A systematic review to examine the impact of psycho-educational interventions on health outcomes and costs in adults and children with difficult asthma

Abstract

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Clinical pharmacist counseling improves outcomes for Taiwanese asthma patients

“…These findings strongly indicate that both nurse-administered asthma education alone and nurseadministered asthma education plus pharmacist counseling result in increasing patients' knowledge about asthma, agreeing with previous studies of increased knowledge associated with asthma education [5,10,12,[14][15][16][17].…”

“…Self-efficacy, a sense of having control over events, has also been shown to improve self-management in adolescents [8] and adults [9] with asthma. Asthma education results in reduced emergency visits, reduced medication use during hospital stays [10][11][12][13], improved symptom scores [14,15], and improved inhalation techniques [3,16]. Research on the effect of patient education on knowledge and healthrelated quality of life (HRQOL) has shown benefits of asthma education and self-management as recommended by GINA guidelines [17,18].…”

Preschoolers' and parents' asthma education trial (P2AET)—a randomized controlled study

“…Again in the group with need of ICS at inclusion education showed a more pronounced effect on emergency visits in the whole group: the OR for need of an emergency visit in the training versus the education group were 3.99 versus 2.02 (Table 6). This observation is in line with metaanalyses on education in difficult asthma [14] or severe asthma (indicated by a hospitalization) [3] where it was easier to show an effect of education than in asthma in general [2].…”

“…A closer look on the interventions described in the meta-analysis proved them to be most similar to what was given as an instruction in our study. In a systematic review on the effectiveness of psycho-educational interventions on health outcomes in children with difficult asthma, the authors also found that psycho-education in comparison with standard asthma training reduces the number of hospitalizations [14].…”

“…In the first instance, the program should be made accessible to each asthmatic child. Comprehensive recommendations for further research, especially for studies on cost-effectiveness, can be found in the HTA report [14].…”