Ten-Year Follow-Up of Early Intensive Self-Management Guidance in Newly Diagnosed Patients with Asthma

Kauppinen, Ritva; Vilkka, Vesa; Hedman, J.; Sintonen, Harri

doi:10.3109/02770903.2011.616254

Cited by 9 publications

(12 citation statements)

References 34 publications

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“…points. (11) Although it have been suggested that self-management effectiveness is reduced when assessed over long-term follow-up (24), this study showed that patients had a good compliance and asthma control has been improved in a period over one year. A possible explanation for this situation could be the fact that the patients knew they were in a study and that they had to come for re-evaluation every three months, while in the study of Kauppinen et al, the patients were assessed for a much longer period (> 10 years).…”

Section: Discussionmentioning

confidence: 54%

The efficacy of a mobile phone application to improve adherence to treatment and self-management in people with chronic respiratory disease in Romanian population – a pilot study

Munteanu

Frandeș

Timar

et al. 2019

Preprint

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Background Many studies assessed the effect of mobile phone applications on self-management outcomes in patients with asthma but all of them presented different results. In this paper we examined the effect of a mobile phone application on self-management and disease control in Romanian population.Material and methods This study included 93 patients diagnosed with asthma that were recalled every three months for a year for assessment and treatment. Patients were divided into two groups. The first group included patients that received treatment and the second group received treatment and also used the smartphone application. Number of exacerbations and asthma control test (ACT) were recorded.Results ACT score was significantly higher for patients using also the mobile application than for the patients using the treatment alone, Mann-Whitney U test, p < 0.001. When considering the exacerbations rate, the patients not using the application presented an insignificant lower number of exacerbations than the group using the application, 40.74% vs. 58.97%, respectively, chi-square test, X 2 (1) = 3.105, p = 0.081. The number of exacerbations without hospitalization was significantly higher in case of the first group, when comparing to the second group, 46.3% vs 10.26%, X 2 (1) = 13.71, p < 0.001.Conclusion Our study indicates that smartphone applications are an effective way to improve asthma control and self-management when used continually in our population. We found significant positive effects in disease control and exacerbation frequency.

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Section: Discussionmentioning

confidence: 54%

The efficacy of a mobile phone application to improve adherence to treatment and self-management in people with chronic respiratory disease in Romanian population – a pilot study

Munteanu

Frandeș

Timar

et al. 2019

Preprint

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“…No data was reported on mortality, asthma control or annual FEV 1 decline. patients were found to be in control after ten years of follow-up [36]. In the study of Porpodis et al, 225 asthma turned out to be milder after 12 years of follow-up in the majority of patients (see Table 2B) 226 [37].…”

mentioning

confidence: 93%

“…In the study of 299 Porpodis et al, the severity of asthma turned out to be milder after 12 years of follow-up but 34% of 300 the patients were still considered to have either moderate or severe asthma [37]. In a Finnish study 301 [36] of new-onset asthma diagnosed at adult age, 76% of asthmatics were not in control after ten …”

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confidence: 96%

Prognosis of new-onset asthma diagnosed at adult age

Tuomisto

Ilmarinen

Kankaanranta

2015

Respiratory Medicine

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“…Despite many self-management programs that have been developed for both adults 11–20 and children 21–27 in the past 3 decades, results have been mixed in terms of success. 28,29 At the same time, it is also important to recognize the effect of other comorbidities and how they could affect the effectiveness of these interventions.…”

Section: Introductionmentioning

confidence: 99%

Effect of depressive symptoms on asthma intervention in urban teens

Guglani

Havstad

Johnson

et al. 2012

Annals of Allergy, Asthma & Immunology

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Background The literature suggests that depression is an important comorbidity in asthma that can significantly influence disease management and quality of life (QOL). Objective To study the effect of coexisting depressive symptoms on the effectiveness of self-management interventions in urban teens with asthma. Methods We analyzed data from a randomized controlled trial of Puff City, a web-based, tailored asthma management intervention for urban teens, to determine whether depression modulated intervention effectiveness for asthma control and QOL outcomes. Teens and caregivers were classified as depressed based on responses collected from baseline questionnaires. Result Using logistic regression analysis, we found that a lower percentage of treatment students had indicators of uncontrolled asthma compared with controls (adjusted odds ratios <1). However, for teens depressed at baseline, QOL scores at follow-up were significantly higher in the treatment group compared with the control group for the emotions domain (adjusted relative risk, 2.08; 95% confidence interval, 1.2–3.63; P = .01; interpreted as emotional QOL for treatment students increased by a factor of 2.08 above controls). Estimates for overall QOL and symptoms QOL were borderline significant (adjusted relative risk, 1.57; 95% confidence interval, 0.93–2.63; P = .09; and adjusted relative risk, 1.72; 95% confidence interval, 0.94–3.15; P = .08; respectively). Among teens not depressed at baseline, no significant differences were observed between treatment and control groups in QOL domains at follow-up. Conclusion Our results suggest that depression modified the relationship between the effectiveness of an asthma intervention and emotional QOL in urban teens. Further assessment of self-management behavioral interventions for asthma should explore the mechanism by which depression may alter the intervention effect.

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Ten-Year Follow-Up of Early Intensive Self-Management Guidance in Newly Diagnosed Patients with Asthma

Cited by 9 publications

References 34 publications

The efficacy of a mobile phone application to improve adherence to treatment and self-management in people with chronic respiratory disease in Romanian population – a pilot study

The efficacy of a mobile phone application to improve adherence to treatment and self-management in people with chronic respiratory disease in Romanian population – a pilot study

Prognosis of new-onset asthma diagnosed at adult age

Effect of depressive symptoms on asthma intervention in urban teens

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