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Canadian paediatric asthma action plans and their correlation with current consensus guidelines
Megan E MacGillivray1, Michael P Flavin2
1Queen's University, School of Medicine, Kingston, Ontario;
Paediatrics & Child Health
|October 22, 2014
Summary
Canadian paediatric asthma action plans show variability in format and content, leading to confusion. National standardization of symptom descriptors and guideline adherence is needed for improved asthma management.
Area of Science:
- Pediatric pulmonology
- Respiratory medicine
- Asthma management
Background:
- Written asthma action plans are standard but vary in content and format.
- This variability leads to inconsistent educational messages, patient confusion, and suboptimal health outcomes.
Purpose of the Study:
- To assess Canadian paediatric written asthma action plans for consistency.
- Evaluated format, layout, zone symptoms, treatment options, and guideline adherence.
Main Methods:
- Analyzed 17 written action plans from Canadian paediatric hospitals and national organizations.
- Assessed similarities and differences in plan content and structure.
Main Results:
- 76% of plans had three zones; 82% used a traffic light design.
- Plans varied between symptom-based (59%) and combined approaches (41%).
- Limited concordance with 2012 guidelines; symptom descriptors and treatment clarity were inconsistent.
Conclusions:
- Canadian paediatric asthma action plans require national standardization of symptom descriptors.
- Incorporate asthma trigger information and emphasize common colds as symptom harbingers.
- Improve adherence to national asthma care guidelines for better patient outcomes.
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