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Educational intervention for older people with asthma: a randomised controlled trial
Dianne Goeman1, Christine Jenkins, Melanie Crane
1RDNS Institute, Royal District Nursing Service, St Kilda, Australia; Central Clinical School, Monash University, Melbourne, Australia.
Patient Education and Counseling
|September 7, 2013
Summary
Tailored education using the Patient Asthma Concerns Tool (PACT) significantly improved asthma control and medication adherence in older adults. This approach addresses unmet needs, enhancing overall asthma management and quality of life.
Area of Science:
- Geriatric Medicine
- Respiratory Medicine
- Health Education
Background:
- Asthma management in older adults presents unique challenges.
- Identifying and addressing patient-specific concerns is crucial for effective treatment.
- The Patient Asthma Concerns Tool (PACT) was developed to uncover unmet needs.
Purpose of the Study:
- To evaluate the effectiveness of the PACT in improving asthma control and medication adherence in older individuals.
- To assess the impact of person-centred education, guided by PACT, on various asthma outcomes.
Main Methods:
- A single-blind, randomized controlled trial was conducted with community-dwelling adults over 55.
- Participants received either person-centred education (including device technique) or written information only.
- Asthma control, medication adherence, quality of life, and exacerbations were measured at baseline, 3, and 12 months.
Main Results:
- The intervention group showed significant improvements in asthma control and adherence to preventer medication.
- Reduced asthma exacerbations and enhanced quality of life were observed in the intervention group.
- Increased asthma action plan ownership was noted at both 3 and 12 months post-intervention.
Conclusions:
- Tailored educational interventions that address specific patient concerns and unmet needs can substantially improve asthma outcomes in older adults.
- Utilizing the PACT empowers health professionals to enhance patient health literacy by targeting knowledge and perception gaps.
- This person-centred approach is effective in optimizing asthma management for the elderly population.
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