Skip to main content
NCBI home page
Thorax logoLink to Thorax
. 1995 Jul;50(7):731–738. doi: 10.1136/thx.50.7.731

Randomised trial of an asthma self-management programme for adults.

R M Allen 1, M P Jones 1, B Oldenburg 1
PMCID: PMC474644  PMID: 7570406

Abstract

BACKGROUND--A hospital based, community service asthma education programme for adults to improve asthma knowledge, promote compliance with medication, and reduce morbidity was evaluated. METHODS--The programme was evaluated using a randomised experimental and control group design with repeated measurements over 12 months. A volunteer community sample of 192 respondents was recruited of whom 116 satisfied the inclusion criteria. At the 12 month follow up some data were obtained for all subjects. Intervention subjects attended four 2.5 hour education sessions at weekly intervals. An asthma knowledge questionnaire was administered and compliance was assessed from diary records. Morbidity was assessed retrospectively by questionnaire, prospectively by diary, and objectively by spirometry and serial peak expiratory flow rate monitoring. The adequacy of medical treatment was also assessed. Data were collected at baseline, immediately after the intervention, and at three, six, nine, and 12 months after intervention. RESULTS--Improvements occurred in knowledge and compliance in the intervention group but the impact on morbidity was modest; this was due, at least in part, to the inadequacy of medical treatment. CONCLUSIONS--Treatment of asthma should be reviewed and optimised in conjunction with self-management programmes in order to improve health outcomes.

Full text

PDF
731

Selected References

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

  1. Bailey W. C., Richards J. M., Jr, Brooks C. M., Soong S. J., Windsor R. A., Manzella B. A. A randomized trial to improve self-management practices of adults with asthma. Arch Intern Med. 1990 Aug;150(8):1664–1668. [PubMed] [Google Scholar]
  2. Flay B. R. Efficacy and effectiveness trials (and other phases of research) in the development of health promotion programs. Prev Med. 1986 Sep;15(5):451–474. doi: 10.1016/0091-7435(86)90024-1. [DOI] [PubMed] [Google Scholar]
  3. Gibson P., Henry D., Francis L., Cruickshank D., Dupen F., Higginbotham N., Henry R., Sutherland D. Association between availability of non-prescription beta 2 agonist inhalers and undertreatment of asthma. BMJ. 1993 Jun 5;306(6891):1514–1518. doi: 10.1136/bmj.306.6891.1514. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Hargreave F. E., Dolovich J., Newhouse M. T. The assessment and treatment of asthma: a conference report. J Allergy Clin Immunol. 1990 Jun;85(6):1098–1111. doi: 10.1016/0091-6749(90)90056-a. [DOI] [PubMed] [Google Scholar]
  5. Hargreave F. E., Dolovich J., Newhouse M. T. The assessment and treatment of asthma: a conference report. J Allergy Clin Immunol. 1990 Jun;85(6):1098–1111. doi: 10.1016/0091-6749(90)90056-a. [DOI] [PubMed] [Google Scholar]
  6. Henry D. A., Sutherland D., Francis L. The use of non-prescription salbutamol inhalers by asthmatic patients in the Hunter Valley, New South Wales. Newcastle Retail Pharmacy Research Group. Med J Aust. 1989 Apr 17;150(8):445–449. [PubMed] [Google Scholar]
  7. Hindi-Alexander M. C., Throm J., Middleton E., Jr Collaborative asthma self-management. Evaluation designs. Clin Rev Allergy. 1987 Aug;5(3):249–258. doi: 10.1007/BF02991198. [DOI] [PubMed] [Google Scholar]
  8. Horn C. R., Clark T. J., Cochrane G. M. Compliance with inhaled therapy and morbidity from asthma. Respir Med. 1990 Jan;84(1):67–70. doi: 10.1016/s0954-6111(08)80097-2. [DOI] [PubMed] [Google Scholar]
  9. Ringsberg K. C., Wiklund I., Wilhelmsen L. Education of adult patients at an "asthma school": effects on quality of life, knowledge and need for nursing. Eur Respir J. 1990 Jan;3(1):33–37. [PubMed] [Google Scholar]
  10. Robertson C. F., Rubinfeld A. R., Bowes G. Deaths from asthma in Victoria: a 12-month survey. Med J Aust. 1990 May 21;152(10):511–517. doi: 10.5694/j.1326-5377.1990.tb125350.x. [DOI] [PubMed] [Google Scholar]
  11. Sears M. R., Taylor D. R., Print C. G., Lake D. C., Li Q. Q., Flannery E. M., Yates D. M., Lucas M. K., Herbison G. P. Regular inhaled beta-agonist treatment in bronchial asthma. Lancet. 1990 Dec 8;336(8728):1391–1396. doi: 10.1016/0140-6736(90)93098-a. [DOI] [PubMed] [Google Scholar]
  12. Snyder S. E., Winder J. A., Creer T. J. Development and evaluation of an adult asthma self-management program: Wheezers Anonymous. J Asthma. 1987;24(3):153–158. doi: 10.3109/02770908709070931. [DOI] [PubMed] [Google Scholar]
  13. Wilson S. R., Scamagas P., German D. F., Hughes G. W., Lulla S., Coss S., Chardon L., Thomas R. G., Starr-Schneidkraut N., Stancavage F. B. A controlled trial of two forms of self-management education for adults with asthma. Am J Med. 1993 Jun;94(6):564–576. doi: 10.1016/0002-9343(93)90206-5. [DOI] [PubMed] [Google Scholar]
  14. Woolcock A., Rubinfeld A. R., Seale J. P., Landau L. L., Antic R., Mitchell C., Rea H. H., Zimmerman P. Thoracic society of Australia and New Zealand. Asthma management plan, 1989. Med J Aust. 1989 Dec 4;151(11-12):650–653. [PubMed] [Google Scholar]
  15. Worth H. Patient education in asthmatic adults. Lung. 1990;168 (Suppl):463–468. doi: 10.1007/BF02718165. [DOI] [PubMed] [Google Scholar]
  16. Yoon R., McKenzie D. K., Bauman A., Miles D. A. Controlled trial evaluation of an asthma education programme for adults. Thorax. 1993 Nov;48(11):1110–1116. doi: 10.1136/thx.48.11.1110. [DOI] [PMC free article] [PubMed] [Google Scholar]
  17. Yoon R., McKenzie D. K., Miles D. A., Bauman A. Characteristics of attenders and non-attenders at an asthma education programme. Thorax. 1991 Dec;46(12):886–890. doi: 10.1136/thx.46.12.886. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Zeger S. L., Liang K. Y. Longitudinal data analysis for discrete and continuous outcomes. Biometrics. 1986 Mar;42(1):121–130. [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES