Lorraine Smith1, Lin Brown, Bandana Saini, Celina Seeto. 1. Senior Lecturer, Faculty of Pharmacy, The University of Sydney, Sydney, NSW, AustraliaProject Manager, Faculty of Pharmacy, The University of Sydney, Sydney, NSW, AustraliaSenior Lecturer, Faculty of Pharmacy, The University of Sydney, Sydney, NSW, AustraliaRegulatory Affairs Associate (Primary Care), Merck, Sharp and Dohme Pty Ltd, Sydney, NSW, Australia.
Abstract
OBJECTIVE: Allergic rhinitis is increasing globally despite treatment focussed on pharmacotherapy. This study aimed to (i) examine the range and proportion of symptoms and triggers experienced by patients with intermittent allergic rhinitis (IAR); (ii) conduct a qualitative analysis of strategies devised to control symptoms and triggers; and (iii) measure medication adherence. METHODS: A qualitative and observational study of data drawn from a randomized controlled trial on patients with IAR. Strategies collaboratively devised by participants and pharmacist staff to minimize symptoms and triggers were analysed thematically. In the 10-day observational study, the participants recorded all symptoms and triggers of IAR along with use of medications and these were analysed descriptively. RESULTS: Number of 124 participants recorded 620 symptoms and identified 357 triggers of IAR. To minimize these, 579 strategies were devised in consultation with pharmacy staff. The frequency and type of strategy varied according to whether the goals were aimed at controlling symptoms or triggers. Adherence to a course of antihistamines over the 10-day trial was self-reported by participants with 36% indicating full adherence. CONCLUSION: A large number and range of symptoms and triggers were identified, and individualized strategies were devised to minimize symptoms and triggers. Medication adherence was poor. PRACTICE IMPLICATIONS: Patients with IAR can be assisted to identify their symptoms and triggers and develop relevant strategies to manage these. This approach has the potential to facilitate patient self-management of a chronic and incapacitating condition.
OBJECTIVE:Allergic rhinitis is increasing globally despite treatment focussed on pharmacotherapy. This study aimed to (i) examine the range and proportion of symptoms and triggers experienced by patients with intermittent allergic rhinitis (IAR); (ii) conduct a qualitative analysis of strategies devised to control symptoms and triggers; and (iii) measure medication adherence. METHODS: A qualitative and observational study of data drawn from a randomized controlled trial on patients with IAR. Strategies collaboratively devised by participants and pharmacist staff to minimize symptoms and triggers were analysed thematically. In the 10-day observational study, the participants recorded all symptoms and triggers of IAR along with use of medications and these were analysed descriptively. RESULTS: Number of 124 participants recorded 620 symptoms and identified 357 triggers of IAR. To minimize these, 579 strategies were devised in consultation with pharmacy staff. The frequency and type of strategy varied according to whether the goals were aimed at controlling symptoms or triggers. Adherence to a course of antihistamines over the 10-day trial was self-reported by participants with 36% indicating full adherence. CONCLUSION: A large number and range of symptoms and triggers were identified, and individualized strategies were devised to minimize symptoms and triggers. Medication adherence was poor. PRACTICE IMPLICATIONS: Patients with IAR can be assisted to identify their symptoms and triggers and develop relevant strategies to manage these. This approach has the potential to facilitate patient self-management of a chronic and incapacitating condition.
Authors: J Bousquet; C Bachert; G W Canonica; J Mullol; P Van Cauwenberge; C Bindslev Jensen; W J Fokkens; J Ring; P Keith; R Lorber; T Zuberbier Journal: Allergy Date: 2009-07-14 Impact factor: 13.146
Authors: Darren A DeWalt; Terry C Davis; Andrea S Wallace; Hilary K Seligman; Betsy Bryant-Shilliday; Connie L Arnold; Janet Freburger; Dean Schillinger Journal: Patient Educ Couns Date: 2009-04-08
Authors: Terry Porteous; Sally Wyke; Sarah Smith; Christine Bond; Jill Francis; Amanda J Lee; Richard Lowrie; Graham Scotland; Aziz Sheikh; Mike Thomas; Lorraine Smith Journal: Trials Date: 2013-07-15 Impact factor: 2.279
