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. 2019 Dec 6;2019(12):CD011207. doi: 10.1002/14651858.CD011207.pub2

Petkova 2008.

Methods Design: RT
Groups: intervention group (asthma self‐management); control group (usual care)
Participants Pharmacies: 10 (those pharmacies with the highest number of asthma patients)
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Pharmacy user: 50 (22 intervention; 28 control)
  • mean age: intervention 35.14 years; control 40.82 years

  • % female: intervention 41%; control 31%


Setting: urban, Sofia
Country: Bulgaria
Interventions Pharmacy worker‐directed intervention: not reported
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Pharmacy user‐directed intervention: education program with information on asthma, medication, inhalers, drug reactions, exacerbation and control of asthma attacks and smoking cessation
  • Delivered by: researcher or undergraduate students

  • Type: education

  • Mode of delivery: face‐to‐face, written materials

  • TDF: knowledge, skills, environment, context, resources

  • Duration: 4 sessions held monthly

  • Length of follow‐up: at 4 months (post‐intervention)


Pharmacy user control: usual treatment
Outcomes Pharmacy worker: not assessed
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Pharmacy user:
  • Clinical: PEF

  • Psychological health: not assessed

  • Behavioural: inhaler technique, asthma self‐monitoring

  • Quality of life: asthma assessment form

  • Process: patient satisfaction (direct interview)

  • Costs: health care utilisation ‐ hospitalisation and GP visits

Notes Study/intervention name: none given
Funding source: not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Assigned based on principle of random numbers
Allocation concealment (selection bias) Unclear risk No detail provided
Baseline outcome measures similar Low risk No differences on outcomes
Baseline characteristics similar High risk Differences between groups at the start of the study
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No apparent attrition on main outcomes
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Unclear if assessor blind to group
Protection against contamination High risk Pharmacies offer both intervention and control
Selective reporting (reporting bias) Low risk Not noted
Other bias Low risk Not noted
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Unclear if participants aware of grouping