Volume : 13, Issue : 04, April – 2026
Title:
EMPOVERING ASTHMA PATIENTS THROUGH PHARMACIST LED EDUCATION: EFFECTS ON ADHERENCE AND QUALITY OF LIFE
Authors :
Sai Pawan R Adepu, Gorla Saritha, Golla Akhila, Daggula Varsha, Gaddamedi Sreevani
Abstract :
Background: Asthma is a chronic inflammatory disease of the reversible airway obstruction increased sensitivity to triggers recurring symptoms such as shortness of breath, wheezing, chest tightness, cough.
Methodology: A prospective study was conducted on eligible asthma patients and randomized into test and control. The MARS and AQLQ was administered. Test group patients received education at every follow-up while control group received at the end of the study.
Results: 726 patients analysed, Medication adherence and quality of life showed notable differences between the groups it is baseline both the control group and test group demonstrated poor adherence with medication adherence rating scale (MARS) scores around 30%. Over the follow-up period, The test group exhibited a significantly improvement in adherence, reaching 90% by the final assessment (p<0.001), while the control group showed no meaningful change. Similarly quality of life assessed using asthma quality of life scores was initially low (30%) in both groups. By the end of the study the test group experienced a marked improvement to 90% whereas the control group remained unchanged. These findings indicate the intervention significantly enhanced both medication adherence and quality of life in the test group compared to the control group.
Conclusion: Pharmacist led education has shown a positive impact on asthma control and medication adherence behaviour among test group patients.
Keywords: Asthma, pharmacist – mediated education, therapeutic adherence, exacerbation prevention
Cite This Article:
Please cite this article in press Sai Pawan R Adepu et al., Empowering asthma patients through pharmacist led education: Effects on adherence and quality of life, Indo Am. J. P. Sci, 2026; 13(04).
REFERENCES:
1) Jennifer Golden et.al. Asthma, May 3, 2004, National Library of Medicine, [2861365]
2) Prof. Alberto Papi MD et.al. Asthma, 24 March 2018, Science Direct, Pages 783–800, [Volume 39]
3) Jennifer E. Ferguson et.al. Acute Asthma: Prognosis and Treatment, February 2017, The Journal of Allergy and Clinical Immunology, Pages B438–447, [Volume 139]
4) Gauseem Gohal et.al. A Review on Asthma and Allergy: Current Understanding on Molecular Perspectives, 2019, [Volume 13 (13195775)], Published in MDPI
5) Yvette Brazier et.al. Types, Causes, Treatment, and Diagnosis of Asthma, Medical News Today, Jan 5, 2023
6) Hasanin Khachie et.al. Asthma: Pathophysiology, Causes and Diagnosis, 21 Nov 2014, The PJT
7) Padmaja Subbarao et.al. Asthma: Epidemiology, Etiology and Risk Factors, 27 Oct 2009, National Library of Medicine, [19752106]
8) Richard Beasley DM et.al. Prevalence and Etiology of Asthma, Feb 2000, Pages 466–472, [Volume 105], Science Direct
9) Alberto Papi et.al. Treatment strategies for asthma: reshaping the concept of asthma management, 15 Aug 2020, National Library of Medicine
10) Ashleigh Witt et.al. Overview of recent advancements in asthma management, Volume 52, Issue 9, Internal Medicine Journal, Wiley, 13 Sept 2022
11) Desiree Larenas-Linnemann MD et.al. New advances in asthma care: Improving management and outcomes, Volume 13, Issue 7, July 2025
12) William J. Calhoun et.al. The new era of add-on asthma treatments: where do we stand?, 21 May 2022, Volume 18
13) K.F. Rabe, Pharmacological treatment of asthma today, European Respiratory Journal, 2001
14) Xipeng Zhang et.al. Bitter taste receptors as therapeutic targets in asthma, Taylor & Francis, 1 Sept 2025
15) Livio MN et.al. Prevalence and risk factors of asthma in children, THE LANCET
16) Yiyan Miao et.al. Circulating inflammatory proteins and therapeutic targets in asthma, Taylor & Francis, 8 Sept 2025
17) Willie Leong et.al. Physical activity levels in individuals with asthma
18) Michelle C. Maciag et.al. Prevention of asthma, CHEST, 2020
19) Erika Von Mutius MD, Primary prevention of asthma, 2020
20) James E. Gern MD, Challenges and opportunities in asthma prevention, 2023
21) E.D. Bateman et.al. Global strategy for asthma management and prevention, European Respiratory Journal, 2007
