{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T01:53:06Z","timestamp":1777859586717,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,2,14]],"date-time":"2025-02-14T00:00:00Z","timestamp":1739491200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Pharmacy Practice"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Asthma is one of the most common pediatric disease states. However, current literature about outpatient pharmacy appointment effectiveness on pediatric asthma control is not widely available.\n                    <jats:bold>Objective:<\/jats:bold>\n                    To determine whether outpatient pharmacist visits in pediatric patients with asthma result in a measurable difference in asthma control, utilizing the validated asthma control test (ACT) and childhood asthma control test (C-ACT) scoring tools.\n                    <jats:bold>Methods:<\/jats:bold>\n                    This study enrolled 16 children ages 6-17\u00a0years old at an outpatient primary care clinic (November 2023-April 2024). The patients visited the outpatient pharmacist 2 to 3 times over a 12-week period. The primary outcome was the change in the patient\u2019s ACT or C-ACT from the baseline to the final study visit. Additional outcomes of interest included improvement in inhaler technique using a Vitalograph AIM\u00ae device, medication adherence rates, and change in emergent interventions from 6\u00a0months before enrollment compared to 3\u00a0months after the final visit.\n                    <jats:bold>Results:<\/jats:bold>\n                    The median improvement in asthma control test was 3 at the final study visit (4 or 12\u00a0weeks after counseling), which was statistically significant (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.0348). This was an improvement from 50% of patients controlled at baseline to 100% at the final visit (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.0053). Emergent interventions including oral steroid courses, emergency department visits, and hospitalization for asthma were less common after pharmacist intervention than before enrollment (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    = 0.0464). Improvements in technique were seen at the initial visit using Vitalograph AIM\u00ae to visualize counseling points.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Our study supports that outpatient pharmacist visits can have a measurable impact on pediatric asthma control.\n                  <\/jats:p>","DOI":"10.1177\/08971900251320740","type":"journal-article","created":{"date-parts":[[2025,2,15]],"date-time":"2025-02-15T01:09:21Z","timestamp":1739581761000},"page":"511-517","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Improvements in Asthma Control After Pharmacist Involvement in an Outpatient Pediatric Asthma Clinic"],"prefix":"10.1177","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-3908-6189","authenticated-orcid":false,"given":"Lauren","family":"Anthony","sequence":"first","affiliation":[{"name":"Cleveland Clinic Hillcrest Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5358-6215","authenticated-orcid":false,"given":"Sandra","family":"Axtell","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Hillcrest Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4685-7451","authenticated-orcid":false,"given":"Bianca","family":"Nixon","sequence":"additional","affiliation":[{"name":"Cleveland Clinic Hillcrest Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,2,14]]},"reference":[{"key":"e_1_3_4_2_2","unstructured":"Global Initiative for Asthma. Global Strategy for Asthma Management and Prevention. Fontana WI: Global Initiative for Asthma 2023. Updated May 2023. https:\/\/www.ginasthma.org (Accessed October 2023)."},{"key":"e_1_3_4_3_2","volume-title":"Most Recent National Asthma Data [Internet]","author":"Centers for Disease Control and Prevention","unstructured":"Centers for Disease Control and Prevention. Most Recent National Asthma Data [Internet]. Atlanta, GA: Centers for Disease Control and Prevention. [updated 2023 May 10; cited 2023 Oct 26]. https:\/\/www.cdc.gov\/asthma\/most_recent_national_asthma_data.htm"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajhp\/58.15.1413"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00027-7"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.5863\/1551-6776-10.4.254"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2016.03.007"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2016.11.002"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2021.1924774"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2021.11.008"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2009.06.053"},{"key":"e_1_3_4_12_2","volume-title":"AIM Aerosol Inhalation Trainer and Starter Pack","unstructured":"AIM Aerosol Inhalation Trainer and Starter Pack. Vitalograph. https:\/\/vitalograph.com\/product\/aim-aerosol-inhalation-monitor\/ (Accessed May 30, 2024)"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.japh.2018.10.012"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/87551225241258873"}],"container-title":["Journal of Pharmacy Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08971900251320740","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/08971900251320740","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/08971900251320740","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:33:47Z","timestamp":1777509227000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/08971900251320740"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,14]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["10.1177\/08971900251320740"],"URL":"https:\/\/doi.org\/10.1177\/08971900251320740","relation":{},"ISSN":["0897-1900","1531-1937"],"issn-type":[{"value":"0897-1900","type":"print"},{"value":"1531-1937","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,14]]}}}