A cross-sectional study to assess knowledge, attitudes, and risk perceptions of doctor of pharmacy students regarding asthma
DOI:
https://doi.org/10.46542/pe.2024.241.458467Keywords:
Asthma, Pharmacy education, Pharmacy student, Self-monitoringAbstract
Background: Asthma is a chronic respiratory condition that affects a significant number of individuals worldwide. Effective management of asthma relies on the knowledge and competence of healthcare professionals. This study aimed to evaluate knowledge, attitudes, and risk perceptions regarding asthma among pharmacy students.
Methods: This cross-sectional study was conducted in 2023 among students enrolled in the final year of pharmacy at different universities in Islamabad and Rawalpindi. A self-constructed and face-validated questionnaire was utilised for data collection, which lasted four months. The chi-square test and independent sample t-test were applied to establish associations.
Results: Out of 302 students, 55.3% were female. The mean age of students was 23.1±1.3 years. Only 19.5% of participants had good knowledge, while 56% strongly agreed that educational skills are vital for becoming competent asthma educators, and 18.5% strongly believed they could manage asthma patients. Around 54% of the students were able to perceive age and a lack of patient knowledge as risk factors.
Conclusion: The majority of students had moderate knowledge about asthma and mixed attitudes towards asthma management. Perceptions of asthma risks were adequate.
References
Abubakar, M., & Atif, M. (2021). Impact of pharmacist-led interventions on diabetes management at a community pharmacy in Pakistan: A randomized controlled trial. Inquiry (United States), 58. https://doi.org/10.1177/00469580211036283
Adabla, S., Nabors, L. A., Sanyaolu, O., Olaniyan, A., & Bernstein, J. A. (2023). Scoping review: Multiple stakeholders and child asthma management interventions. Journal of Asthma, 60(8), 1503–1512. https://doi.org/10.1080/02770903.2023.2176775
Almutairi, A. B., Shaik, R. A., Ahmad, M. S., Alhumam, M., Almutairi, A. B., Shaik, R. A., Ahmad, M. S., Almutairi, S. B., Alghassab, R., Ghazi, A., & Khalid, W. (2022). Knowledge, attitude, and practice of physicians toward asthma inhaler techniques in Qassim, Saudi Arabia. Journal of Complementary Medicine Research, 13(4), 111–120. https://doi.org/10.5455/jcmr.2022.13.04.22
Alzahrani, M. M., Alghamdi, A. A., Alghamdi, S. A., & Alotaibi, R. K. (2022). Knowledge and attitude of dentists towards obstructive sleep apnea. International Dental Journal, 72(3), 315–321. https://doi.org/10.1016/j.identj.2021.05.004
Amorha, K. C., Idoko, K. E., Okonta, M. J., & Ukwe, C. V. (2020). Knowledge and practice of the Global Initiative for Asthma report among community pharmacists in a Nigerian state. Pan African Medical Journal, 37(1), 37. https://doi.org/10.11604/pamj.2020.37.83.18897
Amorha, K. C., Love Okpe, C., & Dim, O. F. (2018). Knowledge, attitudes and perceived practice towards asthma among pharmacy students in Southern Nigeria. International Journal of Pharmacy and Pharmaceutical Sciences, 10(11), 28. https://doi.org/10.22159/IJPPS.2018V10I11.27404
Amorha, K. C., Okonta, M. J., & Ukwe, C. V. (2021). Impact of pharmacist-led educational interventions on asthma control and adherence: Single-blind, randomised clinical trial. International Journal of Clinical Pharmacy, 43(3), 689–697. https://doi.org/10.1007/S11096-020-01187-X
Arakawa, N., Bruno-Tomé, A., & Bates, I. (2020). A global comparison of initial pharmacy education curricula: An exploratory study. Innovations in Pharmacy, 11(1), 18. https://doi.org/10.24926/IIP.V11I1.2093
Assiri, H., Alkhaldi, Y., Alsaleem, S., & Alqarni, H. (2021). Knowledge, attitude and practices of PHC physicians in Aseer region regarding management of acute asthma. Journal of Family Medicine and Primary Care, 10(5), 1882. https://doi.org/10.4103/jfmpc.jfmpc_1418_20
Azzi, E., Kritikos, V., Peters, M., Price, D., Cvetkovski, B., Alphonse, P. S., & Bosnic-Anticevich, S. (2022). Perceptions, attitudes, and behaviors of short-acting beta2 agonist users: An Australian cross-sectional community pharmacy-based study. Journal of Asthma, 59(1), 178–188. https://doi.org/10.1080/02770903.2020.1841223
