Assessment of a therapeutic education programme for asthma patients: “un souffle nouveau”

Magar, Y.; Vervloët, D.; Steenhouwer, F.; Smaga, Sylvie; Méchin, Hubert; Serra, J; Marchand, Claire; d’Ivernois, Jean-François

doi:10.1016/j.pec.2004.05.016

Cited by 34 publications

(15 citation statements)

References 8 publications

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“…2003, Griffiths et al. 2004, Magar et al. 2005) that using a liaison model of care can improve knowledge, lung function, and reduce unscheduled care, number of days off work or school, and acute episodes.…”

Section: Discussionmentioning

confidence: 99%

“…2003, Griffiths et al. 2004, Magar et al. 2005), and individualized, written action plans based on personal best peak expiratory flow (Urek et al.…”

Section: Introductionmentioning

confidence: 99%

“…Several types of asthma education programmes have been developed for older people with asthma, with different treatment components (Janson et al 2001, Ignacio-Garcia et al 2002, Schermer et al 2002, Griffiths et al 2004, Wensley & Silverman 2004, Magar et al 2005, Urek et al 2005, Schatz et al 2006. The various approaches have included individual oral instructions, written information, or group classes on the pathophysiology of asthma and use of medication (Ignacio-Garcia et al 2002, Schermer et al 2002, Griffiths et al 2004, Magar et al 2005, Urek et al 2005, Schatz et al 2006, using a specialist-liaison model of care (Ignacio-Garcia et al 2002, Griffiths et al 2004, Magar et al 2005, and individualized, written action plans based on personal best peak expiratory flow (Urek et al 2005).…”

Section: Introductionmentioning

confidence: 99%

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Individualized programme to promote self‐care among older adults with asthma: randomized controlled trial

Huang

Li²,

Wang

2009

Journal of Advanced Nursing

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Section: Discussionmentioning

confidence: 99%

“…2003, Griffiths et al. 2004, Magar et al. 2005), and individualized, written action plans based on personal best peak expiratory flow (Urek et al.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Individualized programme to promote self‐care among older adults with asthma: randomized controlled trial

Huang

Li²,

Wang

2009

Journal of Advanced Nursing

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“…However, a study involving 127 adult asthma patients who participated in a structured program (compared with 111 patients who did not) showed a significant reduction in the number of days on which asthma symptoms manifested, as well as in the use of oral corticosteroids, among those who participated in the program. (24) The two largest systematic reviews of educational interventions for self-management of asthma among children, adolescents and adults conducted in recent years (25,26) made it clear that educational programs that are more complex and individualized are more effective in reducing morbidity due to asthma.…”

Section: Discussionmentioning

confidence: 99%

Avaliação de dois anos de um programa educacional para pacientes ambulatoriais adultos com asma

Angelini

Robles²,

Carvalho-Pinto³

et al. 2009

J. bras. pneumol.

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Objective: To evaluate the understanding of asthma and the clinical improvement in patients with moderate or severe persistent asthma prior to and after their participation in an educational program presented during the routine outpatient visits. Methods: This was a prospective pilot study involving 164 patients over a two-year period. The educational program, presented to small groups on outpatient visit days, consisted of lectures divided into three parts: pathophysiology; environmental control; and treatment, including training in the inhalation technique. The program was evaluated using standardized questionnaires on clinical improvement and understanding of the disease. Results: By the end of the first year, 120 patients had completed three visits, and 51 of those patients were revaluated at the end of the second year. The mean age of the patients was 44 years, 70% were female, and 43% had up to eight years of schooling. The educational intervention significantly increased the understanding of the disease (p < 0.001), and allowed greater clinical improvement (p < 0.05) with a decrease in the use of oral corticosteroids, fewer visits to the emergency room and fewer days missed from work or school. Conclusions: The educational program offered during the routine outpatient visits of adult patients with asthma at our clinic resulted in a progressive long-term increase in knowledge, as well as in clinical improvement.Keywords: Asthma; Adult; Patient education as topic. ResumoObjetivo: Avaliar o conhecimento da doença e a melhora clínica de portadores de asma persistente moderada e grave antes e após a sua participação em um programa de educação realizado durante as visitas ambulatoriais de rotina. Métodos: Trata-se de um estudo piloto, prospectivo que envolveu 164 pacientes durante um período de dois anos. O programa de educação, oferecido para pequenos grupos nos dias de consulta, consistiu de aulas expositivas divididas em três módulos: fisiopatologia, controle ambiental e tratamento, incluindo o treinamento da técnica inalatória. Para a avaliação do programa, foram utilizados questionários padronizados sobre a melhora clínica e conhecimento da doença. Resultados: Em um ano, 120 pacientes completaram três visitas, e 51 pacientes foram reavaliados em dois anos. A média de idade dos pacientes foi de 44 anos, 70% eram do sexo feminino, e 43% tinham até oito anos de educação formal. A intervenção educacional aumentou o conhecimento da doença de forma significativa (p < 0,001) e possibilitou melhora clinica (p < 0,05) com a diminuição do uso de corticosteroide oral, redução de visitas ao serviço de emergência e menor número de faltas ao trabalho ou escola. Conclusões: O programa de educação expositivo oferecido durante a rotina de atendimento ambulatorial de adultos asmáticos de nosso serviço mostrou um crescente e progressivo aprendizado em longo prazo. Paralelamente, promoveu melhora clínica.Descritores: Asma; Adulto; Educação de pacientes como assunto. to participate in educational programs due to major ...

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“…14 Self-management approaches, including identifying barriers to adherence, self-monitoring medication use, goal setting, and problem solving, result in fewer urgent care visits, 15 short-term improvements in adherence, 16,17 higher asthma management self-efficacy, 17,18 improved quality of life, 17,18 reduced asthma symptoms, 16,19 and less b-agonist use. 16,19 Unfortunately, the majority of self-management studies involve more than 5.5 hours of patient contact. 20 An important limitation of both educational and selfmanagement approaches is that they are predicated on the assumption that patients are motivated to accept treatment recommendations.…”

mentioning

confidence: 99%

Brief motivational interviewing as a clinical strategy to promote asthma medication adherence

Borrelli

Riekert

Weinstein

et al. 2007

Journal of Allergy and Clinical Immunology

103

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Assessment of a therapeutic education programme for asthma patients: “un souffle nouveau”

Cited by 34 publications

References 8 publications

Individualized programme to promote self‐care among older adults with asthma: randomized controlled trial

Individualized programme to promote self‐care among older adults with asthma: randomized controlled trial

Avaliação de dois anos de um programa educacional para pacientes ambulatoriais adultos com asma

Brief motivational interviewing as a clinical strategy to promote asthma medication adherence

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