{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T03:07:09Z","timestamp":1781492829942,"version":"3.54.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T00:00:00Z","timestamp":1715558400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,7,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To investigate community pharmacists\u2019 attitudes, confidence, practice, knowledge, and barriers towards the management of oral side effects of asthma medications.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A paper-based questionnaire was developed from previous research, trialled, and validated. Convenience sampling through web search was used to identify pharmacy practices across Cairns, Queensland, Australia. Practices were contacted by email and phone before hand-delivering and collecting questionnaires.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Key findings<\/jats:title>\n                  <jats:p>Thirty eight community pharmacist responses were descriptively analysed. Community pharmacists surveyed within the Cairns region feel that it is within their role to help manage the side effects of asthma medications. Many feel this is best conveyed during inhaler dispensing and instruction. Current advice is more prompted rather than preventative. Pharmacists routinely advise patients of mouth-rinsing following inhaler use, however the link to preventing side effects is not clearly communicated. Pharmacists are confident in recognizing and managing common side effects such as oral thrush and dry mouth, but fewer are aware of dental decay and gingivitis. Many identify a lack of guidelines as the largest barrier to providing preventive oral health advice.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Cairns community pharmacists already self-perceive their role in the management of oral side effects of asthma medications. Advice given to patients is practical but does not clearly convey the causative associations between asthma medications and their potential oral side effects. Patient education is prompted more by enquiry rather than a preventative approach. The development of standardized practice protocols and integration within undergraduate degrees or continuing education may benefit the community\u2013pharmacist delivered care.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ijpp\/riae022","type":"journal-article","created":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T09:17:52Z","timestamp":1715591872000},"page":"280-286","source":"Crossref","is-referenced-by-count":4,"title":["The role of community pharmacists as oral health advisors in the management of oral effects of asthma medications: an exploratory survey"],"prefix":"10.1093","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9405-5800","authenticated-orcid":false,"given":"Alex Vy Luan","family":"Ho","sequence":"first","affiliation":[{"name":"College of Medicine and Dentistry, James Cook University , Cairns, QLD 4878 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"Lau","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry, James Cook University , Cairns, QLD 4878 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Davidson","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry, James Cook University , Cairns, QLD 4878 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0718-7934","authenticated-orcid":false,"given":"Alan","family":"Nimmo","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry, James Cook University , Cairns, QLD 4878 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2255-8991","authenticated-orcid":false,"given":"Felicity Ann","family":"Croker","sequence":"additional","affiliation":[{"name":"College of Medicine and Dentistry, James Cook University , Cairns, QLD 4878 , Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,13]]},"reference":[{"key":"2024070409013481500_CIT0001","author":"World Health Organisation"},{"key":"2024070409013481500_CIT0002","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s12948-020-00137-2","article-title":"Oral health in asthmatic patients: a review","volume":"18","author":"Gani","year":"2020","journal-title":"Clin Mol Allergy"},{"key":"2024070409013481500_CIT0003","author":"The Pharmacy Guild of Australia"},{"key":"2024070409013481500_CIT0004","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1331\/JAPhA.2013.12017","article-title":"Enhancing pharmacists\u2019 role as oral health advisors","volume":"53","author":"Cohen","year":"2013","journal-title":"J Am Pharm Assoc"},{"key":"2024070409013481500_CIT0005","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1111\/ijpp.12241","article-title":"Describing the role of Australian community pharmacists in oral healthcare","volume":"24","author":"Taing","year":"2016","journal-title":"Int J Pharm Pract"},{"key":"2024070409013481500_CIT0006","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1111\/ijpp.12626","article-title":"Community pharmacy staff oral health training, training needs and professional self-efficacy related to managing children\u2019s dental problems","volume":"28","author":"Muirhead","year":"2020","journal-title":"Int J Pharm Pract"},{"key":"2024070409013481500_CIT0007","doi-asserted-by":"crossref","first-page":"295","DOI":"10.1016\/j.pec.2011.05.001","article-title":"Asthma disease management-Australian pharmacists\u2019 interventions improve patients\u2019 asthma knowledge and this is sustained","volume":"83","author":"Saini","year":"2011","journal-title":"Patient Educ Couns"},{"key":"2024070409013481500_CIT0008","doi-asserted-by":"crossref","first-page":"861","DOI":"10.47102\/annals-acadmedsg.V39N11p861","article-title":"The evolving role of the community pharmacist in chronic disease management\u2014a literature review","volume":"39","author":"George","year":"2010","journal-title":"Ann Acad Med Singapore"},{"key":"2024070409013481500_CIT0009","doi-asserted-by":"crossref","first-page":"e028995","DOI":"10.1136\/bmjopen-2019-028995","article-title":"Understanding reliever overuse in patients purchasing over-the-counter short-acting beta 2 agonists: an Australian community pharmacy-based survey","volume":"9","author":"Azzi","year":"2019","journal-title":"BMJ Open"},{"key":"2024070409013481500_CIT0010","first-page":"3","article-title":"Interventions to improve inhaler technique for people with asthma. 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