Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the Community

Asthma and rhinitis are common comorbidities that amplify the burden of each disease. They are both characterized by poor symptom control, low adherence to clinical management guidelines, and high levels of patient self-management. Therefore, this study aims to investigate the prevalence of self-rep...

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Main Authors: Sara Alamyar, Elizabeth Azzi, Pamela Srour-Alphonse, Rachel House, Biljana Cvetkovski, Vicky Kritikos, Sinthia Bosnic-Anticevich
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Pharmacy
Subjects:
Online Access:https://www.mdpi.com/2226-4787/11/4/115
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author Sara Alamyar
Elizabeth Azzi
Pamela Srour-Alphonse
Rachel House
Biljana Cvetkovski
Vicky Kritikos
Sinthia Bosnic-Anticevich
author_facet Sara Alamyar
Elizabeth Azzi
Pamela Srour-Alphonse
Rachel House
Biljana Cvetkovski
Vicky Kritikos
Sinthia Bosnic-Anticevich
author_sort Sara Alamyar
collection DOAJ
description Asthma and rhinitis are common comorbidities that amplify the burden of each disease. They are both characterized by poor symptom control, low adherence to clinical management guidelines, and high levels of patient self-management. Therefore, this study aims to investigate the prevalence of self-reported rhinitis symptoms in people with asthma purchasing Short-Acting Beta Agonist (SABA) reliever medication from a community pharmacy and compare the medication-related behavioral characteristics among those who self-report rhinitis symptoms and those who do not. Data were analyzed from 333 people with asthma who visited one of eighteen community pharmacies in New South Wales from 2017–2018 to purchase SABA and completed a self-administered questionnaire. Participants who reported rhinitis symptoms (71%), compared to those who did not, were significantly more likely to have coexisting gastroesophageal reflux disease (GERD), overuse SABA, and experience side effects. They may have been prescribed daily preventer medication but forget to take it, and worry about its side effects. They were also more likely to experience moderate-to-severe rhinitis (74.0%), inaccurately perceive their asthma as well-controlled (50.0% self-determined vs. 14.8% clinical-guideline defined), and unlikely to use rhinitis medications (26.2%) or daily preventer medication (26.7%). These findings enhance our understanding of this cohort and allow us to identify interventions to improve patient outcomes.
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spelling doaj.art-4033934233a84c8d8ca2da990fcb625e2023-11-19T02:38:08ZengMDPI AGPharmacy2226-47872023-07-0111411510.3390/pharmacy11040115Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the CommunitySara Alamyar0Elizabeth Azzi1Pamela Srour-Alphonse2Rachel House3Biljana Cvetkovski4Vicky Kritikos5Sinthia Bosnic-Anticevich6Sydney Medical School, The University of Sydney, Sydney, NSW 2006, AustraliaQuality Use of Respiratory Medicine Group, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW 2006, AustraliaQuality Use of Respiratory Medicine Group, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW 2006, AustraliaQuality Use of Respiratory Medicine Group, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW 2006, AustraliaQuality Use of Respiratory Medicine Group, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW 2006, AustraliaQuality Use of Respiratory Medicine Group, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW 2006, AustraliaQuality Use of Respiratory Medicine Group, Woolcock Institute of Medical Research, The University of Sydney, Sydney, NSW 2006, AustraliaAsthma and rhinitis are common comorbidities that amplify the burden of each disease. They are both characterized by poor symptom control, low adherence to clinical management guidelines, and high levels of patient self-management. Therefore, this study aims to investigate the prevalence of self-reported rhinitis symptoms in people with asthma purchasing Short-Acting Beta Agonist (SABA) reliever medication from a community pharmacy and compare the medication-related behavioral characteristics among those who self-report rhinitis symptoms and those who do not. Data were analyzed from 333 people with asthma who visited one of eighteen community pharmacies in New South Wales from 2017–2018 to purchase SABA and completed a self-administered questionnaire. Participants who reported rhinitis symptoms (71%), compared to those who did not, were significantly more likely to have coexisting gastroesophageal reflux disease (GERD), overuse SABA, and experience side effects. They may have been prescribed daily preventer medication but forget to take it, and worry about its side effects. They were also more likely to experience moderate-to-severe rhinitis (74.0%), inaccurately perceive their asthma as well-controlled (50.0% self-determined vs. 14.8% clinical-guideline defined), and unlikely to use rhinitis medications (26.2%) or daily preventer medication (26.7%). These findings enhance our understanding of this cohort and allow us to identify interventions to improve patient outcomes.https://www.mdpi.com/2226-4787/11/4/115allergic rhinitisasthmaattitudesbehaviorsmedicationperception
spellingShingle Sara Alamyar
Elizabeth Azzi
Pamela Srour-Alphonse
Rachel House
Biljana Cvetkovski
Vicky Kritikos
Sinthia Bosnic-Anticevich
Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the Community
Pharmacy
allergic rhinitis
asthma
attitudes
behaviors
medication
perception
title Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the Community
title_full Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the Community
title_fullStr Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the Community
title_full_unstemmed Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the Community
title_short Uncovering the Burden of Rhinitis in Patients Purchasing Nonprescription Short-Acting β-Agonist (SABA) in the Community
title_sort uncovering the burden of rhinitis in patients purchasing nonprescription short acting β agonist saba in the community
topic allergic rhinitis
asthma
attitudes
behaviors
medication
perception
url https://www.mdpi.com/2226-4787/11/4/115
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