Asthma action plan for proactive bronchial asthma self-management in adults: a randomized controlled trial

Farag, Hassan; El‐Wahab, Ekram W. Abd; El-Nimr, Nessrin A.; El-Din, Hoda A Saad

doi:10.1093/inthealth/ihy050

Cited by 19 publications

(14 citation statements)

References 35 publications

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“…18,19 Medication adherence was the primary outcome in 16 studies 18,[20][21][22]24,30,31,40,43,44,[47][48][49]51,53,55 and the secondary outcome in 12 studies. 19,26,[32][33][34][35][36][37]39,50,52,54 In 12 studies, there was no specified outcome. 23,25,[27][28][29]38,41,42,45,46,56,57 Follow-up varied from 1 to 24 months, 24,51 in which 6 months was the most common.…”

Section: Overview Of Included Studiesmentioning

confidence: 99%

Personalized Medication Adherence Management in Asthma and Chronic Obstructive Pulmonary Disease: A Review of Effective Interventions and Development of a Practical Adherence Toolkit

Hei

Dierick

Aarts

et al. 2021

The Journal of Allergy and Clinical Immunology: In Practice

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Section: Overview Of Included Studiesmentioning

confidence: 99%

Personalized Medication Adherence Management in Asthma and Chronic Obstructive Pulmonary Disease: A Review of Effective Interventions and Development of a Practical Adherence Toolkit

Hei

Dierick

Aarts

et al. 2021

The Journal of Allergy and Clinical Immunology: In Practice

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“…[1][2][3] Clinicians and researchers employ written action plans for other chronic illnesses, such as asthma, to encourage disease selfmanagement and efficacy. [4][5][6][7] Data regarding the utility of written action plans for chronic disorder treatment and management, such as for epilepsy, is indeed conflicting 6 and deserving of further research and validation. A recent randomized controlled trial of an Asthma Action Plan in adults with chronic asthma did show some benefit in patient outcomes.…”

Section: Introductionmentioning

confidence: 99%

“…A recent randomized controlled trial of an Asthma Action Plan in adults with chronic asthma did show some benefit in patient outcomes. 7 The Epilepsy Foundation developed a written seizure action plan currently used in practice across the United States, 8 but little is known regarding the efficacy of such a written plan for use in the pediatric population.…”

Section: Introductionmentioning

confidence: 99%

Seizure Action Plans for Pediatric Patients With Epilepsy: A Randomized Controlled Trial

et al. 2019

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Objectives: Seizure action plans help patients and caregivers better self-manage their epilepsy. We hypothesized that providing pediatric patients and their caregivers with a seizure action plan would reduce unplanned health care utilization and decrease the impact of epilepsy. Methods: We developed a seizure action plan for use in pediatric epilepsy patients. A prospective cohort was randomly assigned to receive a seizure action plan in addition to standard epilepsy care or to standard epilepsy care alone. All caregivers were surveyed using the Modified Impact on Families (MIF) questionnaire at enrollment, 3 months, and 12 months. Health care utilization measures and Modified Impact on Families questionnaire scores were compared between the 2 groups. Results: Fifty-four patients received a seizure action plan and standard care, whereas 48 received standard care alone. The groups had similar demographics. There was a significantly higher proportion of overall clinic appointment no shows in the standard care group vs the seizure action plan group ( P = .04); however, other significant differences in health care utilization were not found. Among patients with low seizure frequency (12 or fewer seizures per year), Seizure comfort scores on the Modified Impact on Families questionnaire were significantly higher at 12 months among the seizure action plan group compared to the standard care group. Significance: Caregivers for patients with epilepsy receiving a seizure action plan were more comfortable regarding seizure care and missed fewer appointments. However, differences in health care utilization were not present. The seizure action plan appears to have more impact in patients who experience lower seizure frequencies. Further studies evaluating the impact as well as assessing caregivers’ perceptions of the seizure action plan using a larger sample are needed.

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“…Action plans can supplement education from HCPs and can be customized to individual patients [1]. These types of plans have been successfully developed for chronic conditions such as asthma and diabetes [3,4].…”

Section: Introductionmentioning

confidence: 99%

Recommendations for development of acute seizure action plans (ASAPs) from an expert panel

Penovich¹,

Glauser²,

Becker³

et al. 2021

Epilepsy & Behavior

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Purpose of review: Disease-related treatment action plans for acute exacerbations providing information that may be helpful for self-management for patients and caregivers are commonly used for chronic conditions such as asthma and diabetes. However, among patients with epilepsy, a review of the literature suggested that the majority did not have an action plan in place for acute seizure treatment. Recent findings: Currently, there is a lack of unified guidance on seizure action plans (SAPs) in the literature. In the authors' opinion, available formats have limitations for practical use and may not be easily customizable to individual patients, and they are not often designed to provide simple-to-follow steps for rapid immediate steps to determine and initiate appropriate treatment of seizure emergencies. Our group reviewed current examples of SAPs and provided guidance on the development of acute seizure action plans (ASAPs) designed to facilitate rapid, appropriate acute care in the community and to be as useful as possible for a wide range of care partners, including those with limited experience. Summary: This paper provides agreed upon expert opinion recommendations and considerations for goals, development process, types of content, and format for an ASAP.

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Asthma action plan for proactive bronchial asthma self-management in adults: a randomized controlled trial

Abstract: AAP was the basis for effective patient-health care provider communication and patient real time asthma flare-up self-management to achieve and sustain better asthma control in asthmatic adults.

Cited by 19 publications

References 35 publications

Personalized Medication Adherence Management in Asthma and Chronic Obstructive Pulmonary Disease: A Review of Effective Interventions and Development of a Practical Adherence Toolkit

Personalized Medication Adherence Management in Asthma and Chronic Obstructive Pulmonary Disease: A Review of Effective Interventions and Development of a Practical Adherence Toolkit

Seizure Action Plans for Pediatric Patients With Epilepsy: A Randomized Controlled Trial

Recommendations for development of acute seizure action plans (ASAPs) from an expert panel

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