Table IV.
Control of Environmental Factors: Clinician-Reported Adherence to EPR-3 Asthma Guideline Component 3
| Primary Care Clinicians | Asthma Specialists | |||||||
|---|---|---|---|---|---|---|---|---|
| n | Almost always | Often | Sometimes /Never | Almost always | Often | Sometimes /Never | P Value | |
| Assessment of triggers, weighted % (SE) | ||||||||
| Assess home triggers | 1628 | 40.1 (2.3) | 42.0 (2.3) | 17.9 (1.8) | 58.7 (4.2) | 35.2 (4.2) | 6.1* (2.2) | <.001 |
| Assess school or workplace triggers | 1619 | 35.4 (2.3) | 38.4 (2.2) | 26.2 (2.0) | 71.3 (3.9) | 24.2 (3.6) | 4.5* (2.0) | <.001 |
| Test for allergic sensitivity | 1617 | 7.2 (1.4) | 17.6 (1.8) | 75.3 (2.1) | 35.0 (3.6) | 32.3 (4.1) | 32.8 (4.0) | <.001 |
| Recommendations, weighted % (SE) | n | Most patients | Patients with sensitivity | Sometimes/never recommend | Most patients | Patients with sensitivity | Sometimes/never recommend | P Value |
| Recommend d ust mite control measures | 1609 | 40.8 (2.3) | 46.8 (2.4) | 12.4 (1.5) | 36.5 (3.8) | 56.8 (3.9) | 6.8* (2.3) | .039 |
| Recomme nd control of mold and pests | 1608 | 44.1 (2.4) | 42.6 (2.3) | 13.3 (1.7) | 46.9 (4.4) | 47.1 (4.3) | 6.0* (2.3) | .025 |
| Recommend pet removal | 1609 | 28.6 (2.1) | 59.8 (2.3) | 11.6 (1.4) | 29.3 (3.9) | 58.8 (4.1) | 11.9 (2.4) | .97 |
| Recommend avoiding pollen | 1611 | 43.3 (2.3) | 47.7 (2.3) | 9.1 (1.6) | 37.3 (4.4) | 55.4 (4.3) | 7.3 (1.9) | .28 |
| Recommend avoiding air pollution | 1604 | 44.8 (2.3) | 33.6 (2.2) | 21.6 (2.1) | 63.2 (4.2) | 30.0 (4.1) | 6.8 (1.9) | <.001 |
| Recommend cooking appliance change | 1610 | 16.2 (1.8) | 30.7 (2.2) | 53.1 (2.4) | 21.7 (3.5) | 33.6 (4.0) | 44.7 (4.3) | .18 |
| Recommend avoiding ETS | 1611 | 83.5 (1.8) | 12.2 (1.5) | 4.3 (1.1) | 85.4 (3.3) | 12.7 (3.2) | 1.9* (0.8) | .24 |
*
The relative standard error is >30%.
EPR-3: Expert Panel Report 3; ETS: environmental tobacco smoke; SE: standard error Data Source: NCHS, National Asthma Survey of Physicians, 2012.