Behavioural effect of self-treatment guidelines in a self-management program for adults with asthma


Palen, Job van der and Klein, Jakob J. and Zielhuis, Gerhard A. and Herwaarden, Cees L.A. van and Seydel, Erwin R. (2001) Behavioural effect of self-treatment guidelines in a self-management program for adults with asthma. Patient Education and Counseling, 43 (2). pp. 161-169. ISSN 0738-3991

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Abstract:To assess the efficacy of self-management programs it is important to know what behavioural changes take place. This paper assesses whether including self-treatment guidelines (action plans) in a self-management program for adult asthmatics, leads to greater behavioural changes than a program without these guidelines. Patients were randomised into a self-treatment group (n=123) or an active control group (n=122). All subjects received self-management training. Discussed topics included the pathophysiology of asthma, medication and side-effects, triggers, symptoms, smoking, physical exercise, and compliance. The only difference was that the self-treatment group received instructions about self-treatment of exacerbations and the control group did not. At 1 year of follow-up asthma-specific self-efficacy expectancies, outcome expectancies, and asthma-specific knowledge improved significantly in all patients. Only self-treatment group patients demonstrated favourable changes in generalised self-efficacy, social support, and self-treatment and self-management behaviour, in case of a hypothetical scenario of a slow-onset exacerbation. We conclude that our self-management program is effective in changing the behavioural variables, and including self-treatment guidelines (action plans) has added benefit.
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Copyright:© 2001 Elsevier Science
Behavioural Sciences (BS)
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