1.10. Literature review
In 2003, a study was conducted to measure the effects of individual self-management education on clinical, biological, and adherence outcomes in asthma, using a prospective, randomized controlled trial of 65 adults with mild-to-moderate asthma, they examined whether an educational self-management intervention would improve adherence to inhaled corticosteroid therapy, decrease markers of airway inflammation, and improve clinical control [34]. Peak flow, symptoms, and adherence were monitored for 7 weeks. After a 1-week run-in, subjects were assigned randomly to either the educational intervention or control group. The 30-minute intervention was delivered and reinforced at biweekly intervals.
They suggesting that asthmatic …show more content…
Six studies compared optimal self-management allowing self-adjustment of medications according to an individualized written action plan to adjustment of medications by a doctor. These two styles of asthma management gave equivalent effects for hospitalization, emergency room (ER) visits, unscheduled doctor visits and nocturnal asthma. Self-management using a written action plan based on peak expiratory flow (PEF) was found to be equivalent to self-management using a symptoms based written action plan in the six studies which compared these interventions. Three studies compared self-management options. One of these studies the patients provided with optimal therapy but regular review was omitted. Omission was found to be associated with more health center visits and sickness days. One of these trials , compared high and low intensity education, the latter was associated with more unscheduled doctor visits. In contrast one of these trials found no difference in health care utilization or lung function was reported between verbal instruction and written action
In 2003, a study was conducted to measure the effects of individual self-management education on clinical, biological, and adherence outcomes in asthma, using a prospective, randomized controlled trial of 65 adults with mild-to-moderate asthma, they examined whether an educational self-management intervention would improve adherence to inhaled corticosteroid therapy, decrease markers of airway inflammation, and improve clinical control [34]. Peak flow, symptoms, and adherence were monitored for 7 weeks. After a 1-week run-in, subjects were assigned randomly to either the educational intervention or control group. The 30-minute intervention was delivered and reinforced at biweekly intervals.
They suggesting that asthmatic …show more content…
Six studies compared optimal self-management allowing self-adjustment of medications according to an individualized written action plan to adjustment of medications by a doctor. These two styles of asthma management gave equivalent effects for hospitalization, emergency room (ER) visits, unscheduled doctor visits and nocturnal asthma. Self-management using a written action plan based on peak expiratory flow (PEF) was found to be equivalent to self-management using a symptoms based written action plan in the six studies which compared these interventions. Three studies compared self-management options. One of these studies the patients provided with optimal therapy but regular review was omitted. Omission was found to be associated with more health center visits and sickness days. One of these trials , compared high and low intensity education, the latter was associated with more unscheduled doctor visits. In contrast one of these trials found no difference in health care utilization or lung function was reported between verbal instruction and written action