Psychological approaches to the treatment of asthma.

Lehrer, Paul M.; Sargunaraj, Deepa; Hochron, Stuart M.

doi:10.1037/0022-006x.60.4.639

Cited by 52 publications

(30 citation statements)

References 34 publications

(44 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…75,[96][97][98] A descriptive review of hypnosis and asthma highlighted some positive effects of hypnosis amongst uncontrolled and non-randomised studies, especially in susceptible individuals and children, but results from RCTs were equivocal. 96 A further discussion paper 75 considered some of the evidence on psychological approaches to treatment of asthma and concluded that these interventions, and in particular relaxation and psycho-education, may be a useful adjunct to treatment. One wellconducted systematic review 97 examined a range of relaxation techniques in asthma but across the nine RCTs identified, only two of mental and muscular relaxation showed significant effects.…”

Section: Psycho-educational Interventions In Patients Of Mixed Ages Wmentioning

confidence: 99%

“…Recommended components of asthma education programmes have been identified by a number of authors. 71,[74][75][76] There is increasing overlap between selfmanagement education and other psychological and social support interventions, with recognition that there is a need for all programmes to take account of psychological theories of behaviour change 67,70,[77][78][79] and to be tailored to address specific psychosocial and behavioural needs. 80,81 This is especially true in difficult patient groups.…”

Section: Psycho-social Factors In Asthmamentioning

confidence: 99%

See 1 more Smart Citation

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

Smith

Mugford

Holland

et al. 2005

Health Technol Assess

View full text Add to dashboard Cite

Non-UK purchasers will have to pay a small fee for post and packing. For European countries the cost is £2 per monograph and for the rest of the world £3 per monograph.You can order HTA monographs from our Despatch Agents:-fax (with credit card or official purchase order) -post (with credit card or official purchase order or cheque) -phone during office hours (credit card only).Additionally the HTA website allows you either to pay securely by credit card or to print out your order and then post or fax it. NHS libraries can subscribe free of charge. Public libraries can subscribe at a very reduced cost of £100 for each volume (normally comprising 30-40 titles). The commercial subscription rate is £300 per volume. Please see our website for details. Subscriptions can only be purchased for the current or forthcoming volume. Contact details are as follows: Payment methods Paying by chequeIf you pay by cheque, the cheque must be in pounds sterling, made payable to Direct Mail Works Ltd and drawn on a bank with a UK address. Paying by credit cardThe following cards are accepted by phone, fax, post or via the website ordering pages: Delta, Eurocard, Mastercard, Solo, Switch and Visa. We advise against sending credit card details in a plain email. Paying by official purchase orderYou can post or fax these, but they must be from public bodies (i.e. NHS or universities) within the UK. We cannot at present accept purchase orders from commercial companies or from outside the UK. How do I get a copy of HTA on CD?Please use the form on the HTA website (www.hta.ac.uk/htacd.htm). Or contact Direct Mail Works (see contact details above) by email, post, fax or phone. HTA on CD is currently free of charge worldwide.The website also provides information about the HTA Programme and lists the membership of the various committees. HTA NHS R&D HTA ProgrammeT he research findings from the NHS R&D Health Technology Assessment (HTA) Programme directly influence key decision-making bodies such as the National Institute for Health and Clinical Excellence (NICE) and the National Screening Committee (NSC) who rely on HTA outputs to help raise standards of care. HTA findings also help to improve the quality of the service in the NHS indirectly in that they form a key component of the 'National Knowledge Service' that is being developed to improve the evidence of clinical practice throughout the NHS.The HTA Programme was set up in 1993. Its role is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and provide care in the NHS. 'Health technologies' are broadly defined to include all interventions used to promote health, prevent and treat disease, and improve rehabilitation and long-term care, rather than settings of care.The HTA programme commissions research only on topics where it has identified key gaps in the evidence needed by the NHS. Suggestions for topics are actively sought from people working in the NHS,...

