A Randomized Trial to Improve Self-Management Practices of Adults With Asthma

Bailey, William C.; Richards, James M.; Brooks, C. Michael; Soong, Seng Jaw; Windsor, Richard A.; Manzella, Bryn

doi:10.1001/archinte.1990.00040031664013

Cited by 234 publications

(61 citation statements)

References 22 publications

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“…A number of specific systems of guided self-management have been developed [196][197][198][199][200][201][202][203][204][205] for use in a wide range of settings, including primary care [197,201,205], hospitals [196,198,200,204], emergency departments [199] and internet-based home monitoring [206], and among such diverse groups as pregnant women with asthma [207], children and adolescents [208,209], and in multi-racial populations [210]. Guided self-management may involve varying degrees of independence, ranging broadly from patient-directed selfmanagement, in which patients make changes without reference to their caregiver but in accordance with a prior written action plan, to doctor-directed self-management, in which patients follow a written action plan but refer most major treatment changes to their physician at the time of planned or unplanned consultations.…”

Section: Component 1: Develop Patient-doctor Partnershipmentioning

confidence: 99%

Global strategy for asthma management and prevention: GINA executive summary

Bateman

Ss²,

Barnes³

et al. 2008

European Respiratory Journal

2,617

2,301

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Asthma is a serious health problem throughout the world. During the past two decades, many scientific advances have improved our understanding of asthma and ability to manage and control it effectively. However, recommendations for asthma care need to be adapted to local conditions, resources and services. Since it was formed in 1993, the Global Initiative for Asthma, a network of individuals, organisations and public health officials, has played a leading role in disseminating information about the care of patients with asthma based on a process of continuous review of published scientific investigations. A comprehensive workshop report entitled ''A Global Strategy for Asthma Management and Prevention'', first published in 1995, has been widely adopted, translated and reproduced, and forms the basis for many national guidelines. The 2006 report contains important new themes. First, it asserts that ''it is reasonable to expect that in most patients with asthma, control of the disease can and should be achieved and maintained,'' and recommends a change in approach to asthma management, with asthma control, rather than asthma severity, being the focus of treatment decisions. The importance of the patient-care giver partnership and guided self-management, along with setting goals for treatment, are also emphasised.

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Section: Component 1: Develop Patient-doctor Partnershipmentioning

confidence: 99%

Global strategy for asthma management and prevention: GINA executive summary

Bateman

Ss²,

Barnes³

et al. 2008

European Respiratory Journal

2,617

2,301

View full text Add to dashboard Cite

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“…health professionals should teach patients self-management based on basic disease facts, selfmonitoring techniques, the role of medications, inhaler use, and environmental control measures (4,16,19). …”

Section: Community Pharmacy-based Program For Patients With Asthma Anmentioning

confidence: 99%

Community Pharmacy-Based Program for Patients with Asthma and Chronic Obstructive Pulmonary Disease

Petkova

Andreevska

Gueurguiev

et al. 2012

Biotechnology & Biotechnological Equipment

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“…8 There is extensive literature to support the efficacy of self-management interventions which have been tailored to the needs of specific conditions. [9][10][11] For diabetes and asthma, the focus of these interventions has been on symptom control, whereas for arthritis, patients have needed strategies to deal with pain and the consequences of disability. Their success in assisting people with chronic conditions to improve their quality of life and reduce their health service use appears to hold irrespective of the approach taken (eg, group versus individualbased interventions) 6 or setting (eg, city versus rural location).…”

Section: (P 178)mentioning

confidence: 99%

Implementing chronic disease self-management in community settings: lessons from Australian demonstration projects

Francis¹,

Feyer²,

Smith³

2007

Aust. Health Review

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The evaluation of the Sharing Health Care Initiative addressed the translation of different models of chronic disease self-management into health and community service contexts in Australia. Across seven projects, four intervention models were adopted: (1) the Stanford Chronic Disease Self Management course; (2) generic disease management planning, training and support; (3) tailored disease management planning, training and support, and; (4) telephone coaching. Targeted recruitment through support groups and patient lists was most successful for reaching high-needs clients. Projects with well developed organisational structures and health system networks demonstrated more effective implementation. Engagement of GPs in recruitment and client support was limited. Future self-management programs will require flexible delivery methods in the primary health care setting, involving practice nurses or the equivalent. After 12 months there was little evidence of potential sustainability, although structures such as consumer resource centres and client support clubs were established in some locations. Only one project was able to use Medicare chronic disease-related items to integrate self-management support into routine general practice. Participants in all projects showed improvements in self-management practices, but those receiving Model 3, flexible and tailored support, and Model 4, telephone coach-

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A Randomized Trial to Improve Self-Management Practices of Adults With Asthma

Cited by 234 publications

References 22 publications

Global strategy for asthma management and prevention: GINA executive summary

Global strategy for asthma management and prevention: GINA executive summary

Community Pharmacy-Based Program for Patients with Asthma and Chronic Obstructive Pulmonary Disease

Implementing chronic disease self-management in community settings: lessons from Australian demonstration projects

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