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ASTHMA

Impact of a Continuing Education Program on Community Pharmacists' Interventions and Asthma Medication Use: A Pilot Study

at time of the study, Pharmacist, Centre hospitalier Universitaire de Sherbrooke, Sherbrooke, Québec, Canada; now, Pharmacist, Centre de Santé et de services sociaux de la Vieille Capitale, Québec, Québec

Marie-France Beauchesne, PharmD

Associate Professor of Clinical Pharmacy, Faculty of Pharmacy, Université de Montréal; Pharmacist, Hôpital du Sacré-Cur de Montréal, Endowment of AstraZeneca's Pharmaceutical Chair in Respiratory Health, Montréal, Québec, Canada

Claudine Laurier, PhD

Full Professor, Faculty of Pharmacy, Université de Montréal

Reprints: Dr. Beauchesne, Pharmacy, Hôpital du Sacré-Cur de Montréal, 5400, boul. Gouin ouest, Montréal, Québec H4J 1C5, Canada, fax 514/338-3200, marie-France.beauchesne{at}umontreal.ca

BACKGROUND: By upgrading the pharmacists' knowledge and skill set through continuing education (CE) programs, they could be better suited to contribute to the enhancement of the management of asthma.

OBJECTIVE: To assess the impact of an asthma CE program provided to community pharmacists on their knowledge, intervention frequency, and the appropriateness of asthma medication use.

METHODS: Community pharmacists were invited to participate in a CE program on asthma. Those who displayed an interest in the program were assigned to either a control or experimental group. Participants in the first group were not offered the CE program until the study was completed; the second group participated in the CE program at the onset of the study period. The knowledge on asthma of both groups of pharmacists was assessed using a questionnaire before the CE program, and the knowledge of the experimental group was reassessed after the CE program. Pharmacists were asked to document their interventions in the study log book over 6 months following the CE program. The appropriateness of asthma medication use was estimated by reviewing the prescription claims for a subgroup of patients covered by Québec's Public Prescription Drug Insurance Plan.

RESULTS: Pharmacists' knowledge improved after the CE program; however, the number of interventions reported during the 6 month period following the program was low and did not differ significantly between the groups, with an average of 3.04 per pharmacy in the experimental group versus 3.26 in the control group. The appropriateness of asthma medication use did not improve once the CE program had been completed.

CONCLUSIONS: Our CE program had little impact on the number of interventions by community pharmacists and the appropriateness of asthma medication use.

Key Words: asthma, community pharmacy, continuing education

Published Online, March 27, 2007. www.theannals.com, DOI 10.1345/aph.1H606