{"id":"https://openalex.org/W7225422173","doi":"https://doi.org/10.1080/20523211.2026.2750478","title":"Exploring over-the-counter SABA inhaler use in Malaysian community pharmacies: a mixed-methods study","display_name":"Exploring over-the-counter SABA inhaler use in Malaysian community pharmacies: a mixed-methods study","publication_year":2026,"publication_date":"2026-11-06","ids":{"openalex":"https://openalex.org/W7225422173","doi":"https://doi.org/10.1080/20523211.2026.2750478"},"language":"en","primary_location":{"id":"doi:10.1080/20523211.2026.2750478","doi":"https://doi.org/10.1080/20523211.2026.2750478","is_oa":true,"landing_page_url":"https://doi.org/10.1080/20523211.2026.2750478","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/20523211.2026.2750478?needAccess=true","source":{"id":"https://openalex.org/S2737254583","display_name":"Journal of Pharmaceutical Policy and Practice","issn_l":"2052-3211","issn":["2052-3211"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pharmaceutical Policy and Practice","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://www.tandfonline.com/doi/pdf/10.1080/20523211.2026.2750478?needAccess=true","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5021815941","display_name":"Rabia Hussain","orcid":"https://orcid.org/0000-0001-8183-0855","observed_orcids":["https://orcid.org/0000-0001-8183-0855"]},"institutions":[{"id":"https://openalex.org/I139322472","display_name":"Universiti Sains Malaysia","ror":"https://ror.org/02rgb2k63","country_code":"MY","type":"education","lineage":["https://openalex.org/I139322472"]}],"countries":["MY"],"is_corresponding":true,"raw_author_name":"Rabia Hussain","raw_affiliation_strings":["Universiti Sains Malaysia"],"raw_orcid":"https://orcid.org/0000-0001-8183-0855","affiliations":[{"raw_affiliation_string":"Universiti Sains Malaysia","institution_ids":["https://openalex.org/I139322472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5045000027","display_name":"Zhe Chi Loh","orcid":"https://orcid.org/0000-0002-8223-9175","observed_orcids":["https://orcid.org/0000-0002-8223-9175"]},"institutions":[{"id":"https://openalex.org/I139322472","display_name":"Universiti Sains Malaysia","ror":"https://ror.org/02rgb2k63","country_code":"MY","type":"education","lineage":["https://openalex.org/I139322472"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Zhe Chi Loh","raw_affiliation_strings":["Universiti Sains Malaysia"],"raw_orcid":"https://orcid.org/0000-0002-8223-9175","affiliations":[{"raw_affiliation_string":"Universiti Sains Malaysia","institution_ids":["https://openalex.org/I139322472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038720847","display_name":"Bayan Faisal Ababneh","orcid":"https://orcid.org/0000-0002-6223-5599","observed_orcids":["https://orcid.org/0000-0002-6223-5599"]},"institutions":[{"id":"https://openalex.org/I139322472","display_name":"Universiti Sains Malaysia","ror":"https://ror.org/02rgb2k63","country_code":"MY","type":"education","lineage":["https://openalex.org/I139322472"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Bayan Faisal Ababneh","raw_affiliation_strings":["Universiti Sains Malaysia"],"raw_orcid":"https://orcid.org/0000-0002-6223-5599","affiliations":[{"raw_affiliation_string":"Universiti Sains Malaysia","institution_ids":["https://openalex.org/I139322472"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5029767547","display_name":"Siew Chin Ong","orcid":"https://orcid.org/0000-0002-9750-9588","observed_orcids":["https://orcid.org/0000-0002-9750-9588"]},"institutions":[{"id":"https://openalex.org/I139322472","display_name":"Universiti Sains Malaysia","ror":"https://ror.org/02rgb2k63","country_code":"MY","type":"education","lineage":["https://openalex.org/I139322472"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Siew Chin Ong","raw_affiliation_strings":["Universiti Sains Malaysia"],"raw_orcid":"https://orcid.org/0000-0002-9750-9588","affiliations":[{"raw_affiliation_string":"Universiti Sains Malaysia","institution_ids":["https://openalex.org/I139322472"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5037205897","display_name":"Jaya