PMID- 30053060
OWN - NLM
STAT- MEDLINE
DCOM- 20190409
LR  - 20190409
IS  - 1876-3405 (Electronic)
IS  - 1876-3405 (Linking)
VI  - 10
IP  - 6
DP  - 2018 Nov 1
TI  - Asthma action plan for proactive bronchial asthma self-management in adults: a 
      randomized controlled trial.
PG  - 502-516
LID - 10.1093/inthealth/ihy050 [doi]
AB  - BACKGROUND: Written personalized asthma action plans are recommended as part of 
      patient education and self-management. OBJECTIVES: To enable asthmatic adults to 
      proactively self-manage bronchial asthma and sustain asthma quiescent status 
      through utilization of the Asthma Action Plan (AAP), and to establish a feasible 
      asthmatic/care taker-health care provider communication. DESIGN: Randomized 
      controlled trial with cluster sampling by pulmonologists. SETTING AND 
      PARTICIPANTS: The study comprised 320 chronic asthmatic patients attending the 
      chest department at the main health insurance hospital in Alexandria that were 
      randomly allocated as the intervention group (AAIG; n=160) that received standard 
      care and intervention by the AAP and a control group (AACG; n=160) that received 
      the routine standard of care. Data were collected through an interviewing 
      questionnaire. The study continued over a 6-month period and passed into three 
      phase stations. During the preparatory phase the health care provider managed to 
      explain, fill and simplify the use of the Arabic version of the AAP, to explain 
      the correct utilization of the weekly follow-up form and to emphasize the weekly 
      communication/visit with the health care provider (HCP) to update their weekly 
      follow-up records. Follow-up was done on the 90th and 180th days from the launch 
      of the study, respectively. The study asthmatics were subjected to history-taking 
      of their asthma symptoms, signs and triggers, and a review of their medical/peak 
      expiratory flow records, as well as his/her daily activity and exercise. RESULTS: 
      The AAIG experienced superiority of the average of the green zone days ('doing 
      well') with significantly more episodes of early asthma flare-up self-management 
      concomitant with prominent fewer emergency department visits, hospitalization, 
      admission at the ICU, private health facility, and days of sickness leaves and 
      absenteeism. A preponderance of the high and medium adherence levels to asthma 
      medications, avoidance of asthma triggers and smoking was achieved by the AAIG. 
      CONCLUSIONS: AAP was the basis for effective patient-health care provider 
      communication and patient real time asthma flare-up self-management to achieve 
      and sustain better asthma control in asthmatic adults.
FAU - Farag, Hassan
AU  - Farag H
AD  - Tropical Health Department, High Institute of Public Health, Alexandria 
      University, Egypt.
AD  - WHO Expert Roster S073777, World Health Organization (EMRO), Egypt.
FAU - Abd El-Wahab, Ekram W
AU  - Abd El-Wahab EW
AD  - Tropical Health Department, High Institute of Public Health, Alexandria 
      University, Egypt.
AD  - College of Arts and Science, Ohio State University, Columbus Ohio, USA.
FAU - El-Nimr, Nessrin A
AU  - El-Nimr NA
AD  - Epidemiology Department, High Institute of Public Health, Alexandria University, 
      Egypt.
FAU - Saad El-Din, Hoda A
AU  - Saad El-Din HA
AD  - General Director of the General Administration of Alexandria University Health 
      Care Units, Alexandria, Egypt.
AD  - Internal Medicine Department, Faculty of Physiotherapy, Pharos University, 
      Alexandria, Egypt.
LA  - eng
SI  - PACTR/PACTR201609001793108
PT  - Journal Article
PT  - Randomized Controlled Trial
PL  - England
TA  - Int Health
JT  - International health
JID - 101517095
SB  - IM
MH  - Activities of Daily Living
MH  - Adult
MH  - Age Factors
MH  - Aged
MH  - Asthma/*therapy
MH  - Chronic Disease
MH  - Emergency Service, Hospital
MH  - Female
MH  - Health Behavior
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Patient Education as Topic/*methods
MH  - Self Care
MH  - Self-Management/*methods
MH  - Sex Factors
MH  - Socioeconomic Factors
MH  - Young Adult
EDAT- 2018/07/28 06:00
MHDA- 2019/04/10 06:00
CRDT- 2018/07/28 06:00
PHST- 2017/09/09 00:00 [received]
PHST- 2018/06/05 00:00 [accepted]
PHST- 2018/07/28 06:00 [pubmed]
PHST- 2019/04/10 06:00 [medline]
PHST- 2018/07/28 06:00 [entrez]
AID - 5056450 [pii]
AID - 10.1093/inthealth/ihy050 [doi]
PST - ppublish
SO  - Int Health. 2018 Nov 1;10(6):502-516. doi: 10.1093/inthealth/ihy050.