Authors: J Jean Bousquet; Holger J Schünemann; Alkis Togias; Marina Erhola; Peter W Hellings; Torsten Zuberbier; Ioana Agache; Ignacio J Ansotegui; Josep M Anto; Claus Bachert; Sven Becker; Martin Bedolla-Barajas; Michael Bewick; Sinthia Bosnic-Anticevich; Isabelle Bosse; Louis P Boulet; Jean Marc Bourrez; Guy Brusselle; Niels Chavannes; Elisio Costa; Alvaro A Cruz; Wienczyslawa Czarlewski; Wytske J Fokkens; Joao A Fonseca; Mina Gaga; Tari Haahtela; Maddalena Illario; Ludger Klimek; Piotr Kuna; Violeta Kvedariene; L T T Le; Desiree Larenas-Linnemann; Daniel Laune; Olga M Lourenço; Enrica Menditto; Joaquin Mullol; Yashitaka Okamoto; Nikos Papadopoulos; Nhân Pham-Thi; Robert Picard; Hilary Pinnock; Nicolas Roche; Regina E Roller-Wirnsberger; Christine Rolland; Boleslaw Samolinski; Aziz Sheikh; Sanna Toppila-Salmi; Ioanna Tsiligianni; Arunas Valiulis; Erkka Valovirta; Tuula Vasankari; Maria-Teresa Ventura; Samantha Walker; Sian Williams; Cezmi A Akdis; Isabella Annesi-Maesano; Sylvie Arnavielhe; Xavier Basagana; Eric Bateman; Anna Bedbrook; K S Bennoor; Samuel Benveniste; Karl C Bergmann; Slawomir Bialek; Nils Billo; Carsten Bindslev-Jensen; Leif Bjermer; Hubert Blain; Mateo Bonini; Philippe Bonniaud; Jacques Bouchard; Vitalis Briedis; Christofer E Brightling; Jan Brozek; Roland Buhl; Roland Buonaiuto; Giorgo W Canonica; Victoria Cardona; Ana M Carriazo; Warner Carr; Christine Cartier; Thomas Casale; Lorenzo Cecchi; Alfonso M Cepeda Sarabia; Eka Chkhartishvili; Derek K Chu; Cemal Cingi; Elaine Colgan; Jaime Correia de Sousa; Anne Lise Courbis; Adnan Custovic; Biljana Cvetkosvki; Gennaro D'Amato; Jane da Silva; Carina Dantas; Dejand Dokic; Yves Dauvilliers; Antoni Dedeu; Giulia De Feo; Philippe Devillier; Stefania Di Capua; Marc Dykewickz; Ruta Dubakiene; Motohiro Ebisawa; Yaya El-Gamal; Esben Eller; Regina Emuzyte; John Farrell; Antjie Fink-Wagner; Alessandro Fiocchi; Jean F Fontaine; Bilun Gemicioğlu; Peter Schmid-Grendelmeir; Amiran Gamkrelidze; Judith Garcia-Aymerich; Maximiliano Gomez; Sandra González Diaz; Maia Gotua; Nick A Guldemond; Maria-Antonieta Guzmán; Jawad Hajjam; John O'B Hourihane; Marc Humbert; Guido Iaccarino; Despo Ierodiakonou; Maddalena Illario; Juan C Ivancevich; Guy Joos; Ki-Suck Jung; Marek Jutel; Igor Kaidashev; Omer Kalayci; Przemyslaw Kardas; Thomas Keil; Mussa Khaitov; Nikolai Khaltaev; Jorg Kleine-Tebbe; Marek L Kowalski; Vicky Kritikos; Inger Kull; Lisa Leonardini; Philip Lieberman; Brian Lipworth; Karin C Lodrup Carlsen; Claudia C Loureiro; Renaud Louis; Alpana Mair; Gert Marien; Bassam Mahboub; Joao Malva; Patrick Manning; Esteban De Manuel Keenoy; Gailen D Marshall; Mohamed R Masjedi; Jorge F Maspero; Eve Mathieu-Dupas; Poalo M Matricardi; Eric Melén; Elisabete Melo-Gomes; Eli O Meltzer; Enrica Menditto; Jacques Mercier; Neven Miculinic; Florin Mihaltan; Branislava Milenkovic; Giuliana Moda; Maria-Dolores Mogica-Martinez; Yousser Mohammad; Steve Montefort; Ricardo Monti; Mario Morais-Almeida; Ralf Mösges; Lars Münter; Antonella Muraro; Ruth Murray; Robert Naclerio; Luigi Napoli; Leila Namazova-Baranova; Hugo Neffen; Kristoff Nekam; Angelo Neou; Enrico Novellino; Dieudonné Nyembue; Robin O'Hehir; Ken Ohta; Kimi Okubo; Gabrielle Onorato; Solange Ouedraogo; Isabella Pali-Schöll; Susanna Palkonen; Peter Panzner; Hae-Sim Park; Jean-Louis Pépin; Ana-Maria Pereira; Oliver Pfaar; Ema Paulino; Jim Phillips; Robert Picard; Davor Plavec; Ted A Popov; Fabienne Portejoie; David Price; Emmanuel P Prokopakis; Benoit Pugin; Filip Raciborski; Rojin Rajabian-Söderlund; Sietze Reitsma; Xavier Rodo; Antonino Romano; Nelson Rosario; Menahenm Rottem; Dermot Ryan; Johanna Salimäki; Mario M Sanchez-Borges; Juan-Carlos Sisul; Dirceu Solé; David Somekh; Talant Sooronbaev; Milan Sova; Otto Spranger; Cristina Stellato; Rafael Stelmach; Charlotte Suppli Ulrik; Michel Thibaudon; Teresa To; Ana Todo-Bom; Peter V Tomazic; Antonio A Valero; Rudolph Valenta; Marylin Valentin-Rostan; Rianne van der Kleij; Olivier Vandenplas; Giorgio Vezzani; Frédéric Viart; Giovanni Viegi; Dana Wallace; Martin Wagenmann; De Y Wang; Susan Waserman; Magnus Wickman; Dennis M Williams; Gary Wong; Piotr Wroczynski; Panayiotis K Yiallouros; Arzu Yorgancioglu; Osman M Yusuf; Heahter J Zar; Stéphane Zeng; Mario Zernotti; Luo Zhang; Nan S Zhong; Mihaela Zidarn Journal: Clin Transl Allergy Date: 2019-09-09 Impact factor: 5.871