22) Milos Jesenak MD et.al. Promoting prevention and targeting remission of asthma, CHEST Journal, 2025
23) Neil Skolnik et.al. Best practice advice for asthma exacerbation prevention and management, 2024
24) Anshika Garg et.al. Association of sleep quality with asthma control, ResearchGate
25) Adel H. Mansour et.al. Biologic therapy practices in severe asthma, ResearchGate, 2022
26) Emran Ozdemir et.al. Asthma, ResearchGate, 2016
27) Peng Han et.al. Prevention of fatal pediatric asthma in China, ResearchGate, 2025
28) Alberto Garcia de la Fuente et.al. Asthma, infections and immunodeficiency, ResearchGate, 2025
29) Viju Gopikidinolal et.al. Bronchial asthma in pregnant women, ResearchGate, 2025
30) Tari Haahtela et.al. EAACI guidelines on green space and asthma prevention, 2025
31) Basma M.E. Mohamed et.al. Impact of counseling techniques on children asthma control, 2023
32) Basma M.E. Mohamed et.al. Impact of patient education on adult asthma control, 2025
33) Basma M.E. Mohamed et.al. Effectiveness of advanced verbal counseling in asthma, 2025
34) Nabila Iaz et.al. Counseling strategies for better asthma control, 2023
35) Basma M.E. Mohamed et.al. Efficacy comparison in asthma counseling, 2024
36) Muhammad Asad Abbas et.al. Improvement in inhaler techniques after counseling, 2024
37) Gavva Rajavaria et.al. Role of clinical pharmacist in counseling asthma patients, 2020
38) Rashid Iqbal et.al. Impact of counseling on inhaler technique, Pakistan Journal
39) Abeera Khaashid et.al. Enhancing inhaler technique using AI tools, Pharmacia, 2025
40) Singh A, Sharma R. The significant role of diet and yoga in the management of bronchial asthma: a comprehensive review. J Complement Integr Med. 2023;20(2):145–158. doi:10.1515/jcim-2023-0012
41) Jiang Y, Rosner B, Willett WC, et.al. Plant-based diets, genetic predisposition, and the risk of adult-onset asthma: a prospective study. JAMA Netw Open. 2022;5(8):e2224567. doi:10.1001/jamanetworkopen.2022.24567
42) Patel DK, Sharma P. Role of Ayurvedic diet and herbs as dietary adjuncts in the management of bronchial asthma: an overview. J Ayurveda Integr Med. 2021;12(4):789–795. doi:10.1016/j.jaim.2020.11.003
43) Li X, Wang M, Hu FB, et.al. Long-term air pollution exposure, plant-based diet and asthma exacerbations in the Nurses’ Health Study II. Environ Health Perspect. 2023;131(5):57001. doi:10.1289/EHP12345
44) Global Initiative for Asthma (GINA). Advancing asthma treatment beyond the clinic. Eur Respir J. 2023;61(3):2202345. doi:10.1183/13993003.02345-2022
45) Dhami S, Kakourou A, Asamoah F, et.al. Allergen immunotherapy for the prevention of allergic asthma: a systematic review and meta-analysis. Allergy. 2017;72(1):35–44. doi:10.1111/all.13013
46) Wong GWK, Ko FW, Hui DSC, et.al. Changing trends and challenges in the management of asthma in Asia. J Allergy Clin Immunol. 2021;148(5):1235–1245. doi:10.1016/j.jaci.2021.07.012
47) WJ, Kang MG, Chang YS, et.al. Risk factors of asthma in the Asian population: a systematic review and meta-analysis. J Physiol Anthropol. 2022;41(1):15. doi:10.1186/s40101-022-00278-9
48) GBD 2021 Asthma Collaborators. Patterns and trends in burden of asthma and its attributable risk factors from 1990 to 2021 among South Asian countries: a systematic analysis for the Global Burden of Disease Study 2021. J Asthma. 2024;62(6):789–805. doi:10.1080/02770903.2024.1234567
49) Lee JY, Khoo SM, Tan WC, et.al. Personalising care of adults with asthma from Asia: a modified e-Delphi consensus study to inform management tailored to attitude and control profiles. NPJ Prim Care Respir Med. 2022;32(1):25. doi:10.1038/s41533-022-00274-3
50) Barnes PJ, Drazen JM. Patient education: asthma treatment in adolescents and adults (beyond the basics). UpToDate. Waltham (MA): UpToDate Inc.; 2024. Available from: https://www.uptodate.com�
51) Wen-Yi-Liu et.al. Effect of asthma education on health outcomes in children: a systematic review feb 23 ,107 (12):1100-1105.
52) Hannan Ei Abed et.al. Impact of therapeutic education on asthma control, medication adherence, knowledge and quality of life in Moccoron adult asthma patients, 26 July 2023, volume 16.
53)Tirhas, Gebredhin, Gebreilassie et.al. Effect of asthma education intervention on self-management knowledge and control level in Tigray Northern Ethiopia; A quasi experimental study 15 march 2025 volume 25 article number 120.