Muneswarao","orcid":"https://orcid.org/0000-0002-8286-3453","observed_orcids":["https://orcid.org/0000-0002-8286-3453"]},"institutions":[{"id":"https://openalex.org/I2800727921","display_name":"Hospital Pulau Pinang","ror":"https://ror.org/024g0n729","country_code":"MY","type":"healthcare","lineage":["https://openalex.org/I2800727921"]}],"countries":["MY"],"is_corresponding":false,"raw_author_name":"Jaya Muneswarao","raw_affiliation_strings":["Hospital Pulau Pinang"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Hospital Pulau Pinang","institution_ids":["https://openalex.org/I2800727921"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5021815941"],"corresponding_institution_ids":["https://openalex.org/I139322472"],"apc_list":{"value":2390,"currency":"USD","value_usd":2390},"apc_paid":{"value":2390,"currency":"USD","value_usd":2390},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"19","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13970","display_name":"Pharmacy and Medical Practices","score":0.9951000213623047,"subfield":{"id":"https://openalex.org/subfields/3611","display_name":"Pharmacy"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10051","display_name":"Asthma and respiratory diseases","score":0.00279999990016222,"subfield":{"id":"https://openalex.org/subfields/2740","display_name":"Pulmonary and Respiratory Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10496","display_name":"Pharmaceutical Practices and Patient Outcomes","score":0.0005000000237487257,"subfield":{"id":"https://openalex.org/subfields/2717","display_name":"Geriatrics and Gerontology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/short-acting-beta-2-agonists","display_name":"short-acting beta-2 agonists","score":0.9319999814033508},{"id":"https://openalex.org/keywords/asthma","display_name":"asthma","score":0.6119999885559082},{"id":"https://openalex.org/keywords/community-pharmacists","display_name":"community pharmacists","score":0.9430000185966492},{"id":"https://openalex.org/keywords/pharmacists-perceptions","display_name":"pharmacist perceptions","score":0.9459999799728394},{"id":"https://openalex.org/keywords/inhaler-technique","display_name":"inhaler technique","score":0.703000009059906},{"id":"https://openalex.org/keywords/patient-counseling","display_name":"patient counseling","score":0.8970000147819519},{"id":"https://openalex.org/keywords/asthma-exacerbations","display_name":"asthma exacerbations","score":0.8830000162124634},{"id":"https://openalex.org/keywords/asthma-control","display_name":"asthma control","score":0.8830000162124634},{"id":"https://openalex.org/keywords/asthma-reviews","display_name":"asthma reviews","score":0.5419999957084656}],"concepts":[{"id":"https://openalex.org/C2780261241","wikidata":"https://www.wikidata.org/wiki/Q1394363","display_name":"Inhaler","level":3,"score":0.6313999891281128},{"id":"https://openalex.org/C104863432","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy","level":2,"score":0.5590000152587891},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.5580999851226807},{"id":"https://openalex.org/C2994493120","wikidata":"https://www.wikidata.org/wiki/Q13107184","display_name":"Community pharmacy","level":3,"score":0.4966000020503998},{"id":"https://openalex.org/C509550671","wikidata":"https://www.wikidata.org/wiki/Q126945","display_name":"Medical education","level":1,"score":0.3763999938964844},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32910001277923584},{"id":"https://openalex.org/C204787440","wikidata":"https://www.wikidata.org/wiki/Q188504","display_name":"Alternative medicine","level":2,"score":0.31279999017715454},{"id":"https://openalex.org/C556039675","wikidata":"https://www.wikidata.org/wiki/Q771035","display_name":"Traditional medicine","level":1,"score":0.30979999899864197},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.30489999055862427},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.30079999566078186},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.3005000054836273},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.29269999265670776},{"id":"https://openalex.org/C2780612607","wikidata":"https://www.wikidata.org/wiki/Q5155039","display_name":"Community practice","level":3,"score":0.2872999906539917},{"id":"https://openalex.org/C99454951","wikidata":"https://www.wikidata.org/wiki/Q932068","display_name":"Environmental