Key result
A 1-year self-management program integrating a workbook and counseling improved adherence and functional status in adults with asthma compared to usual care, with no difference in hospital visits.
Why the study?
Does a comprehensive self-management program improve adherence and functional status in adults with asthma?
RCT
Randomly assigned
Does a comprehensive self-management program improve adherence and functional status in adults with asthma?
A comprehensive self-management program combining a workbook and counseling improves treatment adherence and functional status in adult asthma patients compared to standard pamphlets.
Answers are grounded in this paper and cite their sources.
Supports adoption of integrated self-management programs in adult asthma care; reinforces RCT evidence for structured nonpharmacologic interventions.
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. (Arch Intern Med.1990;150:1664-1668)
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W. C. Bailey (1990) conducted an RCT in Asthma. Self-management program (workbook, one-to-one counseling, adherence-enhancing strategies) vs. Usual care (standard asthma pamphlets) was evaluated on Adherence, functional status, and hospital/emergency department visits. A 1-year self-management program integrating a workbook and counseling improved adherence and functional status in adults with asthma compared to usual care, with no difference in hospital visits.
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