Azzi, R., Hallit, S., Saadeh, D., Sacre, H., & Salameh, P. (2023). Asthma Management in Developing Countries. In: Al-Worafi, Y.M. (eds) Handbook of Medical and Health Sciences in Developing Countries: Education, Practice, and Research (pp. 1–19). Springer, Cham. https://doi.org/10.1007/978-3-030-74786-2_14-1
Barton, A. (2007). Handbook for good clinical research practice (GCP): guidance for implementation. Journal of Epidemiology & Community Health, 61(6), 559. https://doi.org/10.1136/JECH.2006.048819
Bridgeman, M. B., & Wilken, L. A. (2021). Essential role of pharmacists in asthma care and management. Journal of Pharmacy Practice, 34(1), 149–162. https://doi.org/10.1177/0897190020927274
Caminati, M., Cegolon, L., Bacchini, M., Segala, N., Dama, A., Bovo, C., Olivieri, B., Furci, F., & Senna, G. (2021). The potential role of local pharmacies to assess asthma control: An Italian cross-sectional study. BMC Public Health, 21(1), 1–8. https://doi.org/10.1186/S12889-020-10080-1
Chokhani, R., Razak, A., Waked, M., Naing, W., Bakhatar, A., Khorani, U., Gaur, V., & Gogtay, J. (2021). Knowledge, practice pattern and attitude toward asthma management amongst physicians from Nepal, Malaysia, Lebanon, Myanmar and Morocco. Journal of Asthma, 58(7), 979–989. https://doi.org/10.1080/02770903.2020.1742351
Federico, M. J., McFarlane, A. E., Szefler, S. J., & Abrams, E. M. (2020). The impact of social determinants of health on children with asthma. The Journal of Allergy and Clinical Immunology. In Practice, 8(6), 1808–1814. https://doi.org/10.1016/J.JAIP.2020.03.028
Fletcher, M. J., Tsiligianni, I., Kocks, J. W. H., Cave, A., Chunhua, C., Sousa, J. C. de, Román-Rodríguez, M., Thomas, M., Kardos, P., Stonham, C., Khoo, E. M., Leather, D., & Thys, van der M. (2020). Improving primary care management of asthma: Do we know what really works? npj Primary Care Respiratory Medicine, 30(1), 1–11. https://doi.org/10.1038/s41533-020-0184-0
GINA. (2024). Global strategy for asthma management and prevention. Global Initiative for Asthma. https://ginasthma.org/reports/
Jarab, A. S., Al-Qerem, W., Alzoubi, K. H., Almomani, N., Riad Abu Heshmeh, S., Mukattash, T. L., Al Hamarneh, Y. N., & Al Momany, E. M. (2024). Role of community pharmacist in asthma management: Knowledge, attitudes and practice. Journal of Multidisciplinary Healthcare, 17, 11–19. https://doi.org/10.2147/JMDH.S442396
Jia, X., Zhou, S., Luo, D., Zhao, X., Zhou, Y., & Cui, Y. min. (2020). Effect of pharmacist-led interventions on medication adherence and inhalation technique in adult patients with asthma or COPD: A systematic review and meta-analysis. Journal of Clinical Pharmacy and Therapeutics, 45(5), 904–917. https://doi.org/10.1111/JCPT.13126
Kazi, U., Rukh, S. G., Zawawi, S., Laila, S., Fareeduddin, M., & Saleem, S. G. (2022). To determine the association between asthma severity and hospital admission measured by Pediatric Respiratory Assessment Measure (PRAM) score at Indus Hospital and Health Network, Karachi, Pakistan, 2020-2021. Pakistan Journal of Medical Sciences, 38(2), 345–350. https://doi.org/10.12669/pjms.38.ICON-2022.5783
Khan, M. A. (2022). Monthly and seasonal prevalence of asthma and chronic obstructive pulmonary disease in the District Dera Ismail Khan, Khyber Pakhtunkhwa, Pakistan. The Egyptian Journal of Bronchology, 16(1), 63. https://doi.org/10.1186/S43168-022-00166-2
Khdour, M. R., Elyan, S. O., Hallak, H. O., Jarab, A. S., Mukattash, T. L., & Astal, A. (2020). Pharmaceutical care for adult asthma patients: A controlled intervention one-year follow-up study. Basic and Clinical Pharmacology and Toxicology, 126(4), 332–340. https://doi.org/10.1111/bcpt.13344
Louangrath, P., & Louanglath, (2017). Minimum sample size method based on survey scales. International Journal of Research & Methodology in Social Science, 3(3), 45. https://doi.org/10.5281/zenodo.1322593
Maheshwari., Abinaya, P, Shanmugasundaram., & K, Vivekanandan. (2022). Knowledge attitude and practice on asthma among pharmacy students. Journal of Pharmaceutical Negative Results, 13, 2701–2710. https://doi.org/10.47750/PNR.2022.13.S09.323
