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Efficacy of an individualized written home-management plan in the control of moderate persistent asthma: a
Sunil K Agrawal1, Meenu Singh, Joseph L Mathew
1Department of Paediatrics, Advanced Paediatrics Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Insights
An individualized asthma home-management plan significantly improves control in children with moderate persistent asthma. This approach reduces acute events, school absences, and nighttime awakenings, enhancing overall well-being.
Area of Science:
- Pediatric Pulmonology
- Asthma Management
- Public Health
Background:
- Childhood asthma management requires a multifaceted strategy.
- This includes medication, self-monitoring, and home-based care.
- Effective home management is crucial for controlling persistent asthma.
Purpose of the Study:
- To assess the effectiveness of individualized written home-management plans.
- The focus was on improving control in children with moderate persistent asthma.
- Evaluating the impact on asthma-related outcomes.
Main Methods:
- Randomized controlled trial design.
- Participants: Children with moderate persistent asthma.
- Intervention: Individualized written home-management plan vs. standard care.
Main Results:
- Reduced acute asthma exacerbations in the intervention group.
- Fewer school days missed due to asthma.
- Lower symptom scores and less nocturnal awakenings observed.
Conclusions:
- Individualized written home-management plans enhance asthma control in children.
- This strategy leads to better symptom management and fewer disruptions.
- Supports the integration of tailored home plans into standard asthma care.
Background:
The management of childhood asthma necessitates a comprehensive approach including pharmacological treatment as well as education about self-evaluation and home management of the condition.
Aim:
To evaluate the efficacy of adding an individualized written home-management plan in the control of moderate persistent asthma.
Methods:
Children with moderate persistent asthma were randomized to receive either an individualized written home-management plan or no plan, in addition to standard asthma therapy including education. They were followed up with serial measurement of outcome variables.
Results:
Children receiving an individualized written home-management plan had fewer acute asthma events, fewer lost school days, lower symptom score and less nocturnal awakening than those who did not receive a written plan.
Conclusion:
The addition of a written individualized home-management plan improves overall control in children with moderate persistent asthma.
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