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Giving Asthma Support to Patients (GASP) program evaluation
Nicholas A Zwar1, Iqbal Hasan2, Andrew Hayen3
1MBBS, MPH, PhD, FRACGP, Executive Dean, Faculty of Health Sciences and Medicine, Bond University, Qld; Conjoint Professor of General Practice, School of Public Health and Community Medicine, The University of New South Wales, NSW.
Background And Objectives:
The Giving Asthma Support to Patients (GASP) program, developed in New Zealand, guides practice nurses to provide structured asthma care. This study assessed GASP in the context of Australian general practice.
Method:
The study used a pre-post design and was conducted in 19 practices in Western Sydney and Illawarra/Shoalhaven. Patients aged 5-70 years with moderate-to-severe asthma were invited to participate. Of the 289 patients who attended an initial GASP consultation, 153 attended for one or more follow-up visits. Outcomes were exacerbations requiring medical intervention in the previous 12 months, asthma control in the previous four weeks and quality of asthma care at the time of GASP consultation.
Results:
There was a decrease in patients having one or more exacerbations (113 [74%] versus 80 [52%], P <0.001), and an increase in patients with good asthma control (21 [14%] versus 40 [26%], P <0.005). There was no significant change in the quality of asthma care variable.
Discussion:
Implementation of the GASP program was associated with improvement in asthma outcomes.
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