Effect of educational programs on asthma control and qualitiy of life in adult asthma patients

Urek, Marija Crnčević; Tudorić, Neven; Plavec, Davor; Urek, Roman; Koprivc-Milenović, Tanja; Stojić, Maristela

doi:10.1016/j.pec.2004.06.010

Cited by 33 publications

(33 citation statements)

References 28 publications

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“…Our findings regarding increased perceived knowledge about IBS and satisfaction with that knowledge after the IBS-school, are in line with several other studies reporting that patients gain knowledge about their disorders after education [15,19,20]. Our patients also experienced that they reached their individual goal during the education, which correlates well with an enhanced ability to cope with symptoms in daily life.…”

Section: Discussionsupporting

confidence: 91%

“…Educational interventions have been performed and found to be useful for patients with different kinds of chronic diseases such as inflammatory bowel disease [15], diabetes [16], generalized chronic musculoskeletal pain [17], rheumatic diseases [18], asthma [19], and coronary artery disease [20]. Some educational interventions have also been evaluated in IBS patients with satisfying results [21-23].…”

Section: Introductionmentioning

confidence: 99%

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Development of an educational intervention for patients with Irritable Bowel Syndrome (IBS) – a pilot study

et al. 2009

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BackgroundMany IBS patients experience that they receive limited information and that the health care system does not take their complaints seriously. We aimed to develop a structured patient education, an 'IBS school', and investigate if the efficacy could be evaluated in terms of improved knowledge, symptom severity and health related quality of life (HRQOL).MethodsThe IBS school consisted of six weekly two hour sessions in a group setting. Five different health care professionals were responsible for one session each. Questionnaires covering patients' experience of the education, perceived knowledge about IBS, gastrointestinal symptoms, and HRQOL, were used for evaluation at baseline and at three, six, and twelve months after education.ResultsTwelve IBS patients were included. The patients were overall satisfied with the IBS school. In line with this, the gastrointestinal symptoms, HRQOL, and perceived knowledge about IBS improved significantly after the education.ConclusionAn IBS school seems to be a proper method to meet the patients' need of information about IBS and also to improve the patients' gastrointestinal symptoms, HRQOL, and knowledge about IBS. Further controlled studies are now needed in larger numbers of patients to confirm these preliminary results in order to implement this intervention in clinical practice.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Development of an educational intervention for patients with Irritable Bowel Syndrome (IBS) – a pilot study

et al. 2009

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“…The absence of these components from the structure of the program presented in the present study did not, however, prevent patients from gaining a deeper understanding of asthma or from presenting clinical improvement, as has been observed in randomized controlled studies. Other authors (23) investigated patients with moderate asthma who participated in three distinct types of educational intervention (verbal information provided to patients individually; written information; and asthma classes) and reported that the patients who attended asthma classes showed a better understanding of the disease; in addition, improvement of symptoms was similar in all groups. However, a study involving 127 adult asthma patients who participated in a structured program (compared with 111 patients who did not) showed a significant reduction in the number of days on which asthma symptoms manifested, as well as in the use of oral corticosteroids, among those who participated in the program.…”

Section: Discussionmentioning

confidence: 99%

Avaliação de dois anos de um programa educacional para pacientes ambulatoriais adultos com asma

