Education and Self-Management: A One-Year Randomized Trial in Stable Adult Asthmatic Patients

Objective: to assess the effects of an educational program in asthmatic patients, following treatment readjustment. Methods: moderate to severe asthmatic adults underwent a run-in period (up to 45 days) in order to optimize their treatment. Patients were then randomized to an educational or control...

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Bibliographic Details
Published in:The Journal of asthma 2002-01, Vol.39 (6), p.493-500
Main Authors: Couturaud, F., Proust, A., Frachon, I., Dewitte, J. D., Oger, E., Quiot, J. J., Leroyer, C.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Asthma
Asthma - epidemiology
Asthma - therapy
Biological and medical sciences
Chronic obstructive pulmonary disease, asthma
Compliance
Female
Follow-Up Studies
Forced Expiratory Volume - physiology
Guidelines
Health Knowledge, Attitudes, Practice
Humans
Male
Medical sciences
Middle Aged
Morbidity
Patient Compliance
Patient education
Patient Education as Topic
Peak expiratory flow
Pneumology
Prospective Studies
Quality of Life
Self Care
Self-management
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Summary:Objective: to assess the effects of an educational program in asthmatic patients, following treatment readjustment. Methods: moderate to severe asthmatic adults underwent a run-in period (up to 45 days) in order to optimize their treatment. Patients were then randomized to an educational or control group over a one-year period. Education consisted of five individual sessions covering: pathophysiology of asthma, role of medication and side-effects, asthma triggers and their avoidance, detection of an asthma flare-up, and self-management plan based on symptoms and peak-flow monitoring. Main outcome criterion: symptom-free days over the study period (SFD). Results: a total of 72 patients were enrolled (36 in the "education group" and 36 in the "control group"), 54 of whom completed the study. Mean SFD was comparable in the two groups (88% in the education group and 89% in the control group, respectively). When the analysis was restricted to the education group, those patients who complied perfectly with the action plan (n = 5) exhibited a higher SFD, compared to the others (97% vs. 87%, p = 0.009). Conclusion: both education and control groups showed high and comparable percentages of SFD. Compliance with self-management plans appears to be an important determining factor in educational programs.
ISSN:0277-0903
1532-4303
DOI:10.1081/JAS-120004913