health","level":1,"score":0.2856999933719635},{"id":"https://openalex.org/C2776042228","wikidata":"https://www.wikidata.org/wiki/Q35869","display_name":"Asthma","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C3604424","wikidata":"https://www.wikidata.org/wiki/Q614304","display_name":"Pharmacy practice","level":3,"score":0.2563000023365021}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1080/20523211.2026.2750478","doi":"https://doi.org/10.1080/20523211.2026.2750478","is_oa":true,"landing_page_url":"https://doi.org/10.1080/20523211.2026.2750478","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/20523211.2026.2750478?needAccess=true","source":{"id":"https://openalex.org/S2737254583","display_name":"Journal of Pharmaceutical Policy and Practice","issn_l":"2052-3211","issn":["2052-3211"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pharmaceutical Policy and Practice","raw_type":"journal-article"},{"id":"pmh:oai:doaj.org/article:e467546a39854c3f85ad9696d955f7b0","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/e467546a39854c3f85ad9696d955f7b0","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Pharmaceutical Policy and Practice, Vol 19, Iss 1 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1080/20523211.2026.2750478","doi":"https://doi.org/10.1080/20523211.2026.2750478","is_oa":true,"landing_page_url":"https://doi.org/10.1080/20523211.2026.2750478","pdf_url":"https://www.tandfonline.com/doi/pdf/10.1080/20523211.2026.2750478?needAccess=true","source":{"id":"https://openalex.org/S2737254583","display_name":"Journal of Pharmaceutical Policy and Practice","issn_l":"2052-3211","issn":["2052-3211"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","jufo-1","ki-jl-1","norway-1","oarl","poland-70","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Pharmaceutical Policy and Practice","raw_type":"journal-article"},"sustainable_development_goals":[{"score":1.0,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[{"id":"https://openalex.org/F4320322757","display_name":"Universiti Sains Malaysia","ror":"https://ror.org/02rgb2k63"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225422173.pdf","grobid_xml":"https://content.openalex.org/works/W7225422173.grobid-xml"},"referenced_works_count":69,"referenced_works":["https://openalex.org/W1484721597","https://openalex.org/W1747643357","https://openalex.org/W1780778418","https://openalex.org/W1820505434","https://openalex.org/W1955103815","https://openalex.org/W1979290264","https://openalex.org/W1987259351","https://openalex.org/W2062346210","https://openalex.org/W2074685058","https://openalex.org/W2109877558","https://openalex.org/W2112403610","https://openalex.org/W2139826566","https://openalex.org/W2150435489","https://openalex.org/W2159306398","https://openalex.org/W2336245020","https://openalex.org/W2578584760","https://openalex.org/W2700324188","https://openalex.org/W2737458913","https://openalex.org/W2754799758","https://openalex.org/W2805762208","https://openalex.org/W2888639693","https://openalex.org/W2900619723","https://openalex.org/W2904264648","https://openalex.org/W2946995148","https://openalex.org/W2967892372","https://openalex.org/W2967911708","https://openalex.org/W2999425512","https://openalex.org/W3002340752","https://openalex.org/W3011007450","https://openalex.org/W3013408280","https://openalex.org/W3027103762","https://openalex.org/W3030769151","https://openalex.org/W3044727112","https://openalex.org/W3046688139","https://openalex.org/W3084469911","https://openalex.org/W3094301723","https://openalex.org/W3118297619","https://openalex.org/W3120858275","https://openalex.org/W3130559363","https://openalex.org/W3151748516","https://openalex.org/W3181253730","https://openalex.org/W3203118527","https://openalex.org/W3208645186","https://openalex.org/W3209943228","https://openalex.org/W3213062228","https://openalex.org/W4210376659","https://openalex.org/W4212917677","https://openalex.org/W4220996991","https://openalex.org/W4232238896","https://openalex.org/W4292363440","https://openalex.org/W4294919159","https://openalex.org/W4306377497","https://openalex.org/W4307009044","https://openalex.org/W4361794880","https://openalex.org/W4366463593","https://openalex.org/W4367318009","https://openalex.org/W4375855759","https://openalex.org/W4379185488","https://openalex.org/W4379599133","https://openalex.org/W4387457002","https://openalex.org/W4390541751","https://openalex.org/W4391521240","https://openalex.org/W4399319793","https://openalex.org/W4402675364","https://openalex.org/W4403544742","https://openalex.org/W4403982055","https://openalex.org/W4404871302","https://openalex.org/W4405741121","https://openalex.org/W4407149380"],"related_works":["https://openalex.org/W4251553492","https://openalex.org/W2409323405","https://openalex.org/W2297486970","https://openalex.org/W3159070508","https://openalex.org/W632823408","https://openalex.org/W2530295488","https://openalex.org/W2588197223","https://openalex.org/W4411203892","https://openalex.org/W3126853965","https://openalex.org/W2595627418"],"abstract_inverted_index":{"Background":[0],"Non-prescription":[1],"short-acting":[2],"beta-2":[3],"agonists":[4],"(SABA)":[5],"inhalers,":[6],"used":[7],"to":[8,21,48,145,218,244],"relieve":[9],"asthma":[10,118,163,236,255,282],"symptoms,":[11],"are":[12],"widely":[13],"available":[14,233],"in":[15,37,137,167,223,251,293,299],"community":[16,28,66,113,171,266,301],"pharmacies.":[17],"This":[18],"study":[19,42],"aimed":[20],"explore":[22],"the":[23,31,98,107,138,146,155,168,207,224,300],"perceptions":[24],"and":[25,57,75,85,88,109,127,140,157,182,238,241,261,274,286,296],"practices":[26],"of":[27,34,130,150,159,185,210,230,232,276,278],"pharmacists":[29,114,172,190,250,267],"towards":[30],"safe":[32,181,208,219,295],"use":[33,184,209,222,277],"SABA":[35,131,160,187,211,220,262,279],"inhalers":[36,132],"Malaysia.Methods":[38],"A":[39],"concurrent":[40],"mixed-methods":[41],"was":[43,70,78,104],"conducted":[44],"from":[45,191],"December":[46],"2022":[47],"May":[49],"2023,":[50],"involving":[51],"qualitative":[52,108,139,169],"interviews":[53],"(n":[54,61,123,133,173],"=":[55,62,124,134,174],"12)":[56,125,135,175],"quantitative":[58,99,110,141,147,225],"online":[59],"surveys":[60],"312)":[63],"among":[64],"Malaysian":[65],"pharmacists.":[67],"Qualitative":[68],"data":[69,81],"managed":[71],"through":[72],"NVivo\u00ae":[73],"software,":[74],"thematic":[76],"analysis":[77,90],"performed.":[79],"Descriptive":[80],"analysis,":[82],"including":[83,198],"Kruskal\u2013Wallis":[84],"Mann\u2013Whitney":[86],"tests,":[87],"regression":[89],"were":[91,152,227,268,289],"performed":[92],"using":[93],"IBM":[94],"SPSS":[95],"v.20":[96],"for":[97,180,202,235],"study.":[100],"Subsequently,":[101],"a":[102],"comparison":[103],"made":[105],"between":[106],"data.Results":[111],"Most":[112],"commonly":[115],"linked":[116],"effective":[117,183,196,297],"control":[119,256],"with":[120,154,258],"fewer":[121],"exacerbations":[122,260],"(84.3%),":[126],"decreased":[128,259],"usage":[129,161],"(65.4%),":[136],"studies,":[142],"respectively.":[143],"According":[144],"results,":[148],"40.7%":[149],"participants":[151],"concerned":[153,269],"frequency":[156,275],"dosage":[158],"by":[162],"patients":[164],"OTC.":[165],"While":[166],"phase,":[170],"emphasised":[176],"proper":[177],"inhalation":[178],"techniques":[179],"non-prescription":[186],"inhalers.":[188,212,280],"Community":[189,249],"both":[192],"studies":[193],"suggested":[194,291],"that":[195],"counselling,":[197],"allocating":[199],"sufficient":[200],"time":[201,243],"counselling":[203,239,246,288],"sessions,":[204],"could":[205],"enhance":[206],"The":[213],"most":[214],"agreed-upon":[215],"perceived":[216],"barriers":[217],"inhaler":[221,263],"results":[226],"patients\u2019":[228,271],"lack":[229],"awareness":[231],"services":[234,247],"consultations":[237],"(74.4%)":[240],"insufficient":[242],"provide":[245],"(68.9%).Conclusion":[248],"Malaysia":[252],"correlated":[253],"good":[254],"status":[257],"utilisation.":[264],"Furthermore,":[265],"about":[270],"techniques,":[272],"dosage,":[273],"However,":[281],"reviews,":[283],"monitoring":[284],"systems,":[285],"patient":[287],"important":[290],"factors":[292],"ensuring":[294],"treatment":[298],"pharmacy":[302],"setting.":[303]},"counts_by_year":[],"updated_date":"2026-11-10T11:39:43.021295","created_date":"2026-11-07T00:00:00"}
