The Adolescent With Asthma: Fostering Adherence to Optimize Therapy

Bl, Jones; Kelly, K.

doi:10.1038/clpt.2008.189

Cited by 11 publications

(2 citation statements)

References 45 publications

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“…Beginning with adolescence, decisions influencing adherence31,32 are often directly related to perceived vulnerability 33–36. Slack and Brooks,37 found that despite positive attitudes toward taking medication for asthma ( P < 0.01) and considering themselves compliant ( P < 0.05), adolescents rarely discuss medications with pharmacists, and many wanted more control and additional information 38.…”

Section: Resultsmentioning

confidence: 99%

Patient-centered care and its effect on outcomes in the treatment of asthma

Qamar

Pappalardo²,

Arora³

et al. 2011

PROM

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Patient-centered care may be pivotal in improving health outcomes for patients with asthma. In addition to increased attention in both research and clinical forums, recent legislation also highlights the importance of patient-centered outcomes research in the Patient Protection and Affordable Care Act. However, whether patient-centered care has been shown to improve outcomes for this population is unclear. To answer this question, we performed a systematic review of the literature that aimed to define current patient-focused management issues, characterize important patient-defined outcomes in asthma control, and identify current and emerging treatments related to patient outcomes and perspectives. We used a parallel search strategy via Medline®, Cochrane Central Register of Controlled Trials, CINAHL® (Cumulative Index to Nursing and Allied Health Literature), and PsycINFO®, complemented with a reference review of key articles that resulted in a total of 133 articles; 58 were interventions that evaluated the effect on patient-centered outcomes, and 75 were descriptive studies. The majority of intervention studies demonstrated improved patient outcomes (44; “positive” results); none showed true harm (0; “negative”); and the remainder were equivocal (14; “neutral”). Key themes emerged relating to patients’ desires for asthma knowledge, preferences for tailored management plans, and simplification of treatment regimens. We also found discordance between physicians and patients regarding patients’ needs, beliefs, and expectations about asthma. Although some studies show promise regarding the benefits of patient-focused care, these methods require additional study on feasibility and strategies for implementation in real world settings. Further, it is imperative that future studies must be, themselves, patient-centered (eg, pragmatic comparative effectiveness studies) and applicable to a variety of patient populations and settings. Despite the need for further research, enough evidence exists that supports incorporating a patient-centered approach to asthma management, in order to achieve improved outcomes and patient health.

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Section: Resultsmentioning

confidence: 99%

Patient-centered care and its effect on outcomes in the treatment of asthma

Qamar

Pappalardo²,

Arora³

et al. 2011

PROM

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“…8 Esta doença resulta em milhões de dólares de gastos com internações hospitalares, internações de emergência, medicamentos, equipamentos e vários custos indiretos, tais como perda de produtividade do trabalho e perda escolar. 9 Observa-se que, se por um lado, a incidência da asma está aumentando, por outro, não ocorre o mesmo com a adesão às diretrizes nacionais de diagnóstico e tratamento. 2,10 A asma é uma doença crônica frequente na infância, que requer esforços coordenados por crianças, famílias e profissionais de saúde para o controle e tratamento adequados.…”

Section: 4unclassified

Educação em asma: principais técnicas adotadas em programas de intervenção

Cidade

Roncada

Costa

et al. 2014

Sci Med

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RESUMOObjetivos: Tendo em vista que a educação em asma é importante para aumentar a adesão ao tratamento, e assim, o controle da doença, o objetivo desta revisão foi identificar os principais estudos sobre intervenção de educação em asma. Métodos: Foi realizada uma revisão da literatura para identificar os principais estudos que aplicaram medidas pré e pós-intervenção de educação em asma. Aplicou-se a lógica de pesquisa nas bases de dados PubMed, Lilacs, Scopus, ScienceDirect e Cochrane. Os artigos foram incluídos mediante descrição completa da aplicabilidade das medidas, suas respostas e as conclusões para o desfecho em programas de educação em asma para crianças e adolescentes. Resultados: Doze pesquisas foram incluídas na revisão. Das intervenções encontradas, quatro foram consideradas as mais aconselháveis por apresentarem resultados satisfatórios em relação à melhor compreensão dos diversos aspectos da asma. Conclusões: A educação em asma é fundamental tanto para a adesão do cuidado domiciliar quanto para o autocontrole eficaz da doença. Por essa razão recomenda-se fortemente que, para que sejam alcançados os objetivos de autocontrole da doença e melhor qualidade de vida possível, o processo educativo deva ser individualizado, contínuo, progressivo, dinâmico e sequencial. O programa de controle da asma precisa ser não apenas pontualmente efetivo, mas também regular, para ter maior impacto nos indicadores de saúde e qualidade de vida. ABSTRACTAims: Asthma education is one of the outcomes that should be applied to self-management, in order to increase adherence to treatment, thus increasing the control of the disease. The objective of this review was to identify the main interventional studies for asthma education. Methods: A review was performed to identify the major studies that have applied measures pre and post intervention for asthma education. We applied the logic of searching the databases: PubMed, Lilacs, Scopus, ScienceDirect, and Cochrane. Articles were included after complete description of the applicability of the measures, their answers and conclusions for the outcome in asthma education programs for children and adolescents. Results: Twelve studies were included in the review. Among the interventions found, four were considered the most advisable for presenting satisfactory results in an enhanced understanding of the various aspects of asthma. Conclusions: Asthma education is essential both for the compliance with home care as for effective self-control of the disease. Therefore, it is strongly recommended that in order to achieve the goals of the best possible quality of life and self-control of the disease, the educational process should be individualized, continuous, progressive, dynamic and sequential. The program of asthma control needs to be not only timely, but also regular, to have a greater impact on health indicators and quality of life.

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