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'Help for Hay Fever', a goal-focused intervention for people with intermittent allergic rhinitis, delivered in Scottish community pharmacies: study protocol for a pilot cluster randomized controlled trial

'Help for Hay Fever', a goal-focused intervention for people with intermittent allergic rhinitis, delivered in Scottish community pharmacies: study protocol for a pilot cluster randomized controlled trial
'Help for Hay Fever', a goal-focused intervention for people with intermittent allergic rhinitis, delivered in Scottish community pharmacies: study protocol for a pilot cluster randomized controlled trial
Background: despite the availability of evidence-based guidelines for managing allergic rhinitis in primary care, management of the condition in the United Kingdom (UK) remains sub-optimal. Its high prevalence and negative effects on quality of life, school performance, productivity and co-morbid respiratory conditions (in particular, asthma), and high health and societal costs, make this a priority for developing novel models of care. Recent Australian research demonstrated the potential of a community pharmacy-based 'goal-focused' intervention to help people with intermittent allergic rhinitis to self-manage their condition better, reduce symptom severity and improve quality of life. In this pilot study we will assess the transferability of the goal-focused intervention to a UK context, the suitability of the intervention materials, procedures and outcome measures and collect data to inform a future definitive UK randomized controlled trial (RCT).

Methods/design: a pilot cluster RCT with associated preliminary economic analysis and embedded qualitative evaluation. The pilot trial will take place in two Scottish Health Board areas: Grampian and Greater Glasgow & Clyde. Twelve community pharmacies will be randomly assigned to intervention or usual care group. Each will recruit 12 customers seeking advice or treatment for intermittent allergic rhinitis. Pharmacy staff in intervention pharmacies will support recruited customers in developing strategies for setting and achieving goals that aim to avoid/minimize triggers for, and eliminate/minimize symptoms of allergic rhinitis. Customers recruited in non-intervention pharmacies will receive usual care. The co-primary outcome measures, selected to inform a sample size calculation for a future RCT, are: community pharmacy and customer recruitment and completion rates; and effect size of change in the validated mini-Rhinoconjunctivitis Quality of Life Questionnaire between baseline, one-week and six-weeks post-intervention. Secondary outcome measures relate to changes in symptom severity, productivity, medication adherence and self-efficacy. Quantitative data about accrual, retention and economic measures, and qualitative data about participants' experiences during the trial will be collected to inform the future RCT.

discussiion: this work will lay the foundations for a definitive RCT of a community pharmacy-based 'goal-focused' self-management intervention for people with intermittent allergic rhinitis. Results of the pilot trial are expected to be available in April 2013.

Trial registration: Current Controlled Trials ISRCTN43606442
1745-6215
217-[1-10]
Porteous, Terry
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Wyke, Sally
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Smith, Sarah
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Bond, Christine
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Francis, Jill
99734370-8835-4ed0-9eec-295f0ffa03b6
Lee, Amanda J
4f5cef77-324a-48fa-873a-50e036e28276
Lowrie, Richard
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Scotland, Graham
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Sheikh, Aziz
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Thomas, Mike
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Smith, Lorraine
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Porteous, Terry
fa6715dc-6625-4333-a84f-f9bb348c7a18
Wyke, Sally
ad68c72b-485d-48c4-b083-4eb59e09c79a
Smith, Sarah
58bfd4c3-7959-4e6d-95c3-65b31b0dca13
Bond, Christine
755e3d2e-83a8-4cf7-9f96-c0a509aa1834
Francis, Jill
99734370-8835-4ed0-9eec-295f0ffa03b6
Lee, Amanda J
4f5cef77-324a-48fa-873a-50e036e28276
Lowrie, Richard
155dfc58-2e2e-4006-b2ce-67f53b92b3d9
Scotland, Graham
af689445-91cd-4e94-8aa8-ab47f815dfad
Sheikh, Aziz
48655796-f608-4bb4-b4d9-6f58f0a6b1cd
Thomas, Mike
997c78e0-3849-4ce8-b1bc-86ebbdee3953
Smith, Lorraine
415a2f5e-6bce-4beb-b55d-1e14bc645ce5

Porteous, Terry, Wyke, Sally, Smith, Sarah, Bond, Christine, Francis, Jill, Lee, Amanda J, Lowrie, Richard, Scotland, Graham, Sheikh, Aziz, Thomas, Mike and Smith, Lorraine (2013) 'Help for Hay Fever', a goal-focused intervention for people with intermittent allergic rhinitis, delivered in Scottish community pharmacies: study protocol for a pilot cluster randomized controlled trial. Trials, 14, 217-[1-10]. (doi:10.1186/1745-6215-14-217). (PMID:23856015)

Record type: Article

Abstract

Background: despite the availability of evidence-based guidelines for managing allergic rhinitis in primary care, management of the condition in the United Kingdom (UK) remains sub-optimal. Its high prevalence and negative effects on quality of life, school performance, productivity and co-morbid respiratory conditions (in particular, asthma), and high health and societal costs, make this a priority for developing novel models of care. Recent Australian research demonstrated the potential of a community pharmacy-based 'goal-focused' intervention to help people with intermittent allergic rhinitis to self-manage their condition better, reduce symptom severity and improve quality of life. In this pilot study we will assess the transferability of the goal-focused intervention to a UK context, the suitability of the intervention materials, procedures and outcome measures and collect data to inform a future definitive UK randomized controlled trial (RCT).

Methods/design: a pilot cluster RCT with associated preliminary economic analysis and embedded qualitative evaluation. The pilot trial will take place in two Scottish Health Board areas: Grampian and Greater Glasgow & Clyde. Twelve community pharmacies will be randomly assigned to intervention or usual care group. Each will recruit 12 customers seeking advice or treatment for intermittent allergic rhinitis. Pharmacy staff in intervention pharmacies will support recruited customers in developing strategies for setting and achieving goals that aim to avoid/minimize triggers for, and eliminate/minimize symptoms of allergic rhinitis. Customers recruited in non-intervention pharmacies will receive usual care. The co-primary outcome measures, selected to inform a sample size calculation for a future RCT, are: community pharmacy and customer recruitment and completion rates; and effect size of change in the validated mini-Rhinoconjunctivitis Quality of Life Questionnaire between baseline, one-week and six-weeks post-intervention. Secondary outcome measures relate to changes in symptom severity, productivity, medication adherence and self-efficacy. Quantitative data about accrual, retention and economic measures, and qualitative data about participants' experiences during the trial will be collected to inform the future RCT.

discussiion: this work will lay the foundations for a definitive RCT of a community pharmacy-based 'goal-focused' self-management intervention for people with intermittent allergic rhinitis. Results of the pilot trial are expected to be available in April 2013.

Trial registration: Current Controlled Trials ISRCTN43606442

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Published date: 2013
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 355508
URI: https://eprints.soton.ac.uk/id/eprint/355508
ISSN: 1745-6215
PURE UUID: dc3ce3af-ef42-4cb1-a5c8-01e1eb9e305f

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Date deposited: 02 Sep 2013 07:58
Last modified: 16 Jul 2019 21:26

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Contributors

Author: Terry Porteous
Author: Sally Wyke
Author: Sarah Smith
Author: Christine Bond
Author: Jill Francis
Author: Amanda J Lee
Author: Richard Lowrie
Author: Graham Scotland
Author: Aziz Sheikh
Author: Mike Thomas
Author: Lorraine Smith

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