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Ann Allergy Asthma Immunol. 2012 Aug;109(2):99-102. doi: 10.1016/j.anai.2012.03.001. Epub 2012 Mar 23.

Telephone-based environmental control interventions in asthmatic patients: what are patients willing to do?

Author information

1
Department of Allergy, Kaiser Permanente Medical Center, San Diego, California 92111, USA. michael.x.schatz@kp.org

Abstract

BACKGROUND:

Environmental control education is recommended for allergic patients with persistent asthma, but patients may not be willing to comply with recommendations. In a prior study from our group, only 24% of patients reported making any recommended environmental changes.

OBJECTIVE:

To determine what environmental changes allergic asthmatic patients say they would be willing to make and what changes they actually make.

METHODS:

Asthmatic patients with known perennial aeroallergen sensitization were asked by telephone to rate on a 1- to 5-point Likert scale their willingness to make specific environmental changes. Items with mean scores of 3 or higher were used to formulate a practical set of recommendations to be given to patients in stage 2 of the study. Stage 2 patients were given the advice formulated in stage 1 and then telephoned 2 months later to see what changes they actually made.

RESULTS:

Stage 1 patients (n = 60) were willing to institute 14 of the 18 proposed allergen-specific recommendations. Of 36 stage 2 patients who were allergic to mite, mold, and/or dander, 29 (80.6%) reported that they complied with at least 1 of the recommendations made in this study. Patients who owned their own home were significantly (P < .05) more likely (91.3%) to make at least 1 change than patients who rented their home (63.6%).

CONCLUSION:

Pending additional information, we suggest that environmental control recommendations for mite, mold, and dander emphasize those used in this study because they appear to be practical for a substantial proportion of patients, especially if they own their home.

Comment in

PMID:
22840249
DOI:
10.1016/j.anai.2012.03.001
[Indexed for MEDLINE]

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