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J Asthma. 2009 Nov;46(9):906-10. doi: 10.3109/02770900903199979.

Effectiveness of asthma education with and without a self-management plan in hospitalized children.

Author information

1
Department of Pediatrics, School of Medicine, Pontificia Universidad Católica de Chile, Cristobal Colón 3770 depto 75, Las condes, Santiago, Chile. tatita25@gmail.com

Abstract

BACKGROUND:

Formal education in primary care can reduce asthma exacerbations. However, there are few studies in hospitalized children, with none originating in Latin America.

METHODS:

A prospective randomized study was designed to evaluate whether a full education with self-management plan (ESM) was more effective than an education without self-management plan (E) in reducing asthma hospitalization. Children (5 to 15 years of age) who were hospitalized for an asthma attack were divided in two groups. Children in the E group received general instructions based on a booklet. Those in the ESM group received the same booklet plus a self-management guide and a puzzle game that reinforces the lessons learned in the booklet. Patients were interviewed every 3 months, by telephone, for one year. Interviewers recording the number of hospitalizations, exacerbations, and emergency visits for asthma and oral steroid burst uses.

RESULTS:

From 88 children who met the inclusion criteria, 77 (86%) completed one year of follow-up (41 from E and 36 from ESM group). Overall, after one year, the hospitalization decreased by 66% and the inhaled corticosteroids therapy increased from 36% to 79%. At the end of the study, there was no difference in exacerbations, emergency visits, oral steroid burst uses, or hospitalizations between the two groups.

CONCLUSIONS:

Asthma education with or without a self-management plan during asthma hospitalization were effective in reducing exacerbations, emergency visits, oral steroid burst uses, and future rehospitalizations. This evidence supports the importance of providing a complete asthma education plan in any patient who is admitted for asthma exacerbation.

PMID:
19905916
DOI:
10.3109/02770900903199979
[Indexed for MEDLINE]

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