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A self-management program for adult asthma. Part I: Development and evaluation
H Kotses1, I L Bernstein, D I Bernstein
1Ohio University, Athens 45701.
The Journal of Allergy and Clinical Immunology
|February 1, 1995
Summary
This study shows that a self-management program significantly improved asthma control. Patients experienced fewer symptoms, reduced medication needs, and enhanced skills a year later.
Area of Science:
- Pulmonology
- Behavioral Science
- Health Education
Background:
- Developed and evaluated a self-management program for adult asthma.
- Incorporated educational components and environmental cues for behavior control.
- Focused on improving asthma management in adults with generally controlled conditions.
Purpose of the Study:
- To assess the effectiveness of a novel self-management program for adult asthma.
- To evaluate both short-term and long-term impacts on asthma control and patient skills.
- To determine if the program enhances patient self-management capabilities.
Main Methods:
- Randomized controlled trial with 76 adult asthma patients.
- A 7-week self-management training program for the treatment group.
- Short-term and long-term evaluations comparing treatment and control groups.
Main Results:
- Short-term: Reduced asthma symptoms, fewer physician visits, improved management skills and cognition.
- Long-term: Lower asthma attack frequency, decreased medication use, sustained cognitive improvements, and increased self-management skills.
- Program effects were evident one year post-intervention.
Conclusions:
- The self-management program effectively enhanced asthma management in adults with existing medical control.
- The positive effects of the program persisted for at least one year after training completion.
- Environmental cues and educational strategies were key components of the successful intervention.
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