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.
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.
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)
W. C. Bailey (Wed,) conducted a 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.