The Effect of a Peak Flow-Based Action Plan in the Prevention of Exacerbations of Asthma

Cowie, Robert L.; Revitt, Shirley G.; Underwood, Margot; Field, Stephen K.

doi:10.1378/chest.112.6.1534

Cited by 156 publications

(119 citation statements)

References 16 publications

(2 reference statements)

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“…The use of written action plans has resulted in improved outcomes (2)(3)(4). Effective educational interventions can reduce asthma-related health care services use and improve patients' knowledge about their disease and, thus, improve compliance (5).…”

mentioning

confidence: 99%

Internet‐Based Asthma Education ‐‐ A Novel Approach to Compliance: A case Report

O’Hara

Vethanayagam

Majaesic

et al. 2006

Canadian Respiratory Journal

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Asthma costs Canadians over $1.2 billion per annum and, despite advances, many asthmatic patients still have poor control. An action plan, symptom diary and measurement of peak expiratory flow have been shown to improve clinical outcomes. Effective educational interventions are an important component of good care. However, many rural sites lack not only access to education but physician care as well. It is reasonable, therefore, that an Internetbased asthma management program may be used as an approach. In the present case report, a novel approach that may increase access in these poorly serviced areas is presented. In an Internet-based asthma management program, patients are reviewed by a physician, receive education and are given a unique password that provides program access. Patients record symptoms and peak expiratory flow rates. The present case report shows that a patient can be assisted through an exacerbation, thus averting emergency intervention and stabilizing control, even when travelling on another continent.

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mentioning

confidence: 99%

Internet‐Based Asthma Education ‐‐ A Novel Approach to Compliance: A case Report

O’Hara

Vethanayagam

Majaesic

et al. 2006

Canadian Respiratory Journal

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“…Thus, self-management plans can be considered to provide practical guidelines in which the recommendations for acute se- vere and chronic persistent asthma can be brought together within the framework of one system. The basic structure of this standardised prototype plan has been used in most studies which have assessed the efficacy of this form of care [1,[6][7][8][9][10][11][12][13].…”

Section: Standard Prototype Planmentioning

confidence: 99%

“…For example, in the situation of severe asthma requiring oral steroids and medical review, values ranging from 50 to 70% of personal best or predicted peak flow have been recommended [1,[6][7][8][9][10]12,13]. While the use of personal best, rather than predicted peak flow levels is now recognised as preferable for reference values, the absolute percentage levels to be used at each stage remain uncertain [14].…”

Section: Peak Flow Levelsmentioning

confidence: 99%

The use of the self-management plan system of care in adult asthma

Holt¹,

Masoli

Beasley

2004

Primary Care Respiratory Journal

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KEYWORDS Asthma self-management plans;Asthma action plans; Asthma managementSummary The development of self-management plans arose as clinicians tried to design better methods by which they could deliver asthma care and reduce the significant mortality and morbidity associated with this disease. The basic principles that resulted have been widely endorsed, and self-management plans are now recommended in the long-term management of adult asthma. Self-management plans essentially focus on the early recognition of unstable or deteriorating asthma, by monitoring peak flow or symptoms. Through the use of written guidelines, patients are then able to determine when it is necessary to adjust therapy or obtain medical assistance.There is now convincing evidence that the use of self-management plans by patients with asthma leads to a marked reduction in morbidity and a reduced requirement for acute medical treatment including hospital admissions. Recent research has also clarified many of the different issues concerning their structure and implementation. In some respects the skill in the use of the asthma self-management plan system of care is the ability to modify the standard plans to meet the particular needs of the individual asthmatic patient, including their preferences.

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“…If it was inadequate, review the action plan and provide written guidance to assist if asthma worsens again. 402,403 • Review the patient's use of controller treatment before and during the exacerbation. Was it increased promptly and by how much?…”

mentioning

confidence: 99%

Mortality in Asthma-Chronic Obstructive Pulmonary Disease Overlap in the United States

Kumbhare

Strange

2018

Southern Medical Journal

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The Effect of a Peak Flow-Based Action Plan in the Prevention of Exacerbations of Asthma

Cited by 156 publications

References 16 publications

Internet‐Based Asthma Education ‐‐ A Novel Approach to Compliance: A case Report

Internet‐Based Asthma Education ‐‐ A Novel Approach to Compliance: A case Report

The use of the self-management plan system of care in adult asthma

Mortality in Asthma-Chronic Obstructive Pulmonary Disease Overlap in the United States

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