The economic burden of asthma is estimated to be €72 billion annually in the 28 countries of the European Union.
The research, led by a team from the Medway School of Pharmacy (part of the University of Kent and University of Greenwich in the UK), found that community pharmacists who carry out a review with asthma patients of the way they use their medicines had a beneficial effect on patients’ asthma control. The study showed that this benefit was cost-effective compared with usual care methods.
The research involved one of the largest ever trials of a community-pharmacist intervention for asthma, with 283 pharmacists and 1,263 patients in Italy taking part. The intervention, known as I-MUR, is a private, structured interview between pharmacists and patients, looking at five areas: asthma symptoms; medicines use; attitude towards medicines; adherence; and identification of pharmaceutical care issues.
In the trial, pharmacists were randomly assigned to receive immediate or delayed (by three months) training in I-MUR intervention. After three months, patients who had received the intervention were 76% more likely to have achieved good asthma control compared with patients in the other group.
Principal investigator, Andrea Manfrin, said that the I-MUR intervention led to a reduced average number of active ingredients among patients’ medications (from five to four), improved self-reported adherence and established a clear link between asthma control and adherence to treatment.