Pharmacists’ perceptions of pharmaceutical services in asthma inhaled medication in Surabaya: A mixed-method study

Amelia Lorensia Ananta Yudiarso Dini Dwi Kusdiyanti Eka Damayanti   

Open Access   

Published:  Sep 27, 2022

DOI: 10.7324/JAPS.2023.130108

Understanding pharmacists’ perceptions is important because pharmacists play an important role in asthma management. Asthma treatment is divided into controller and reliever, and most asthma treatments are administered via the inhalation route. This study aimed to determine pharmacists’ perceptions of pharmaceutical services in asthma inhaled medication in pharmacies in Surabaya. This research is a mixed-method research with an explanatory sequential research design in pharmacies in the city of Surabaya, East Java, from September to November 2017. Sample collection used purposive sampling and was analyzed descriptively. The research sample was 53 pharmacists. Most of the respondents had a high level (41.5%) based on the total questionnaire on the role of pharmacists in pharmaceutical services in treatment with asthma relievers and controller inhalers, while only a few respondents had a very high level (5%). Pharmacists also feel their role in aspects of community pharmacy, such as their role in increasing asthma patient compliance and their role in improving asthma patient control. This can be seen in pharmacists who motivate patients to keep taking the medication so that this can improve asthma patient compliance in using asthma drugs.

Keyword:     Asthma inhaler perception pharmacist pharmacy


Lorensia A, Yudiarso A, Kusdiyanti DD, Damayanti E. Pharmacists’ perceptions of pharmaceutical services in asthma inhaled medication in Surabaya: A mixed-method study. J Appl Pharm Sci, 2022.

Copyright: © The Author(s). This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

HTML Full Text


Atif M, Razzaq W, Mushtaq I, Malik I, Razzaq M, Scahill S, Babar ZU. Pharmacy services beyond the basics: A qualitative study to explore perspectives of pharmacists towards basic and enhanced pharmacy services in Pakistan. Int J Environ Res Public Health, 2020; 17(7):2379; doi: 10.3390/ijerph17072379

Azzi E, Srour P, Armour C, Rand C, Bosnic-Anticevich S. Practice makes perfect: self-reported adherence a positive marker of inhaler technique maintenance. NPJ Prim Care Respir Med, 2017; 27(1):29. doi: 10.1038/s41533-017-0031-0.

Banjari M, Kano Y, Almadani S, Basakran A, Al-Hindi M, Alahmadi T. The relation between asthma control and quality of life in children. Int J Pediatr, 2018; 2018:6517329; doi: 10.1155/2018/6517329

Bobbins AC, Burton S, Fogarty TL. Different models of pharmaceutical services and care in primary healthcare clinics in the Eastern Cape, South Africa: Challenges and opportunities for pharmacy practice. Afr J Prim Health Care Fam Med, 2020; 12(1):e1-11; doi: 10.4102/phcfm. v12i1.2323

Borghardt JM, Kloft C, Sharma A. Inhaled therapy in respiratory disease: the complex interplay of pulmonary kinetic processes. Can Respir J, 2018; 2018:2732017; doi:10.1155/2018/2732017

Bridgeman MB, Wilken LA. Essential Role of Pharmacists in Asthma Care and Management. J Pharm Pract, 2021; 34(1):149-62; doi:10.1177/0897190020927274

Carvajal MJ, Popovici L. Gender, age, and pharmacists' job satisfaction. Pharmacy Practice 2018;16(4):1396. doi: 10.18549/ PharmPract.2018.04.1396

Chang YS, Rha YH, Hong SJ, Oh JW, Kim HH, Lim DH, Kim SW, Park KS, Cho YH, Chung HL, Park HJ, Jung SG, Kang IJ, Hyun MC, Oh MY, Jung JA, Kim MS, Shim JY, Kim JT, Koh YY; KAPARD Work Group on Asthma Medication Compliance. Multicenter Adherence Study of Asthma Medication for Children in Korea. Allergy Asthma Immunol Res, 2019; 11(2):222-30; doi: 10.4168/aair.2019.11.2.222

