Abstract
The prevalence and impact of adult asthma are substantial, and poor self-management practices, especially failures to adhere to treatment regimens, appear to be a significant problem. Desirable characteristics of an intervention program to improve self-management were identified through needs assessment and review of existing patient education resources. A comprehensive program was developed that integrated a workbook with one-to-one counseling and adherence-enhancing strategies. A longitudinal 1-year study compared patients receiving this self-management program with "usual care" patients receiving standard asthma pamphlets. Patients were randomly assigned to conditions. Baseline score and asthma severity were statistically controlled. Self-management patients had substantially better adherence than usual care patients, as well as improved functional status, at follow-up. Hospital and emergency department visits decreased in both groups but did not differ between groups.
Keywords
MedicineAsthmaSelf-managementRandomized controlled trialWorkbookEmergency departmentIntervention (counseling)Physical therapyFamily medicineEmergency medicineInternal medicineNursing
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Publication Info
- Year
- 1990
- Type
- article
- Volume
- 150
- Issue
- 8
- Pages
- 1664-1664
- Citations
- 277
- Access
- Closed
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Cite This
William C. Bailey
(1990).
A Randomized Trial to Improve Self-Management Practices of Adults With Asthma.
Archives of Internal Medicine
, 150
(8)
, 1664-1664.
https://doi.org/10.1001/archinte.1990.00040031664013
Identifiers
- DOI
- 10.1001/archinte.1990.00040031664013