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Strategies for the management of intermittent allergic rhinitis

An Australian study

Bibliographic Data

ID19506872
AuthorsLorraine Smith (0000-0002-3499-1514, The University of Sydney, corresponding author), Lin Brown (The University of Sydney), Bandana Saini (0000-0002-0674-5017, The University of Sydney), Celina Seeto (The University of Sydney)
Year2014
Volume17
Issue2
Pages154-163
Publication date2014-04-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueHealth Expectations (JOURNAL)
Journal identifiersISSN: 1369-6513 • E-ISSN: 1369-7625
PublisherWiley (PUBLISHER • GB)
DOI10.1111/j.1369-7625.2011.00746.x
PMID22296322
OpenAlexW1952783111
LanguageEN
References cited17

Objective Allergic rhinitis is increasing globally despite treatment focussed on pharmacotherapy. This study aimed to (i) examine the range and proportion of symptoms and triggers experienced by patients with intermittent allergic rhinitis (IAR); (ii) conduct a qualitative analysis of strategies devised to control symptoms and triggers; and (iii) measure medication adherence. Methods A qualitative and observational study of data drawn from a randomized controlled trial on patients with IAR. Strategies collaboratively devised by participants and pharmacist staff to minimize symptoms and triggers were analysed thematically. In the 10‐day observational study, the participants recorded all symptoms and triggers of IAR along with use of medications and these were analysed descriptively. Results Number of 124 participants recorded 620 symptoms and identified 357 triggers of IAR. To minimize these, 579 strategies were devised in consultation with pharmacy staff . The frequency and type of strategy varied according to whether the goals were aimed at controlling symptoms or triggers. Adherence to a course of antihistamines over the 10‐day trial was self‐reported by participants with 36% indicating full adherence. Conclusion A large number and range of symptoms and triggers were identified, and individualized strategies were devised to minimize symptoms and triggers. Medication adherence was poor. Practice implications Patients with IAR can be assisted to identify their symptoms and triggers and develop relevant strategies to manage these. This approach has the potential to facilitate patient self‐management of a chronic and incapacitating condition

Family medicine · Observational study · Pharmacist · Pharmacotherapy · Physical therapy · Psychiatry · Qualitative research · Randomized controlled trial · Self-management · Allergic Rhinitis and Sensitization · Asthma and respiratory diseases · Dermatology and Skin Diseases · Medicine · Internal Medicine · Pharmacy

  • Treating asthma with a self-management model of illness behaviour in an Australian community pharmacy setting

    Open Access•Lorraine Smith, Lorraine D Smith et al.•Social Science & Medicine•2007

Citation velocityhistorical
Highly citedNo

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