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Short and long-term evaluation of two structured self management programmes on asthma
M Neri1, A Spanevello, M Ambrosetti
1Divisione di Pneumologia, Fondazione Salvatore Maugeri, Clinica del Lavoro e della Riabilitazione, IRCCS, Istituto di Tradate, Italy. mneri@fsm.it
Summary
Both basic and asthma school educational programs significantly improve asthma self-management, including lung function (FEV1), disease knowledge, and inhalation skills, for at least three years. No significant differences were found between the two educational approaches.
Area of Science:
- Adult Education
- Respiratory Medicine
- Health Sciences
Background:
- Patient self-management is a key focus in adult education programs for chronic conditions.
- Asthma management requires ongoing patient education to improve outcomes.
Purpose of the Study:
- To evaluate the short-term (1-year) and long-term (3-year) efficacy of two distinct educational programs for adult asthma patients.
- To compare the effectiveness of a basic educational program versus an "asthma school" program.
Main Methods:
- Forty adult asthma patients were randomized into two groups: a basic educational program or an "asthma school" program.
- Efficacy was assessed by measuring changes in pulmonary function (FEV1), disease knowledge, and inhalation technique skills.
- Data were collected at baseline, one year, and three years post-intervention.
Main Results:
- Both educational programs led to significant improvements in FEV1, disease knowledge, and inhalation technique from baseline to one and three years.
- No statistically significant differences in efficacy were observed between the basic program and the "asthma school" program at any time point.
- Improvements in all measured variables were sustained at the three-year follow-up for both groups.
Conclusions:
- Both basic and "asthma school" educational programs are effective in improving asthma self-management in adults.
- A basic educational program is as effective as a more comprehensive "asthma school" program for improving lung function, knowledge, and skills.
- These findings support the implementation of accessible educational interventions for long-term asthma control.