Help for hay fever

Help for hay fever: can a goal-focussed intervention delivered in Scottish community pharmacies improve outcomes for people with intermittent allergic rhinitis? A pilot randomised controlled trial

Despite availability of evidence-based clinical guidelines for primary healthcare professionals, UK management of AR remains sub-optimal. High prevalence, coupled with the negative effects of AR on quality of life, school performance, productivity and co-morbid respiratory conditions (in particular, asthma), and high NHS and societal costs, makes this a priority area for developing novel models of care. This project built on recent Australian work which demonstrated the potential of a community pharmacy-based ‘goal-setting’ intervention to help AR patients better self-manage their condition, reduce symptom severity and improve quality of life. Further methodological work was undertaken to assess its applicability to a UK context and to assess the feasibility of a full-scale CRT (with accompanying economic evaluation). Patient recruitment, outcome measurement and data collection methods were tested in this pilot CRT involving 124 participants recruited from 12 community pharmacies in Grampian and Greater Glasgow.

Outcome and Translation

The pilot found the intervention, delivered in UK community pharmacies, to be feasible and acceptable to customers and pharmacy staff. Consideration is being given to designing and conducting a future substantive CRT based on experience from the pilot and estimates of effect size.

HERU researchers involved in this research project: Graham Scotland (HERU/HSRU)

External collaborators: T Porteous, C Bond (Academic Primary Care, University of Aberdeen); D.M Thomas (Southampton University); G Scotland (HERU/HSRU); J Francis (HSRU, University of Aberdeen); A Sheikh (University of Edinburgh); L Smith (University of Sydney); S Wyke (University of Glasgow); R Lowrie (NHS Greater Glasgow and Clyde)

Publications

Lee, A. J., Porteous, T., Bond, C., Francis, J., Lowrie, R., Scotland, G., Sheikh, A., Smith, L., Smith, S., Thomas, M. and Wyke, S. (2013) The Help for Hay Fever study: can a goal-focussed intervention delivered in Scottish community pharmacies improve outcomes for people with intermittent allergic rhinitis? Focus on Research, (CZH/4/746), Edinburgh: Chief Scientists Office.

Lee, A., Porteous, T., Bond, C., Francis, J., Lowrie, R., Scotland, G., Sheikh, A., Smith, L., Thomas, M. and Wyke, S. (2013) Can a goal-focussed intervention delivered in Scottish community pharmacies improve outcomes for people with intermittent allergic rhinitis? A pilot randomised controlled trial. Final Report submitted the Chief Scientist Office, Edinburgh: Chief Scientist Office.

Porteous, T., Wyke, S., Smith, S., Bond, C., Francis, J., Lee, A.J., Lowrie, R., Scotland, G., Sheikh, A., Thomas, M. and Smith, L. (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 [protocol]', Trials, 14(1), 217.

Smith, S., Porteous, T., Bond, C., Francis, J., Lee, A.J., Lowrie, R., Scotland, G., Sheikh, A., Thomas, M., Wyke, S. and Smith, L. (2020) 'The Help for Hay Fever community pharmacy-based pilot randomised controlled trial for intermittent allergic rhinitis', NPJ Primary Care Respiratory Medicine, 30(1), 23.