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. 1991 Dec;46(12):886–890. doi: 10.1136/thx.46.12.886

Characteristics of attenders and non-attenders at an asthma education programme.

R Yoon 1, D K McKenzie 1, D A Miles 1, A Bauman 1
PMCID: PMC463493  PMID: 1792635

Abstract

BACKGROUND: A controlled trial of asthma education was conducted but only 51 out of 164 eligible patients participated. METHODS: Differences between subjects who participated in the trial and those who expressed initial interest but subsequently declined were studied. RESULTS: Women, non-smokers, and those whose attending physician was concerned in the study were significantly more likely to attend the programme. Higher socioeconomic status was associated with greater attendance, but this did not reach significance. Psychosocial malfunctioning due to asthma was also associated with attendance, but this was not significant when sex and education level were taken into account. There was no difference between attenders and non-attenders with respect to age, number of previous admissions, airway function, self reported asthma severity, knowledge about asthma, and self management practices. CONCLUSION: The results suggest that many asthmatic patients recovering from a severe exacerbation of airflow obstruction will not participate in hospital based health education programmes. Alternative strategies may be required to improve the self management behaviour of these patients.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Baldwin D. R., Ormerod L. P., Mackay A. D., Stableforth D. E. Changes in hospital management of acute severe asthma by thoracic and general physicians in Birmingham and Manchester during 1978 and 1985. Thorax. 1990 Feb;45(2):130–134. doi: 10.1136/thx.45.2.130. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Burney P. G. Asthma mortality in England and Wales: evidence for a further increase, 1974-84. Lancet. 1986 Aug 9;2(8502):323–326. doi: 10.1016/s0140-6736(86)90012-7. [DOI] [PubMed] [Google Scholar]
  3. Clark N. M. Asthma self-management education. Research and implications for clinical practice. Chest. 1989 May;95(5):1110–1113. doi: 10.1378/chest.95.5.1110. [DOI] [PubMed] [Google Scholar]
  4. Clark N. M., Feldman C. H., Evans D., Levison M. J., Wasilewski Y., Mellins R. B. The impact of health education on frequency and cost of health care use by low income children with asthma. J Allergy Clin Immunol. 1986 Jul;78(1 Pt 1):108–115. doi: 10.1016/0091-6749(86)90122-3. [DOI] [PubMed] [Google Scholar]
  5. Hilton S., Sibbald B., Anderson H. R., Freeling P. Controlled evaluation of the effects of patient education on asthma morbidity in general practice. Lancet. 1986 Jan 4;1(8471):26–29. doi: 10.1016/s0140-6736(86)91904-5. [DOI] [PubMed] [Google Scholar]
  6. Hindi-Alexander M. C., Cropp G. J. Evaluation of a family asthma program. J Allergy Clin Immunol. 1984 Oct;74(4 Pt 1):505–510. doi: 10.1016/0091-6749(84)90386-5. [DOI] [PubMed] [Google Scholar]
  7. Hollis J. F., Sexton G., Connor S. L., Calvin L., Pereira C., Matarazzo J. D. The family heart dietary intervention program: community response and characteristics of joining and nonjoining families. Prev Med. 1984 May;13(3):276–285. doi: 10.1016/0091-7435(84)90084-7. [DOI] [PubMed] [Google Scholar]
  8. Howland J., Bauchner H., Adair R. The impact of pediatric asthma education on morbidity. Assessing the evidence. Chest. 1988 Nov;94(5):964–969. doi: 10.1378/chest.94.5.964. [DOI] [PubMed] [Google Scholar]
  9. Kirscht J. P., Kirscht J. L., Rosenstock I. M. A test of interventions to increase adherence to hypertensive medical regimens. Health Educ Q. 1981 Fall;8(3):261–272. doi: 10.1177/109019818100800303. [DOI] [PubMed] [Google Scholar]
  10. Lewis C. E., Rachelefsky G., Lewis M. A., de la Sota A., Kaplan M. A randomized trial of A.C.T. (asthma care training) for kids. Pediatrics. 1984 Oct;74(4):478–486. [PubMed] [Google Scholar]
  11. Malmgren S., Andersson G. Who were reached by and participated in a one year newspaper health information campaign? Scand J Soc Med. 1986;14(3):133–140. doi: 10.1177/140349488601400305. [DOI] [PubMed] [Google Scholar]
  12. Martin A. J., Landau L. I., Phelan P. D. Asthma from childhood at age 21: the patient and his disease. Br Med J (Clin Res Ed) 1982 Feb 6;284(6313):380–382. doi: 10.1136/bmj.284.6313.380. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. McKenzie D. K., Gandevia S. C. Strength and endurance of inspiratory, expiratory, and limb muscles in asthma. Am Rev Respir Dis. 1986 Nov;134(5):999–1004. doi: 10.1164/arrd.1986.134.5.999. [DOI] [PubMed] [Google Scholar]
  14. Musk A. W., Ryan G. F., Perera D. M., D'Souza B. P., Hockey R. L., Hobbs M. S. Mortality from asthma in Western Australia. Med J Aust. 1987 Nov 2;147(9):423–427. [PubMed] [Google Scholar]
  15. Parker S. R., Mellins R. B., Sogn D. D. NHLBI workshop summary. Asthma education: a national strategy. Am Rev Respir Dis. 1989 Sep;140(3):848–853. doi: 10.1164/ajrccm/140.3.848. [DOI] [PubMed] [Google Scholar]
  16. Pirie P. L., Elias W. S., Wackman D. B., Jacobs D. R., Jr, Murray D. M., Mittelmark M. B., Luepker R. V., Blackburn H. Characteristics of participants and nonparticipants in a community cardiovascular disease risk factor screening: the Minnesota Heart Health Program. Am J Prev Med. 1986 Jan-Feb;2(1):20–25. [PubMed] [Google Scholar]
  17. Sears M. R., Rea H. H., Beaglehole R., Gillies A. J., Holst P. E., O'Donnell T. V., Rothwell R. P., Sutherland D. C. Asthma mortality in New Zealand: a two year national study. N Z Med J. 1985 Apr 24;98(777):271–275. [PubMed] [Google Scholar]
  18. Sears M. R., Rea H. H., Fenwick J., Beaglehole R., Gillies A. J., Holst P. E., O'Donnell T. V., Rothwell R. P., Sutherland D. C. Deaths from asthma in New Zealand. Arch Dis Child. 1986 Jan;61(1):6–10. doi: 10.1136/adc.61.1.6. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Sly R. M. Increases in deaths from asthma. Ann Allergy. 1984 Jul;53(1):20–25. [PubMed] [Google Scholar]
  20. Sly R. M. Mortality from asthma, 1979-1984. J Allergy Clin Immunol. 1988 Nov;82(5 Pt 1):705–717. doi: 10.1016/0091-6749(88)90069-3. [DOI] [PubMed] [Google Scholar]
  21. Stewart C. J., Nunn A. J. Are asthma mortality rates changing? Br J Dis Chest. 1985 Jul;79(3):229–234. [PubMed] [Google Scholar]

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