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Asthma self-management: do patient education programs always have an impact?
W C Bailey1, C L Kohler, J M Richards
1Division of Pulmonary and Critical Care Medicine, University of Alabama at Birmingham; the Veterans Affairs Medical Center, 35233-7337, USA. wcbailey@uab.edu
Archives of Internal Medicine
|February 9, 2000
Summary
Asthma self-management programs did not improve outcomes compared to usual care in this study. Improved usual care standards likely reduced the potential benefit of these educational interventions.
Area of Science:
- Pulmonary Medicine
- Health Services Research
Background:
- Asthma self-management programs have previously improved patient outcomes.
- Idealized, multi-component programs are often effective but difficult to replicate.
Purpose of the Study:
- To evaluate a replicated and a modified asthma self-management program against usual care.
- To determine if simplified self-management interventions are effective in non-academic settings.
Main Methods:
- A randomized controlled trial compared three groups: replicated program, modified program, and usual care.
- Outcomes measured included adherence, symptoms, respiratory illness, functional status, and healthcare utilization.
Main Results:
- All groups showed improvements in respiratory illness, healthcare use, and functional status.
- No significant differences in outcomes were observed between the education groups and the usual-care group.
Conclusions:
- The study's findings contradict previous research on asthma self-management efficacy.
- Patient population selection and advancements in usual asthma care likely minimized the impact of the self-management programs.
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