of areas in which patients required interventions to assist with their asthma management. Many of these were perceived to require continuing reinforcement over the duration of the service. Pharmacists were able to use their clinical judgement to assess patients and provide clinical pharmacy interventions across a range of asthma management needs.

Indexed as

AsthmaAustraliaEvidence-Based PracticePharmaceutical ServicesPharmacists

Identifiers

PMID25883692
PMCPMC4384270
OpenAlexW1513891508

What OpenQuestion holds

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LicenceCC BY-NC-SA
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.