Making Education Count: The Nurse's Role in Asthma Education Using a Medical Home Model of Care

Wood, Marilynne R.; Bolyard, Dawn

doi:10.1016/j.pedn.2010.06.009

Cited by 18 publications

(20 citation statements)

References 10 publications

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“…22 Asthma education provided by the nurses has been studied in the past and proved to be beneficial. 23,24 The organizational structure and funding sources for outpatient facilities largely determine the feasibility of hiring a nurse or other staff for asthma education. In medically underserved low-income communities where asthma prevalence rates and morbidity remain disproportionately high, access to asthma education via a health educator may be available in health centers designated as a Federally Qualified Health Centers (FQHCs) through Section 330 of the Public Health Service Act.…”

Section: Discussionmentioning

confidence: 99%

Demonstrating and Assessing Metered-Dose Inhaler–Spacer Technique

Reznik

Jaramillo

Wylie‐Rosett

2013

Clin Pediatr (Phila)

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The National Asthma Education and Prevention Program recommends that providers demonstrate and assess metered-dose inhaler-spacer (MDI-S) technique at each medical visit. To examine practice behaviors and perceived barriers to demonstrating and assessing MDI-S technique, we surveyed pediatric providers (n = 114) at an inner-city academic medical center. While 82% of providers demonstrated MDI-S technique, only 5% of providers demonstrate the technique at every visit. Although 67% of providers assessed MDI-S technique, only 13% assess the technique at every visit. None of the providers used MDI-S checklist for assessment. Attendings were more likely than residents to demonstrate with illustrations (24% vs 6%, P = .01) and when patient's asthma was not well controlled (68% vs 47%, P = .05). Provider-identified barriers included limited access to MDI-S device, lack of time, and inadequate knowledge. Suggestions to address barriers include in-service training, device access, and nurse/health educators to alleviate the time constraints. Clinic modifications and education are needed.

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Section: Discussionmentioning

confidence: 99%

Demonstrating and Assessing Metered-Dose Inhaler–Spacer Technique

Reznik

Jaramillo

Wylie‐Rosett

2013

Clin Pediatr (Phila)

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“…The majority of the studies originated from the United States of America7,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44,45,46,47,48,49,50,51,52,53,54, followed by Europe8,55,56,57,58,59,60,61,62,63,64,65,66,67, Asia68-72, and Australia 73,7475,76. There was one economic evaluation concerning enhanced asthma management30 done in 1991, and at least one between 1994 and 2012.…”

Section: Background Of Reviewed Studiesmentioning

confidence: 99%

“…It is regrettable that a number of studies did not report the total cost of intervention or implementation per patient 31,33,34,36-39,41,45,48-50,53,57,61,66,67,68,69,70,71,72,74. Based on what is available, the cheapest intervention among these 48 studies was the enhanced services Nurse Support group with only Int$16 per patient76, followed by a symptom-based self-management plan with Int$43 per patient 40.…”

Section: Background Of Reviewed Studiesmentioning

confidence: 99%

Economic Evaluation of Enhanced Asthma Management: A Systematic Review

Yong

Shafie

2013

Value in Health

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Objectives:To evaluate and compare full economic evaluation studies on the cost-effectiveness of enhanced asthma management (either as an adjunct to usual care or alone) vs. usual care alone.Methods:Online databases were searched for published journal articles in English language from year 1990 to 2012, using the search terms ‘“asthma” AND (“intervene” OR “manage”) AND (“pharmacoeconomics” OR “economic evaluation” OR “cost effectiveness” OR “cost benefit” OR “cost utility”)’. Hand search was done for local publishing. Only studies with full economic evaluation on enhanced management were included (cost consequences (CC), cost effectiveness (CE), cost benefit (CB), or cost utility (CU) analysis). Data were extracted and assessed for the quality of its economic evaluation design and evidence sources.Results:A total of 49 studies were included. There were 3 types of intervention for enhanced asthma management: education, environmental control, and self-management. The most cost-effective enhanced management was a mixture of education and self-management by an integrated team of healthcare and allied healthcare professionals. In general, the studies had a fair quality of economic evaluation with a mean QHES score of 73.7 (SD=9.7), and had good quality of evidence sources.Conclusion:Despite the overall fair quality of economic evaluations but good quality of evidence sources for all data components, this review showed that the delivered enhanced asthma managements, whether as single or mixed modes, were overall effective and cost-reducing. Whilst the availability and accessibility are an equally important factor to consider, the sustainability of the cost-effective management has to be further investigated using a longer time horizon especially for chronic diseases such as asthma.

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“…[218219] Asthma education can produce significant reduction in cost for asthma care, decrease emergency departments’ visits and hospitalizations, and improve self-management of exacerbation. [220] Action plan : It is recommended to be provided to patients and their caregivers, and includes medications, their doses, and technique. Action plan would normally include information for patient and caregiver on how to recognize worsening of asthma symptoms and advices of treatment modification in these situations.…”

Section: Management Of Asthma In Childrenmentioning

confidence: 99%

Section: Management Of Asthma In Childrenmentioning

confidence: 99%

The Saudi initiative for asthma - 2012 update: Guidelines for the diagnosis and management of asthma in adults and children

et al. 2012

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This an updated guidelines for the diagnosis and management of asthma, developed by the Saudi Initiative for Asthma (SINA) group, a subsidiary of the Saudi Thoracic Society. The main objective of SINA is to have updated guidelines, which are simple to understand and easy to use by non-asthma specialists, including primary care and general practice physicians. This new version includes updates of acute and chronic asthma management, with more emphasis on the use of Asthma Control Test in the management of asthma, and a new section on “difficult-to-treat asthma.” Further, the section on asthma in children was re-written to cover different aspects in this age group. The SINA panel is a group of Saudi experts with well-respected academic backgrounds and experience in the field of asthma. The guidelines are formatted based on the available evidence, local literature, and the current situation in Saudi Arabia. There was an emphasis on patient–doctor partnership in the management that also includes a self-management plan. The approach adopted by the SINA group is mainly based on disease control as it is the ultimate goal of treatment.

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Making Education Count: The Nurse's Role in Asthma Education Using a Medical Home Model of Care

Cited by 18 publications

References 10 publications

Demonstrating and Assessing Metered-Dose Inhaler–Spacer Technique

Demonstrating and Assessing Metered-Dose Inhaler–Spacer Technique

Economic Evaluation of Enhanced Asthma Management: A Systematic Review

The Saudi initiative for asthma - 2012 update: Guidelines for the diagnosis and management of asthma in adults and children

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