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

Abstract

Our results suggest that individualized education helps older people with asthma to enhance their self-care behaviours, manage their disease, and increase their quality of life.

Impact of Long-term Employment of a Self-Management Program in Asthmatics

“…The Gibson's meta-analysis of 24 asthma self-management programs including an educational section and a periodic medical check-up demonstrated in particular a significant reduction in the proportion of subjects needing hospitalisation, in the number of emergency consultations and non-programmed medical consultations, of days off work for asthma and of nocturnal asthma attacks [30]. Several studies have obtained similar results as well as a reduction in long-term morbidity in adults and children, daytime symptoms, use of drugs for asthma and frequency of psychiatric comorbidities [31,32]. They have also shown an improvement in medication adherence, quality of life, quality of sleep, cognitive ability and self-esteem, and a reduction in the feeling of handicap related to asthma [33].…”

“…Studies undertaken to compare self-management programs based on peak flow monitoring or on symptoms have provided contradictory results: Some failed to show any superiority for either action plan [30,36] whereas others have shown significantly higher self-efficacy scores (p<0.001) and asthma control indicators (p=0.025) [32] and better compliance with the self-management program based on peak flow monitoring [37]. In our study, peak flow monitoring was mainly carried out during periods of fluctuation and instability of asthma, in accordance with authors who recommend monitoring peak flow only during exacerbations and as the acute attack declines [38].…”

Patient engagement as a risk factor in personalized health care: a systematic review of the literature on chronic disease

“…Five studies focused on diabetes [32,37-40], and there was one study each on individuals with various chronic diseases (for example, hypertension, diabetes, coronary artery disease, and so on) [34], multiple sclerosis (MS) [31], arthritis [33], asthma [35], and bronchiectasis [36]. Six studies [34-39] (60%) compared the intervention to usual care or no active control, while the remaining four studies (40%) compared the intervention to an attention control [33] (n = 1), enhanced usual care [32] (n = 1), or a wait-list control [31,40] (n = 2).…”

“…Six studies [34-39] (60%) compared the intervention to usual care or no active control, while the remaining four studies (40%) compared the intervention to an attention control [33] (n = 1), enhanced usual care [32] (n = 1), or a wait-list control [31,40] (n = 2). Half of the interventions were in-person group-based workshops [31,33,34,36,38] (n = 5); the remaining interventions were in person one-on-one sessions [35,39] (n = 2), internet-based modalities [32,37] (n = 2), and personal telephonic coaching [40] (n = 1). Intervention lengths ranged from weekly 2-hour sessions for 6 weeks to 24 months.…”

Erratum to: Safety Considerations of Inhaled Corticosteroids in the Elderly

“…These include (but are not limited to) information, inhaler skills, adherence, written action plan, and, if applicable, self-monitoring. Individualized self-care education programs provided by a nurse are useful in older adults with moderate-to-severe asthma to enhance their self-care behaviors, manage their disease, and increase their quality of life, whereas computer-aided self-learning videos or asthma brochures seem inadequate substitutes in this age range [72]. A small study demonstrated the usefulness of assistance by caregivers during the inhalation procedure in elderly patients with asthma whose pulmonary function was not improved by self-administered ICS therapy [73].…”