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Related Experiment Videos

Asthma education programme in Russia: educating patients

Maslennikova GYa1, M E Morosova, N V Salman

  • 1National Research Centre for Preventive Medicine, Ministry of Health of the Russian Federation, Moscow, Russia.

Patient Education and Counseling
|September 11, 1998
PubMed
Summary

US asthma guidelines improved care for Russian children. Patient education significantly enhanced self-management skills, leading to better asthma control and fewer doctor visits.

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Area of Science:

  • Pediatrics
  • Public Health
  • Respiratory Medicine

Background:

  • Rising asthma morbidity and mortality in Russia necessitates improved management strategies.
  • Existing US asthma management guidelines offer a potential framework for intervention.
  • Adaptation of international guidelines is crucial for effective implementation in diverse healthcare settings.

Purpose of the Study:

  • To evaluate the acceptability and effectiveness of US asthma management recommendations in Moscow.
  • To assess the impact of patient education on asthma self-management skills and clinical outcomes in children.
  • To determine if guideline-based education influences the utilization of modern asthma medications.

Main Methods:

  • An intervention study involving 252 children (aged 4-14) with asthma and their parents across eight Moscow clinics.

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  • Randomized controlled trial comparing an education group with a control group for children with recent asthma attacks.
  • Inclusion of comparison groups to control for medication availability and natural disease progression.

    • Main Results:

    • Significant improvements in asthma self-management skills were observed exclusively in the education group.
    • Children in the education group showed increased use of anti-inflammatory drugs and improved peak flow rates.
    • Reduced daily peak flow variability and fewer physician visits were noted in the education group compared to controls.

    Conclusions:

    • Adapted US asthma management guidelines, delivered through patient education, are effective in improving pediatric asthma care in Russia.
    • Enhanced self-management skills and appropriate medication use contribute to reduced asthma morbidity.
    • This intervention demonstrates the potential for international guideline adaptation to address public health challenges in pediatric respiratory diseases.