Development, Implementation and Evaluation of a New Adult Asthma Self-Management Program

The purpose of the research was to develop, implement, and evaluate a new adult asthma self-management program with a multidisciplinary perspective. Small groups of adults met for 2 hr for 7 consecutive weekly meetings. Participants were asked to practice asthma specific behaviors (including peak expiratory flow monitoring, avoidance/removal of asthma triggers, and controller medication adherence) and general lifestyle behaviors (including drinking water, practicing relaxation, washing hands, and exercising). Learner-centered teaching techniques such as interactive communication and social support were utilized to help participants practice self-management behaviors including problem-solving and goal-setting. Paired sample t-tests included statistically significant improvements in asthma knowledge, asthma specific quality of life (QOL), asthma specific behaviors such as peak flow monitoring and general life style behaviors such as frequency of daily exercise. These results provide evidence that this new adult asthma self-management program can lead to both knowledge acquisition and behavioral changes.

[1]  A. Falsey,et al.  Evaluation of a Handwashing Intervention to Reduce Respiratory Illness Rates in Senior Day-Care Centers , 1999, Infection Control & Hospital Epidemiology.

[2]  G H Guyatt,et al.  Development and validation of a questionnaire to measure asthma control. , 1999, The European respiratory journal.

[3]  P. Lehrer,et al.  Psychological aspects of asthma. , 2002, Journal of consulting and clinical psychology.

[4]  A. Bauman,et al.  Self-management education and regular practitioner review for adults with asthma. , 2000, The Cochrane database of systematic reviews.

[5]  E. Akkaya,et al.  Evaluation of long-term efficacy of an asthma education programme in an out-patient clinic. , 2002, Respiratory medicine.

[6]  A. Stewart,et al.  Chronic Disease Self-Management Program: 2-Year Health Status and Health Care Utilization Outcomes , 2001, Medical care.

[7]  H. Kotses,et al.  A self-management program for adult asthma. Part I: Development and evaluation. , 1995, The Journal of allergy and clinical immunology.

[8]  G. Slatko,et al.  Two-Year Results from the Asthma Self-Management Program: Long-Term Impact on Health Care Services, Costs, Functional Status, and Productivity , 2001, The Journal of asthma : official journal of the Association for the Care of Asthma.

[9]  F. Ram,et al.  Physical training for asthma , 2014, Sao Paulo medical journal = Revista paulista de medicina.

[10]  Louisa Jorm,et al.  Effect of Infection Control Measures on the Frequency of Upper Respiratory Infection in Child Care: A Randomized, Controlled Trial , 2000, Pediatrics.

[11]  E. Oger,et al.  Education and Self-Management: A One-Year Randomized Trial in Stable Adult Asthmatic Patients , 2002, The Journal of asthma : official journal of the Association for the Care of Asthma.

[12]  S. Janson,et al.  Effects of individual self-management education on clinical, biological, and adherence outcomes in asthma. , 2003, The American journal of medicine.

[13]  E. Ernst,et al.  Relaxation therapies for asthma: a systematic review , 2002, Thorax.

[14]  K. Lorig,et al.  Self-management education: History, definition, outcomes, and mechanisms , 2003, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[15]  Alfred O. Berg,et al.  Clinical Guidelines And Primary Care Guidelines For The Diagnosis And Management Of Asthma , 2012 .

[16]  M. Lara,et al.  Guidelines For The Diagnosis And Management Of Asthma , 1992, The Journal of the American Board of Family Medicine.

[17]  G. Wesseling,et al.  Evaluation of a regional disease management programme for patients with asthma or chronic obstructive pulmonary disease. , 2006, International journal for quality in health care : journal of the International Society for Quality in Health Care.

[18]  T. Perneger,et al.  Effect of patient education on self-management skills and health status in patients with asthma: a randomized trial. , 2002, The American journal of medicine.

[19]  T. D'zurilla,et al.  Social Problem Solving in Adults , 1982 .

[20]  F. Hayden Rhinovirus and the lower respiratory tract† , 2004, Reviews in medical virology.

[21]  A. Bandura Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[22]  Harry P. Selker,et al.  COMPARISON OF THE ATKINS, ORNISH, WEIGHT WATCHERS, AND ZONE DIETS FOR WEIGHT LOSS AND HEART DISEASE RISK REDUCTION: A RANDOMIZED TRIAL , 2005 .

[23]  S. Bosnic-Anticevich,et al.  Treating asthma with a self-management model of illness behaviour in an Australian community pharmacy setting. , 2007, Social science & medicine.

[24]  Marian CarpenterRGN,et al.  Helping people change , 1998 .

[25]  J. J. Klein,et al.  Behavioural effect of self-treatment guidelines in a self-management program for adults with asthma. , 2001, Patient education and counseling.

[26]  C Stout,et al.  The Knowledge, Attitude, and Self-Efficacy Asthma Questionnaire. , 1993, Chest.

[27]  H. Kotses,et al.  A self-management program for adult asthma. Part II: Cost-benefit analysis. , 1995, The Journal of allergy and clinical immunology.

[28]  K. Schechtman,et al.  Asthma intervention program prevents readmissions in high healthcare users. , 2003, American journal of respiratory and critical care medicine.

[29]  J. Griffith,et al.  Comparison of the Atkins, Ornish, Weight Watchers, and Zone diets for weight loss and heart disease risk reduction: a randomized trial. , 2005, JAMA.

[30]  C. van Weel,et al.  Self-management of asthma in general practice, asthma control and quality of life: a randomised controlled trial , 2003, Thorax.

[31]  Lili Tian,et al.  Promoting Adherence , 2004, Clinical nursing research.

[32]  M. Reeves,et al.  Randomized trial of a comprehensive asthma education program after an emergency department visit. , 2006, Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology.

[33]  T. Bodenheimer,et al.  Patient self-management of chronic disease in primary care. , 2002, JAMA.

[34]  S. Phelan,et al.  An initial evaluation of a commercial weight loss program: short-term effects on weight, eating behavior, and mood. , 1999, Obesity research.

[35]  A. Stewart,et al.  Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. , 1999, Medical care.

[36]  M J Hensley,et al.  Self-management education and regular practitioner review for adults with asthma. , 2002, The Cochrane database of systematic reviews.

[37]  A. Buist,et al.  Validation of a standardized version of the Asthma Quality of Life Questionnaire. , 1999, Chest.

[38]  D. Schott-Baer,et al.  A pilot program to increase self-care of adult asthma patients. , 1999, Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses.

[39]  J. Ignacio-García,et al.  Benefits at 3 yrs of an asthma education programme coupled with regular reinforcement , 2002, European Respiratory Journal.

[40]  N. Papadopoulos,et al.  Mechanisms of rhinovirus-induced asthma , 2004, Paediatric Respiratory Reviews.

[41]  T. Creer,et al.  A Self-Management Program for Adult Asthma. III. Maintenance and Relapse of Skills , 2001, The Journal of asthma : official journal of the Association for the Care of Asthma.