Telemed J E Health - Patient and phaRmacist telephonic encounters (PARTE) in an underserved rural patient population with asthma: results of a pilot study.

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Resumo

JECTIVE: To assess the feasibility, acceptability, and preliminary impact of a telepharmacy intervention in an underserved, rural asthma patient population.SUBJECTS AND METHODS: Patients with asthma were randomized to receive either standard care or telephone consultations from pharmacists regarding asthma self-management over a 3-month period. Qualitative interviews were conducted to identify participants' attitudes/opinions regarding the intervention. Baseline and follow-up surveys assessed asthma control, patient activation, and medication utilization.RESULTS: Ninety-eight adults were recruited (78% accrual); 83 completed the study (15% dropout). Participants reported positive opinions and believed the intervention improved their asthma self-management. The intervention group had significantly higher patient activation compared with the control (p<0.05). There were no significant between-group differences regarding asthma control. However, within-group analyses of the intervention group showed an improvement in asthma control (p<0.01) and medication adherence (p<0.01). No within-group differences were found for the control group.CONCLUSIONS: This telepharmacy intervention is feasible and showed indicators of effectiveness, suggesting the design is well suited for a robust study to evaluate its impact in uncontrolled asthma patients. Pharmacists helping patients manage asthma through telecommunications may resolve access barriers and improve care.

Resumo Limpo

jectiv assess feasibl accept preliminari impact telepharmaci intervent underserv rural asthma patient populationsubject method patient asthma random receiv either standard care telephon consult pharmacist regard asthma selfmanag month period qualit interview conduct identifi particip attitudesopinion regard intervent baselin followup survey assess asthma control patient activ medic utilizationresult ninetyeight adult recruit accrual complet studi dropout particip report posit opinion believ intervent improv asthma selfmanag intervent group signific higher patient activ compar control p signific betweengroup differ regard asthma control howev withingroup analys intervent group show improv asthma control p medic adher p withingroup differ found control groupconclus telepharmaci intervent feasibl show indic effect suggest design well suit robust studi evalu impact uncontrol asthma patient pharmacist help patient manag asthma telecommun may resolv access barrier improv care

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