Angelini

Robles²,

Carvalho-Pinto³

et al. 2009

J. bras. pneumol.

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Objective: To evaluate the understanding of asthma and the clinical improvement in patients with moderate or severe persistent asthma prior to and after their participation in an educational program presented during the routine outpatient visits. Methods: This was a prospective pilot study involving 164 patients over a two-year period. The educational program, presented to small groups on outpatient visit days, consisted of lectures divided into three parts: pathophysiology; environmental control; and treatment, including training in the inhalation technique. The program was evaluated using standardized questionnaires on clinical improvement and understanding of the disease. Results: By the end of the first year, 120 patients had completed three visits, and 51 of those patients were revaluated at the end of the second year. The mean age of the patients was 44 years, 70% were female, and 43% had up to eight years of schooling. The educational intervention significantly increased the understanding of the disease (p < 0.001), and allowed greater clinical improvement (p < 0.05) with a decrease in the use of oral corticosteroids, fewer visits to the emergency room and fewer days missed from work or school. Conclusions: The educational program offered during the routine outpatient visits of adult patients with asthma at our clinic resulted in a progressive long-term increase in knowledge, as well as in clinical improvement.Keywords: Asthma; Adult; Patient education as topic. ResumoObjetivo: Avaliar o conhecimento da doença e a melhora clínica de portadores de asma persistente moderada e grave antes e após a sua participação em um programa de educação realizado durante as visitas ambulatoriais de rotina. Métodos: Trata-se de um estudo piloto, prospectivo que envolveu 164 pacientes durante um período de dois anos. O programa de educação, oferecido para pequenos grupos nos dias de consulta, consistiu de aulas expositivas divididas em três módulos: fisiopatologia, controle ambiental e tratamento, incluindo o treinamento da técnica inalatória. Para a avaliação do programa, foram utilizados questionários padronizados sobre a melhora clínica e conhecimento da doença. Resultados: Em um ano, 120 pacientes completaram três visitas, e 51 pacientes foram reavaliados em dois anos. A média de idade dos pacientes foi de 44 anos, 70% eram do sexo feminino, e 43% tinham até oito anos de educação formal. A intervenção educacional aumentou o conhecimento da doença de forma significativa (p < 0,001) e possibilitou melhora clinica (p < 0,05) com a diminuição do uso de corticosteroide oral, redução de visitas ao serviço de emergência e menor número de faltas ao trabalho ou escola. Conclusões: O programa de educação expositivo oferecido durante a rotina de atendimento ambulatorial de adultos asmáticos de nosso serviço mostrou um crescente e progressivo aprendizado em longo prazo. Paralelamente, promoveu melhora clínica.Descritores: Asma; Adulto; Educação de pacientes como assunto. to participate in educational programs due to major ...

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“…Urek et al compared the use of individual verbal instruction (three one-hour sessions) with written asthma information (asthma booklet) and with asthma group classes (four hours of group education) in 60 adults with moderate persistent asthma during a three-month follow-up. They reported that asthma group classes and individual verbal education improved QoL and asthma control [24]. …”

Section: Discussionmentioning

confidence: 99%

Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital

Mishra

Kashif

Venkatram

et al. 2017

Canadian Respiratory Journal

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Objective. Asthma education programs have been shown to decrease healthcare utilization and improve disease control and management. The purpose of our study was to evaluate the impact of an outpatient adult asthma education program in an inner city hospital caring for patients with low socioeconomic and educational status. Methods. An asthma education program was implemented in September 2014. Patients who received education from September 2014 to July 2015 were evaluated. Outcomes were compared for the same group of patients before and after education. Primary outcomes were emergency room (ER) visits and hospital admissions. Secondary outcomes were change in Asthma Control Test (ACT) score and number of pulmonary clinic visits. Results. Asthma education significantly decreased number of patients requiring ER visits and hospital admissions (p = 0.0005 and p = 0.0015, resp.). Asthma control as per ACT score ≥ 20 improved with education (p = 0.0001) with an increase in clinic visits (p = 0.0185). Conclusions. Our study suggests that implementation of a structured asthma education program in an inner city community hospital has a positive impact on reduction of ER visits and hospital admissions with improvement in asthma control. Institutional Review Board Clinical Study registration number is 01081507.

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Effect of educational programs on asthma control and qualitiy of life in adult asthma patients

Cited by 33 publications

References 28 publications

Development of an educational intervention for patients with Irritable Bowel Syndrome (IBS) – a pilot study

Development of an educational intervention for patients with Irritable Bowel Syndrome (IBS) – a pilot study

Avaliação de dois anos de um programa educacional para pacientes ambulatoriais adultos com asma

Role of Adult Asthma Education in Improving Asthma Control and Reducing Emergency Room Utilization and Hospital Admissions in an Inner City Hospital

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