Chogtu B, Holla S, Magazine R, Kamath A. Evaluation of relationship of inhaler technique with asthma control and quality of life. Indian J Pharmacol, 2017; 49(1):110-5; doi: 10.4103/0253-7613.201012

Clark AJ, Dong N, Roth T, Douglas LC. Factors associated with asthma diagnosis within five years of a bronchiolitis hospitalization: a retrospective cohort study in a high asthma prevalence population. Hospital Pediatr, 2019; 9(10):794-800; doi:

Dalton K, Byrne S. Role of the pharmacist in reducing healthcare costs: current insights. Integr Pharm Res Pract, 2017; 6:37-46; doi:10.2147/ IPRP.S108047

Deeks LS, Kosari S, Boom K, Peterson GM, Maina A, Sharma R, Naunton, M. The role of pharmacists in general practice in asthma management: A pilot study. Pharmacy (Basel, Switzerland), 2018; 6(4):114; doi: 10.3390/pharmacy6040114

Dharmage SC, Perret JL, Custovic A. Epidemiology of asthma in children and adults. Front Pediatr, 2019; 7:246; doi:10.3389/fped.2019.00246

Enilari O, Sinha S. The global impact of asthma in adult populations. Ann Glob Health, 2019; 85(1):2; doi:10.5334/aogh.2412

Fernandes SSC, Solé D, Camargos P, Andrade CR, Ibiapina CDC. Factors associated with asthma expression in adolescents. J Bras Pneumol, 2018; 44(1):12-7; doi: 10.1590/S1806-37562017000000078

Global Initiative for Asthma. Global strategy for asthma management and prevention (Update); 2021 [ONLINE]. Available via (Accessed 28 November 2021).

Jahedi L, Downie SR, Saini B, Chan HK, Bosnic-Anticevich S. Inhaler Technique in Asthma: How does it relate to patients' preferences and attitudes toward their inhalers? J Aerosol Med Pulm Drug Deliv, 2017; 30(1):42-52; doi:10.1089/jamp.2016.1287

Jalmav MMA, Lorensia A, Yudiarso A, Maranatha D. Interpretative phenomenological analysis (IPA) method: perceptions of health personnel and patients on asthma treatment. Jurnal Ilmiah Ibnu Sina, 2021; 6(2):206-14; doi:

Kaplan A, Mitchell PD, Cave AJ, Gagnon R, Foran V, Ellis AK. Effective asthma management: is it time to let the AIR out of SABA? J Clin Med, 2020; 9(4):921; doi:10.3390/jcm9040921

Kritikos VS, Reddel HK, Bosnic-Anticevich SZ. Pharmacists' perceptions of their role in asthma management and barriers to the provision of asthma services. Int J Pharm Pract, 2010; 18(4):209-16; doi: 10.1111/j.2042-7174.2010.00040.x

Kuti BP, Omole KO, Kuti DK. Factors associated with childhood asthma control in a resource-poor center. J Family Med Prim Care, 2017; 6(2):222-30; doi: 10.4103/jfmpc.jfmpc_271_16

Lorensia A, Queljoe DD, Karina BL, Hewu A. Study completeness of explanation of use of controller inhaler (combinated corticosteroid with beta-2 Agonis) of Diskus® and Turbuhaler® types by pharmacist community. Jurnal Ilmiah Manuntung, 2016; 2(2):137-46.

Lorensia A, Queljoe DD, Tandjung YCW. Profil Kelengkapan Informasi oleh Apoteker Tentang Cara Penggunaan Sediaan Handihaler® yang Mengandung Tiotropium Bromida di Apotek Wilayah Surabaya Timur. Jurnal Sains dan Kesehatan, 2019; 2(1):25-39.

