Home Monitoring of Asthma: Symptoms and Peak Flow

Harver, Andrew; O’Connor, Maeve; Walford, Sam; Kotses, Harry

doi:10.1007/978-0-387-78285-0_9

Cited by 6 publications

(8 citation statements)

References 85 publications

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“…Hot and cold beliefs suggest that cold causes, triggers and sustains illnesses, and therefore needs to be balanced by using heat or hot remedies and avoidance of anything considered to be cold. 49 , 50 , 51 Sweating to improve asthma also aligns with cleansing belief models, which stipulate that the removal of impurities from the body improves health. 49 , 52…”

Section: Discussionmentioning

confidence: 93%

Generational perspective on asthma self‐management in the Bangladeshi and Pakistani community in the United Kingdom: A qualitative study

Ahmed

Pinnock

Dowrick

et al. 2022

Health Expectations

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Background: Self-management strategies improve asthma outcomes, although interventions for South Asian populations have been less effective than in White populations. Both self-management and culture are dynamic, and factors such as acculturation and generation have not always been adequately reflected in existing cultural interventions. We aimed to explore the perspectives of Bangladeshi and Pakistani people in the United Kingdom, across multiple generations (first, second and third/fourth), on how they self-manage their asthma, with a view to suggesting recommendations for cultural interventions. Methods: We purposively recruited Bangladeshi and Pakistani participants, with an active diagnosis of asthma from healthcare settings. Semi-structured interviews in the participants' choice of language (English, Sylheti, Standard Bengali or Urdu) were conducted, and data were analysed thematically.Results: Twenty-seven participants (13 Bangladeshi and 14 Pakistani) were interviewed. There were generational differences in self-management, influenced by complex cultural processes experienced by South Asians as part of being an ethnic minority group. Individuals from the first generation used self-management strategies congruent to traditional beliefs such as 'sweating' and often chose to travel to South Asian countries. Generations born and raised in the United Kingdom learnt and experimented with self-management based on their fused identities and modified their approach depending on whether they were in familial or peer settings.Acculturative stress, which was typically higher in first generations who had migration-related stressors, influenced the priority given to asthma self-management throughout generations. The amount and type of available asthma information as

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Section: Discussionmentioning

confidence: 93%

Generational perspective on asthma self‐management in the Bangladeshi and Pakistani community in the United Kingdom: A qualitative study

Ahmed

Pinnock

Dowrick

et al. 2022

Health Expectations

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“…Although prevalence of asthma in Eastern Europe and developing world is likely less than 6-10% [27,28], the asthma burden is projected to escalate everywhere, with increasing numbers of older people with asthma due to enhanced longevity [27]. Asthma management among elderly has traditionally focused on diagnosis, and treatment, and less on prevention of exacerbations [29], main determinants of disease severity, and costs [30]. Despite mixed evidence [31], the majority of studies present convincing evidence that air pollution plays an important role in the development and burden of asthma in children [32,33].…”

Section: Asthmamentioning

confidence: 99%

Health effects of long-term exposure to air pollution: An overview of major respiratory and cardiovascular diseases and diabetes

Andersen

2012

CI&CEQ

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Large number of studies provided convincing evidence for adverse effects of exposure to outdoor air pollution on human health, and served as basis for current USA and EU Air Quality Standards and limit values. Still, new knowledge is emerging, expanding our understanding of vast effects of exposure to air pollution on human health of this ubiquitous exposure affecting millions of people in urban setting. This paper focuses on the studies of health effects of long-term (chronic) exposures to air pollution, and includes major chronic and acute diseases in adults and especially elderly, which will present increasing public health burden, due to improving longevity and projected increasing numbers of elderly. The paper gives overview over the most relevant and latest literature presented by different health outcomes: chronic obstructive pulmonary disease, asthma, pneumonia, cardiovascular disease, and diabetes

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“…preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in The copyright holder for this this version posted September 29, 2020. ; https://doi.org/10.1101/2020.09.28.20188466 doi: medRxiv preprint devices can reduce the utilization cost of visits due to fewer ED visits and hospitalizations (9). For patients whose asthma remains uncontrolled despite medical management, AS-ME helps patients manage asthma triggers and symptoms and reduce asthma exacerbation (10). Patients with asthma have an increased risk of severe symptoms with influenza.…”

Section: Introductionmentioning

confidence: 99%

“…Improving adherence to asthma medications and (9). For patients whose asthma remains uncontrolled despite medical management, AS-ME helps patients manage asthma triggers and symptoms and reduce asthma exacerbation (10). Patients with asthma have an increased risk of severe symptoms with influenza.…”

Section: Introductionmentioning

confidence: 99%

Estimating the Impact of Self-Management Education, Influenza Vaccines, Nebulizers, and Spacers on Healthcare Utilization and Expenditures for Medicaid-Enrolled Children with Asthma

Yildirim

Griffin

Keskinocak

et al. 2020

Preprint

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Introduction: We quantify the effect of a set of interventions including asthma self-management education, influenza vaccination, spacers, and nebulizers on healthcare utilization and expenditures for Medicaid-enrolled children with asthma in New York and Michigan. Methods: We obtained patient data from Medicaid Analytic eXtract files and evaluated patients with persistent asthma in 2010 and 2011. We used difference-in-difference regression to quantify the effect of the intervention on the probability of asthma-related healthcare utilization, asthma medication, and utilization costs. We estimated the average change in outcome measures from pre-intervention/intervention (2010) to post-intervention (2011) periods for the intervention group by comparing this with the average change in the control group over the same time horizon. Results: All of the interventions reduced both utilization and asthma medication costs. Asthma self-management education, nebulizer, and spacer interventions reduced the probability of emergency department (20.8-1.5 %, 95%CI 19.7-21.9% vs. 0.5-2.5% respectively) and inpatient (3.5-0.8%, 95%CI 2.1-4.9% vs. 0.4-1.2%, respectively) utilizations. Influenza vaccine decreased the probability of primary care physician (6-3.5%, 95%CI 4.4-7.6% vs. 1.5-5.5%, respectively) visit. The reductions varied by state and intervention. Conclusions: Promoting asthma self-management education, influenza vaccinations, nebulizers, and spacers can decrease the frequency of healthcare utilization and asthma-related expenditures while improving medication adherence.

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Home Monitoring of Asthma: Symptoms and Peak Flow

Cited by 6 publications

References 85 publications

Generational perspective on asthma self‐management in the Bangladeshi and Pakistani community in the United Kingdom: A qualitative study

Generational perspective on asthma self‐management in the Bangladeshi and Pakistani community in the United Kingdom: A qualitative study

Health effects of long-term exposure to air pollution: An overview of major respiratory and cardiovascular diseases and diabetes

Estimating the Impact of Self-Management Education, Influenza Vaccines, Nebulizers, and Spacers on Healthcare Utilization and Expenditures for Medicaid-Enrolled Children with Asthma

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