show abstract

Section: Psycho-educational Interventions In Patients Of Mixed Ages Wmentioning

confidence: 99%

Section: Psycho-social Factors In Asthmamentioning

confidence: 99%

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

Smith

Mugford

Holland

et al. 2005

Health Technol Assess

View full text Add to dashboard Cite

show abstract

“…In addition to pharmacological therapy, education and self-management have become indispensable aspects in the treatment of asthma. In order to assist patient and physician in the integration of medical and behavioural therapeutic instructions, self-management programmes were developed [1,2]. By means of education and behavioural techniques, these programmes enhance the patient9s sense of self-control, personal responsibility for the treatment, and consider physician and patient as partners in the management of asthma.…”

mentioning

confidence: 99%

Evaluation of an individualised asthma programme directed at behavioural change

Put¹,

Bergh²,

Lemaigre³

et al. 2003

Eur Respir J

View full text Add to dashboard Cite

An individualised asthma programme directed at behavioural change was evaluated in asthmatic subjects who reported complaints and impairment, despite adequate medical treatment.Mild-to-moderate asthma patients (n=23) were randomly assigned to a programme or waiting list condition. Outcome measures were: McMaster Asthma Quality of Life Questionnaire, Asthma Symptom Checklist, Negative Emotionality Scale, Knowledge, Attitude and Self-Efficacy Asthma Questionnaire, Adherence Scale, and peak flow measurements. Both groups were evaluated at three consecutive moments, each separated by 3 months; the programme was delivered between the first two evaluations. At onset the patient received a workbook containing information, exercises and homework assignments. Psycho-education, behavioural and cognitive techniques were introduced during six 1-h individual sessions.Compared with controls the programme group reported less symptoms (obstruction, fatigue), better quality of life (activity, symptoms, emotions), decreased negative affectivity, and increased adherence, immediately after finishing the programme and at 3 months follow-up. All three cognitive variables (knowledge, attitude towards asthma, self-efficacy) and day and night peak flow ratings improved in the programme group but not in the waiting list group.Participation in an individualised programme resulted in improvement of asthma morbidity, and asthma-related behaviour and cognitions, in subjects reporting symptoms and impairment despite adequate medical therapy. In addition to pharmacological therapy, education and self-management have become indispensable aspects in the treatment of asthma. In order to assist patient and physician in the integration of medical and behavioural therapeutic instructions, self-management programmes were developed [1,2]. By means of education and behavioural techniques, these programmes enhance the patient9s sense of self-control, personal responsibility for the treatment, and consider physician and patient as partners in the management of asthma.Several kinds of asthma programme have been developed, differing in terms of treatment components and outcome. Educating asthmatic subjects, or providing information on the pathophysiology of the illness and medication, results in increase of knowledge but not behavioural change nor decreased morbidity [3]. The development of step-care approaches to asthma management has been an important step towards simplification of asthma treatment. In this case, patients receive instructions consisting of treatment levels starting from baseline therapy, and ending up with consulting an emergency department, depending on the severity of their illness. The two most common elements of existing asthma programmes are education in addition to a self-management action plan for medication intake [4][5][6]. Therapeutic action plans can be based on changes in symptoms or changes in peakexpiratory flow rate (PEFR) [7][8][9][10]. In addition to self-management medical action plans and/or education, some p...

show abstract

“…Self-management is a form of psychoeducation involving the transference of knowledge relating to asthma and often consists of a training in adequate self-management. These studies have been re viewed by Klingclhofer and Gershwin [96] and Lehrer et al [97]. Such programs lead to increased medication compliance, greater competence in managing symptoms and de creased use of medical services.…”

Section: Asthmamentioning

confidence: 97%

Cognitive Interventions in Behavioral Medicine

Emmelkamp

Oppen²

1993

Psychother Psychosom

View full text Add to dashboard Cite

In this report an overview is given of the contribution of cognitive approaches to behavioral medicine. The (possible) contribution of cognitive therapy is reviewed in the area of coronary heart disease, obesity, bulimia nervosa, chronic pain, benign headache, cancer, acquired immunodeficiency syndrome/human immunodeficiency virus and asthma. Although the relative contribution of cognitive therapy varies across these various disorders, its positive effects are now well established and new advances undoubtedly will be made in the next few years.

show abstract

Psychological approaches to the treatment of asthma.

Cited by 52 publications

References 34 publications

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

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

Evaluation of an individualised asthma programme directed at behavioural change

Cognitive Interventions in Behavioral Medicine

Contact Info

Product

Resources

About