Lorensia A, Queljoe DD, Valensia Y. Characteristics of information related to using a metered-dose inhaler with a spacer containing a combination of beta-2 agonists and corticosteroids by a pharmacy at a pharmacy, Area Timur Surabaya. Jurnal Ilmiah Manuntung, 2018; 4(1):15- 27; doi:

Lorensia A, Setiawan B, Maranatha D, Yudiarso A. Effectiveness of education based information-motivation-behavioral skill (IMB) model of improving knowledge, motivation, and performance demonstration metered-dose inhaler (MDI) to community pharmacists in Surabaya. Int J Pharm Clin Res, 2017; 9(7):485-95; doi: volume9issue7/

Lorensia A, Yudiarso A, Safina N. Pharmacist perception of barriers in pharmaceutical services for asthma disease in pharmacies. Jurnal Sains dan Kesehatan, 2020; 2(4):246-58; doi: v2i4.127

Lorensia A, Yudiarso A, Syarifah D, Susanti NWD. The effectiveness of providing education to increase knowledge about asthma treatment and inhalers at community pharmacists in Surabaya. J Sains Kes, 2021; 3(1):7-18. doi:

Majellano EC, Clark VL, Winter NA, Gibson PG, McDonald VM. Approaches to the assessment of severe asthma: barriers and strategies. J Asthma Allergy, 2019; 12:235-51; doi:10.2147/JAA.S178927

Mammen JR, Rhee H, Atis S, Grape A. Changes in asthma self-management knowledge in inner city adolescents following developmentally sensitive self-management training. Patient Educ Couns, 2018; 101(4):687- 95; doi: 10.1016/j.pec.2017.10.016

Massoth L, Anderson C, McKinney KA. Asthma and CHRONIC RHINOSINUSITIS: DIAGNOSIS AND MEDICAL Management. Med Sci (Basel), 2019; 7(4):53; doi:10.3390/medsci7040053

Nguyen VN, Huynh TTH, Chavannes NH. Knowledge on self-management and levels of asthma control among adult patients in Ho Chi Minh City, Vietnam. Int J Gen Med, 2018; 11:81-9; doi:10.2147/IJGM. S157050

Nunes C, Pereira AM, Morais-Almeida M. Asthma costs and social impact. Asthma Res Pract, 2017; 3:1; doi:10.1186/s40733-016- 0029-3

Pearce CJ, Fleming L. Adherence to medication in children and adolescents with asthma: methods for monitoring and intervention. Expert Rev Clin Immunol, 2018; 14(12):1055-63; doi: 10.1080/1744666X.2018.1532290

Quirt J, Hildebrand KJ, Mazza J, Noya F, Kim H. Asthma. Allergy Asthma Clin Immunol, 2018; 14(Suppl 2):50; doi:10.1186/s13223- 018-0279-0.

Stoodley I, Williams L, Thompson C, Scott H, Wood L. Evidence for lifestyle interventions in asthma. Breathe (Sheff), 2019; 15(2):e50-61; doi:10.1183/20734735.0019-2019

Tarraf H, Aydin O, Mungan D, Albader M, Mahboub B, Doble A, Lahlao A, Tariq L, Aziz F, Hasnaoui AE. Prevalence of asthma among the adult general population of five Middle Eastern countries: results of the SNAPSHOT program. BMC Pulm Med, 2018; 18(1):68; doi: 10.1186/ s12890-018-0621-9

Tavakoli H, Mark FitzGerald J, Lynd LD, Sadatsafavi M. Predictors of inappropriate and excessive use of reliever medications in asthma: a 16-year population-based study. BMC Pulm Med, 2018; 18(1):33; doi: 10.1186/s12890-018-0598-4

Usmani OS, Lavorini F, Marshall J, Dunlop WCN, Heron L, Farrington E, Dekhuijzen R. Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes. Respir Res, 2018; 19(1):10; doi:10.1186/s12931-017-0710-y

Wong ZS, Siy B, Da Silva Lopes K, Georgiou A. Improving patients' medication adherence and outcomes in nonhospital settings through eHealth: Systematic review of randomized controlled trials. J Med Internet Res, 2020; 22(8):e17015; doi:10.2196/17015

Article Metrics

0 Absract views 4 PDF Downloads 4 Total views

   Abstract      Pdf Download

Related Search

By author names

Citiaion Alert By Google Scholar

Name Required
Email Required Invalid Email Address

Comment required