Mathioudakis, A. G., Tsilochristou, O., Adcock, I. M., Bikov, A., Bjermer, L., Clini, E., Flood, B., Herth, F., Horvath, I., Kalayci, O., Papadopoulos, N. G., Ryan, D., Garcia, S. S., Correia-De-sousa, J., Tonia, T., Pinnock, H., Agache, I., & Janson, C. (2021). ERS/EAACI statement on adherence to international adult asthma guidelines. European Respiratory Review, 30(161), e210132. https://doi.org/10.1183/16000617.0132-2021
Neto, A. C. P., Solé, D., Hirakata, V., Schmid, L. S., Klock, C., & Barreto, S. S. M. (2020). Risk factors for asthma in schoolchildren in Southern Brazil. Allergologia et Immunopathologia, 48(3), 237–243. https://doi.org/10.1016/J.ALLER.2019.07.003
Paoletti, G., Keber, E., Heffler, E., Malipiero, G., Baiardini, I., Canonica, G. W., Giua, C., Comar, C., Vaiarelli, K., Gioiella, G., Aprile, C., Basile, A., Battisti, A., Cavalli, C., Cirino, M., Bella, M. D., Demontis, R., Di Donato, G., Di Gangi, R., … Zanetti, S. I. (2020). Effect of an educational intervention delivered by pharmacists on adherence to treatment, disease control and lung function in patients with asthma. Respiratory Medicine, 174, 106199. https://doi.org/10.1016/J.RMED.2020.106199
PCP. (2024). Pharmacy Council of Pakistan. https://pcpisb.gov.pk/
Rahayu, S. A., Widianto, S., Defi, I. R., & Abdulah, R. (2021). Role of pharmacists in the interprofessional care team for patients with chronic diseases. Journal of Multidisciplinary Healthcare, 14(2021), 1701–1710. https://doi.org/10.2147/JMDH.S309938
Rodrigues, A. T., Romano, S., Romão, M., Figueira, D., Bulhosa, C., Madeira, A., Rocha, L., & Alves, J. (2021). Effectiveness of a pharmacist-led intervention on inhalation technique for asthma and COPD patients: The INSPIRA pilot cluster-randomized controlled trial. Respiratory Medicine, 185, 106507. https://doi.org/10.1016/J.RMED.2021.106507
Said, A. S. A., Hussain, N., Kharaba, Z., Al Haddad, A. H. I., Abdelaty, L. N., & Roshdy, R. R. S. (2022). Knowledge, attitude, and practice of pharmacists regarding asthma management: A cross-sectional study in Egypt. Journal of Pharmaceutical Policy and Practice, 15(1), 1–11. https://doi.org/10.1186/S40545-022-00432-0
Saleem, S. S., Khan, A., Aman, R., Saleem, S. S., Bibi, A., Ahmad, N., Mushtaq, S., Mehsud, S., Green, I. R., Rashid, S. A., Khan, A., & Shah, K. U. (2022). Impact of pharmacist-led educational intervention on knowledge of self-management among asthmatic patients: A prospective cohort study. BMJ Open, 12(6), e058861. https://doi.org/10.1136/BMJOPEN-2021-058861
Serhal, S., Saini, B., Bosnic-Anticevich, S., Krass, I., Emmerton, L., Bereznicki, B., Bereznicki, L., Weier, N., Mitchell, B., Wilson, F., Bawa, Z., Wright, B., Wilson, K., Segrott, R., Gomez, M., & Armour, C. (2022). A multi-mode education program to enhance asthma care by pharmacists. American Journal of Pharmaceutical Education, 86(4), 8633. https://doi.org/10.5688/AJPE8633
Sudeshika, T., Naunton, M., Deeks, L. S., Thomas, J., Peterson, G. M., & Kosari, S. (2021). General practice pharmacists in Australia: A systematic review. PLoS ONE, 16(10), e0258674. https://doi.org/10.1371/journal.pone.0258674
Taqi, A., Rowlands, G., & Rathbone, A. P. (2021). A systematic review and thematic synthesis to identify factors that influence pharmacists’ involvement in asthma care services: An identity crisis. Exploratory Research in Clinical and Social Pharmacy, 3, 100051. https://doi.org/10.1016/J.RCSOP.2021.100051
Wang, W., Xu, T., Qin, Q., Miao, L., Bao, J., & Chen, R. (2020). Effect of a multidimensional pharmaceutical care intervention on inhalation technique in patients with asthma and COPD. Canadian Respiratory Journal, 2020, 8572636. https://doi.org/10.1155/2020/8572636
WHO. (2024). Asthma. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/asthma
World Medical Association. (1974). WMA Declaration of Helsinki – Ethical principles for medical research involving human subjects. World Medical Association. https://www.wma.net/policies-post/wma-declaration-of-helsinki-ethical-principles-for-medical-research-involving-human-subjects/
Zeru, T. G., Engidawork, E., & Berha, A. B. (2020). Assessment of asthma control and quality of life among asthmatic patients attending armed forces referral and teaching hospital, Addis Ababa, Ethiopia. Pulmonary Medicine, 2020, 5389780. https://doi.org/10.1155/2020/5389780
