המידע באדיבות medicontext.co.il
Last Updated: 2001-08-02 13:32:18 EDT (Reuters Health)
WESTPORT, CT (Reuters Health) – Results of a recent study suggest that participants in the Asthma Self-Management Program (ASMP), "an education program designed to improve self-management skills and daily functioning in individuals with asthma," show improvement in functional status and productivity, health resource utilization and satisfaction with healthcare.
"The ASMP is an 8-week classroom program that provides information on the respiratory system, trigger avoidance, use of monitoring techniques, and asthma medications," Dr. John E. Paul, of Glaxo Wellcome, Inc., in Research Triangle Park, North Carolina, and colleagues explain. After completing the program, participants were contacted at 3, 6, 12, and 24 months to reinforce skills learned and to collect outcomes data.
Dr. Paul and colleagues report the results of 2 years of follow-up for 110 individuals who completed the program and provided data at baseline, 1 year and 2 years.
At follow-up, the subjects had significant improvements in all domains of functioning, including emotional well-being, daily work, social activities, and physical activities, the researchers report in the June issue of the Journal of Asthma. "In the areas of emotional well-being and social activities, the percentage of individuals reporting no impact of asthma continued to increase at 2 years," they write.
Compared with baseline, the mean number of nights per week that subjects woke because of asthma symptoms decreased by 61.5% at 2 years. The average number of days participants were less productive also dropped significantly (83.2%) after 2 years.
The average number of days of missed work, school, or usual activities because of asthma was 2.9 before completing the ASMP. While there was no change at 1-year follow-up, after 2 years, the amount of time was reduced by nearly 50%.
The team observed a 77.4% decrease in the number of days hospitalized at 1-year follow-up. At 2 years, the number of days was 63.9% lower than baseline. "At both follow-up time points, however, fewer participants reported being hospitalized than at baseline," they note.
There was an 86% reduction in the mean number of visits to the emergency department at 2 years and the number of urgent care visits was less than half that at baseline. Scheduled visits by participants increased at 1 year, but fell below baseline values by 2 years.
"At baseline, 68.6% of participants were satisfied or very satisfied with the healthcare they received for asthma," Dr. Paul and colleagues explain. "One year after training, this figure had increased to 85.3% (p < 0.01)." They add, "Two years after the program, 77.8% of participants reported that they were satisfied or very satisfied with their healthcare for asthma (p < 0.05)."
J Asthma 2001;38:321-330.
-Westport Newsroom 203 319 2700
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