Randomized trial of self-management education in asthmatic patients and effects of depressive symptoms.

Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology
Carol A MancusoJohn P Allegrante

Abstract

Self-management education is a cornerstone of routine asthma care. To improve asthma knowledge and self-efficacy and to assess effects in patients with depressive symptoms. In a randomized trial, controls received asthma brochures and social support through frequent follow-up visits. Intervention patients made a contract to adopt a behavior to improve asthma and received a workbook, weekly reinforcements for 12 weeks, and frequent follow-up visits. Outcomes were Asthma Quality of Life Questionnaire (AQLQ) and 36-Item Short Form Health Survey (SF-36) scores and emergency department (ED) visits and hospitalizations for asthma. Ninety patients were randomized to each group. Mean age was 43 years, 84% were women, and mean study time was 27 months. Intervention patients had more improvement in AQLQ scores at 5 months, but this difference was not sustained. For the entire period, AQLQ scores improved by a clinically important difference from 4.1 to a mean of 5.1 in both groups (P < .001) with no difference between groups (P = .91). In multivariate analysis, younger age, more education, better enrollment AQLQ score, more asthma self-efficacy and knowledge, and fewer depressive symptoms were associated with more improvement (P < .05 fo...Continue Reading

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Citations

Aug 24, 2013·American Journal of Nephrology·Delphine S TuotNeil R Powe
Oct 1, 2012·Journal of Research in Pharmacy Practice·Sriram ShanmugamAli Mohammad Sabzghabaee
Feb 24, 2012·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Carol A MancusoRobert H Birkhahn
Jul 23, 2014·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Ifna H EjebeLauren E Wisk
Dec 17, 2015·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Benjamin J BecerraNasia Safdar
Jan 9, 2013·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Katherine A KrauskopfJuan P Wisnivesky
Nov 24, 2012·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Carol A MancusoMary E Charlson
Sep 14, 2010·The Journal of Asthma : Official Journal of the Association for the Care of Asthma·Carol A MancusoJohn P Allegrante
Sep 27, 2012·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Lokesh GuglaniChristine L M Joseph
Aug 13, 2011·General Hospital Psychiatry·Nico HutterHarald Baumeister
Jan 14, 2011·Annals of Emergency Medicine·Carol A MancusoJohn P Allegrante
Jan 25, 2012·Primary Care Respiratory Journal : Journal of the General Practice Airways Group·Ngiap Chuan TanBee Choo Tai
May 9, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Owis EilayyanSara Ahmed
Sep 22, 2016·The Cochrane Database of Systematic Reviews·Kayleigh M KewJanelle Yorke
Feb 14, 2017·Journal of Pharmaceutical Policy and Practice·Philip O AnumAudrey G Forson
May 12, 2018·The Journal of Allergy and Clinical Immunology. in Practice·Alan P Baptist, Paula J Busse

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