Benefit from the inclusion of self-treatment guidelines to a self-management programme for adults with asthma

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Klein, J.J. and Palen van der, J. and Uil, S.M. and Zielhuis, G.A. and Seydel, E.R. and Herwaarden van, C.L.A. (2001) Benefit from the inclusion of self-treatment guidelines to a self-management programme for adults with asthma. European Respiratory Journal, 17 (3). pp. 386-394. ISSN 0903-1936

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Abstract:In this prospective randomized controlled trial, 245 patients with stable, moderate to severe asthma were included. They were randomized into a self-treatment group (group S) and a control group (group C). Both groups received self-management education. Additionally, group S received self-treatment guidelines based on peak expiratory flow (PEF) and symptoms. Outcome parameters included: asthma symptoms, quality of life, pulmonary function, and exacerbation rate. The 2-yr study was completed by 174 patients.

Both groups showed an improvement in the quality of life of 7%. PEF variability decreased by 32% and 29%, and the number of outpatient visits by 25% and 18% in groups S and C, respectively. No significant differences in these parameters were found between the two groups. After 1 yr, patients in both groups perceived better control of asthma and had more self-confidence regarding their asthma. The latter improvements were significantly greater in group S as compared to group C. There were no other differences in outcome parameters between the groups.

Individual self-treatment guidelines for exacerbations on top of a general self-management programme does not seem to be of additional benefit in terms of improvements in the clinical outcome of asthma. However, patients in the self-treatment group had better scores in subjective outcome measures such as perceived control of asthma and self-confidence than patients in the control group.
Item Type:Article
Copyright:© ERS Journals Ltd 2001
Faculty:
Behavioural Sciences (BS)
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Link to this item:http://purl.utwente.nl/publications/42416
Official URL:http://erj.ersjournals.com/cgi/content/abstract/17/3/386
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