Perhimpunan Dokter Paru Indonesia - A repeated short educational intervention improves asthma control and quality of life
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A repeated short educational intervention improves asthma control and quality of life




Vicente Plaza1, Meritxell Peir1, Montserrat Torrejn1, Monica Fletcher2, Antoln Lpez-Via3, Jos Mara Ignacio4, Jos Antonio Quintano5, Santiago Bardag6 and Ignasi Gich7,8 on behalf of the PROMETHEUS Study Group
1Dept of Respiratory Medicine, Hospital de la Santa Creu i Sant Pau, Institut d'Investigaci Biomdica Sant Pau (IIB Sant Pau), Universitat Autnoma de Barcelona, Barcelona, Spain, 2Education for Health, Warwick, UK, 3Pulmonology Dept, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain, 4Hospital Serrana de Ronda, Ronda, Mlaga, Spain, 5Centro de Salud Lucena I, Lucena, Crdoba, Spain, 6Pulmonology Dept, Hospital de Matar, Matar, Barcelona, Spain, 7Dept of Epidemiology, Hospital de la Santa Creu i Sant Pau, Institut d'Investigaci Biomdica Sant Pau (IIB Sant Pau), Universitat Autnoma de Barcelona, Barcelona, Spain, 8A full list of the PROMETHEUS Study Group investigators and participating centres can be found in the Acknowledgements section



We assessed the effectiveness of an asthma educational programme based on a repeated short intervention (AEP-RSI) to improve asthma control (symptom control and future risk) and quality of life.

A total of 230 adults with mild-to-moderate persistent uncontrolled asthma participated in a 1-year cluster randomised controlled multicentre study. The AEP-RSI was given in four face-to-face sessions at 3-month intervals, and included administration of a written personalised action plan and training on inhaler technique. Centres were randomised to the AEP-RSI (intervention) group or usual clinical practice group. Specialised centres using a standard educational programme were the gold standard group.

A significant improvement in the Asthma Control Test score was observed in all three groups (p<0.001), but improvements were higher in the intervention and gold standard groups than in the usual clinical practice group (p=0.042), which also showed fewer exacerbations (meansd; 1.202.02 and 0.561.5 versus 2.042.72, respectively) and greater increases in the Mini Asthma Quality of Life Questionnaire scores (0.951.04 and 0.890.84 versus 0.520.97, respectively).

The AEP-RSI was effective in improving asthma symptom control, future risk and quality of life.

http://erj.ersjournals.com/content/46/5/1298



PDPI Sumatera Utara. 16/03/17.



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