Evidence map›Paper›PMID 40668584›Full record

Trial reportJAMA network open2025

Pharmacist-Led Education Intervention for Adults With Allergic Rhinitis: A Randomized Clinical Trial.

Chii-Chii Chew, Xin-Jie Lim, Pathma Letchumanan, Philip Rajan, Chee Ping Chong

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06027736 (The Effectiveness of Pharmacist-led Educational Model in Patients With Allergic Rhinitis in a Malaysian Tertiary Hospital), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06027736 naunknown statusnot on this map

The Effectiveness of Pharmacist-led Educational Model in Patients With Allergic Rhinitis in a Malaysian Tertiary Hospital: A Randomised Control Trial Protocol (AR-PRISE RCT)

TypeinterventionalSponsorDr. Chee Ping ChongRan2023 to 2024Enrolled154ConditionsAllergic Rhinitis, Pharmaceutical Care, Pharmaceutical ServicesArmspharmacist-led education
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
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

5 authors.

Chii-Chii ChewClinical Research Centre, Hospital Raja Permaisuri Bainun, Institute for Clinical Research, National Institute of Health, Ministry of Health Malaysia, Ipoh, Perak, Malaysia.
Xin-Jie LimClinical Research Centre, Hospital Raja Permaisuri Bainun, Ministry of Health, Ipoh, Perak, Malaysia.
Pathma LetchumananDepartment of Otorhinolaryngology, Hospital Raja Permaisuri Bainun, Ministry of Health, Ipoh, Perak, Malaysia.
Philip RajanClinical Research Centre, Hospital Raja Permaisuri Bainun, Ministry of Health, Ipoh, Perak, Malaysia.
Chee Ping ChongDiscipline of Clinical Pharmacy, School of Pharmaceutical Sciences, Universiti Sains Malaysia, Minden, Penang, Malaysia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Allergic rhinitis (AR) affects 10% to 30% of the adult population globally. The current framework of pharmaceutical care for managing AR focuses on community pharmacies, with limited structured pharmaceutical care in public health care settings. Objective: To evaluate the effectiveness of a pharmacist-led education intervention (AR-PRISE) in a public health care institution compared with standard care for managing AR among adults. Design, Setting, and Participants: This randomized clinical trial used a 2-arm, parallel-group, open-label design in the otorhinolaryngology clinic of a government-funded tertiary referral hospital in northern Malaysia. Enrollment occurred from June 1, 2023, to February 15, 2024, with follow-up completed August 6, 2024. The trial included Malaysian patients aged 18 to 80 years who had received a diagnosis of AR and were able to comprehend English or Malay. Of the 209 screened patients, 154 were recruited and randomly assigned into intervention and control groups, with 149 completing the study. Interventions: The AR-PRISE intervention involved an 8-minute educational video on AR and structured pharmacist counseling. Main Outcomes and Measures: The primary outcomes were between-group differences at day 180 in knowledge level, symptom control (Total Nasal Symptom Score [TNSS] for the past 12 hours and past 2 weeks), medication adherence (number of days of intranasal corticosteroid use), and quality of life (assessed by the European Quality of Life 5-Dimension 5-Level Instrument and European Quality of Life Visual Analog Scale). Assessments were conducted at baseline and days 60 (±7), 120 (±7), and 180 (±7). All analyses were performed on an intention-to-treat basis. Results: Among the 154 participants, the mean (SD) age was 46.5 (17.0) years, and 97 (63.0%) were women; 77 participants were randomized to each group. In the intention-to-treat analysis, the intervention group showed statistically significant improvement in TNSSs for the past 2 weeks compared with controls (estimate [SE], 0.14 [0.06]; 95% credible interval [CrI], 0.03-0.25). Significant reductions in the TNSS for the past 2 weeks were observed at all time points (day 60: estimate [SE], 0.18 [0.05]; 95% CrI, 0.08-0.28; day 120: estimate [SE], 0.21 [0.05]; 95% CrI, 0.11-0.31; and day 180: estimate [SE], 0.11 [0.05]; 95% CrI, 0.01-0.21). No significant differences were observed for knowledge level, TNSS for the past 12 hours, medication adherence, or quality of life. Conclusions and Relevance: In this randomized clinical trial, the AR-PRISE intervention significantly improved AR symptom control (TNSS for the past 2 weeks) compared with standard care over 180 days but did not show significant effects on other coprimary outcomes (AR knowledge, TNSS for the past 12 hours, medication adherence, or quality of life). These findings suggest that while pharmacist-led education can enhance symptom management, additional strategies may be needed to address broader aspects of AR care. Trial Registration: ClinicalTrials.gov Identifier: NCT06027736.

Indexed as

Patient Education as TopicPharmacistsRhinitis, AllergicAdolescentAdultAgedFemaleHumansMalaysiaMaleMiddle AgedQuality of LifeYoung Adult

Identifiers

PMID40668584
PMCPMC12268493

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Registered trials

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.