Related Experiment Video
Updated: May 21, 2026
14:39
Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma
Published on: November 4, 2010
Internet-based self-management compared with usual care in adolescents with asthma: a randomized controlled trial
E R V M Rikkers-Mutsaerts1, A E Winters, M J Bakker
1Department of Pediatrics, Leiden University Medical Centre, Leiden, The Netherlands. e.r.v.m.rikkers-mutsaerts@lumc.nl
Pediatric Pulmonology
|May 31, 2012
Summary
Internet-based self-management (IBSM) improved asthma quality of life and control in adolescents after 3 months. However, these benefits for adolescent asthma management were not sustained at 12 months.
Area of Science:
- Pediatric Pulmonology
- Digital Health
- Adolescent Medicine
Background:
- Poor asthma control is prevalent in adolescents, leading to significant morbidity.
- Internet-based self-management (IBSM) has shown efficacy in improving asthma-related quality of life in adults.
- This study investigated the potential of IBSM to enhance asthma management in adolescents.
Purpose of the Study:
- To evaluate the effectiveness of IBSM on asthma-related quality of life and asthma control in adolescents.
- To assess the short-term and long-term impact of IBSM compared to usual care.
Main Methods:
- A randomized controlled trial was conducted with adolescents (12-18 years) diagnosed with persistent, uncontrolled asthma.
- Participants were assigned to either IBSM or usual care (UC) groups, with a 1-year follow-up period.
- Outcomes, including the Pediatric Asthma Quality of Life Questionnaire (PAQLQ) and Asthma Control Questionnaire (ACQ), were analyzed using linear mixed-effects models.
Main Results:
- At 3 months, IBSM significantly improved PAQLQ scores (0.40 points, P < 0.01) and ACQ scores (-0.32 points, P < 0.01) compared to UC.
- At 12 months, the between-group differences in PAQLQ (-0.05 points, P = 0.85) and ACQ (-0.05 points, P = 0.75) were not statistically significant.
- These findings indicate a transient positive effect of IBSM on adolescent asthma control and quality of life.
Conclusions:
- Internet-based self-management demonstrated a significant short-term improvement in asthma-related quality of life and asthma control for adolescents.
- The positive effects of IBSM on adolescent asthma management diminished by the 12-month follow-up.
- Further research is needed to optimize IBSM interventions for sustained benefits in adolescent asthma care.
Related Concept Videos
01:30Asthma-IV: Nursing Management
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
01:30Asthma-IV: Diagnostic and Management
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
01:20Asthma: Pathogenesis and Management
Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
01:26COPD: Management Using Bronchodilators and Corticosteroids
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
01:29Asthma-I: Introduction
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
01:13Asthma III: Clinical Manifestations
Asthma presents with a characteristic pattern of episodic respiratory symptoms that reflect underlying airway inflammation, bronchoconstriction, and mucus hypersecretion. Although severity varies among individuals, certain clinical manifestations are considered hallmarks of the disorder and often guide diagnosis and assessment.Respiratory SymptomsA persistent cough is one of the most common early features of asthma. It is frequently dry and tends to worsen at night or in the early morning,...