Pharmacist intervention for pediatric asthma: A systematic literature review and logic model

Guohua Lin; Chi Ian Chau; Hao Hu; Carolina Oi Lam Ung

doi:10.1016/j.sapharm.2023.08.008

Pharmacist intervention for pediatric asthma: A systematic literature review and logic model

Res Social Adm Pharm. 2023 Dec;19(12):1487-1510. doi: 10.1016/j.sapharm.2023.08.008. Epub 2023 Aug 22.

Authors

Guohua Lin¹, Chi Ian Chau¹, Hao Hu², Carolina Oi Lam Ung³

Affiliations

¹ State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao.
² State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao; Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Macao.
³ State Key Laboratory of Quality Research in Chinese Medicine, Institute of Chinese Medical Sciences, University of Macau, Macao; Department of Public Health and Medicinal Administration, Faculty of Health Sciences, University of Macau, Macao. Electronic address: carolinaung@um.edu.mo.

PMID: 37679253
DOI: 10.1016/j.sapharm.2023.08.008

Abstract

Background: Asthma is highly prevalent in children. Evidence about pharmacist-led interventions in the management of pediatric asthma is emerging.

Objective: To summarize empirical evidence of pharmacist-led interventions for pediatric asthma patients, and to identify the components of a logic model, which can inform evidence-based pharmacy practice.

Methods: PubMed, Web of Science, Embase Scopus, ScienceDirect, Medline and CNKI were searched. Studies concerning pharmacist-led interventions for pediatric asthma patients with an interventional design published between January 2013 and February 2023 were selected for analysis. Literature was searched and retrieved according to PRISMA guidelines. Components of pharmacist-led interventions were compiled into a logic model comprising input, activity, output, outcome and contextual factors.

Results: The initial search retrieved 2291 records and 35 were included in the analysis. The main interventional activities included optimising medicines use and prevention and control of asthma. Commonly reported outputs were medication adherence, knowledge and inhaler technique. The main economic outcomes included cost of medication and hospitalization; clinical outcomes included Childhood Asthma Control Test/Asthma Control Test scores and lung function in FEV1% and PEF%; humanistic outcomes included patients' quality of life and satisfaction. Social, economic, political, and technological factors were identified as contextual factors.

Conclusion: The logic model summarized components of interventions evaluated in literature. It provides a blueprint for pharmacist-led management of pediatric asthma. Further research can focus on the pharmacists' role in a multidisciplinary healthcare professional team and transition of care in patient-centered management of pediatric asthma.

Publication types

Review