Efficacy of an individualized written home‐management plan in the control of moderate persistent asthma: A randomized, controlled trial

Abstract

Background: The management of childhood asthma necessitates a comprehensive approach including pharmacological treatment as well as education about self‐evaluation and home management of the condition. Aim: To evaluate the efficacy of adding an individualized written home‐management plan in the control of moderate persistent asthma. Methods: Children with moderate persistent asthma were randomized to receive either an individualized written home‐management plan or no plan, in addition to standard asthma therapy including education. They were followed up with serial measurement of outcome variables. Results: Children receiving an individualized written home‐management plan had fewer acute asthma events, fewer lost school days, lower symptom score and less nocturnal awakening than those who did not receive a written plan. Conclusion: The addition of a written individualized home‐management plan improves overall control in children with moderate persistent asthma.

Systematic Review of Randomized Controlled Trials Examining Written Action Plans in Children

“…For the purposes of analysis, this yielded a total of 5 distinct comparator arms (or between-group comparisons) examining 2 types of action plan. With regard to testing the efficacy of a written action plan over none, only 1 full-text publication trial involving 68 schoolaged children was identified 25 (Figure 1). Table 1 summarizes the methodological quality of the included studies, all of which were parallel-group designs.…”

“…Agrawal et al, 25 10 includes an extra zone between zones 1 and 2 for the symptom-based written action plan and a zone between zones 2 and 3 for both written action plans. less than 2-hour relief with a bronchodilator, and/or severe symptoms).…”

“…This review is the first to include a study 25 comparing a written asthma action plan against a control group in a pediatric population with all cointerventions being similar. This peak flow monitoring-based study concluded that written action plans improve overall asthma control by reducing acute asthma events, school days missed, nocturnal awakenings, and symptom score.…”

Urban Minority Children with Asthma: Substantial Morbidity, Compromised Quality and Access to Specialists, and the Importance of Poverty and Specialty Care

“…Although data are limited on whether having an asthma care plan is superior to none (24), a randomized, controlled trial documented that having a care plan was associated with significantly fewer asthma exacerbations, fewer missed school days, lower symptom scores, and less nocturnal awakening (25). Written asthma care plans also are associated with reduced odds of asthma ED visits and hospitalizations in children (26), and 90% of urban parents in one study cited asthma care plans as useful in managing children's asthma exacerbations (27).…”

Indikationen und Konzepte der Kinderrehabilitation

“…Auch muss der Patient in der richtigen Behandlungsdurchführung geschult werden. Zu diesem Zweck kommen evidenzbasierte Schulungsprogramme, die auf die Altersgruppe der Kinder und Jugendlichen abgestimmt sind, zum Einsatz [28,29,30,31]. Ergänzt wird das medizinische Rehabilitationsangebot durch entsprechende Sport-und Physiotherapiemaßnahmen, um die körperliche Leistungsfähigkeit zu steigern und dadurch langfristig wieder eine Medikamentenreduktion zu erreichen [32,33].…”