A pictorial asthma action plan to improve asthma control in Malaysian adults

2021 ◽  
Author(s):  
Sazlina Shariff Ghazali ◽  
Ping Yein Lee ◽  
Ai Theng Cheong ◽  
Hani Syahida Salim ◽  
Norita Hussein ◽  
...  
Keyword(s):  
Asthma Control ◽  
Action Plan ◽  
Asthma Action Plan

scholarly journals Comparing Written Versus Pictorial Asthma Action Plans to Improve Asthma Management and Health Outcomes Among Children and Adolescents: Protocol of a Pilot and Feasibility Randomized Controlled Trial (Preprint)

2018 ◽  
Author(s):  
Lisa Hynes ◽  
Kristine Durkin ◽  
Desireé N Williford ◽  
Hope Smith ◽  
David Skoner ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Children And Adolescents ◽  
Asthma Control ◽  
Treatment Guidelines ◽  
Action Plan ◽  
Controlled Trial ◽  
Qualitative Interviews ◽  
Reading Level ◽  
Randomized Controlled ◽  
Asthma Action Plan

BACKGROUND Asthma is an important focus for pediatric health research as management of asthma symptoms is a significant challenge, and morbidity and mortality among youths with asthma remain prevalent. Treatment guidelines for asthma recommend a written asthma action plan (WAAP) that summarizes individualized instructions for daily medication use. However, WAAPs are typically written at a seventh- to ninth-grade reading level, which can be a barrier to young people in understanding their treatment, having confidence in using a WAAP, and engaging with asthma education. OBJECTIVE Utilizing a feasibility and pilot randomized controlled trial (RCT) design, the objective of the Take Action for Asthma Control study is to test a symptom-based, computer-generated pictorial asthma action plan (PAAP) in comparison with a standard WAAP and assess the feasibility and acceptability of the asthma action plan (AAP) intervention and study procedures. The study has 3 aims: (1) estimate the effect sizes of PAAPs compared with WAAPs on outcomes (eg, AAP knowledge and medication adherence), (2) evaluate feasibility and acceptability of AAP intervention and RCT procedures from the perspectives of key stakeholders, and (3) establish whether parent and youth literacy levels are associated with treatment outcomes. METHODS This feasibility and pilot RCT is a block randomized, 2-arm, parallel-group clinical trial, lasting 6 months in duration. At baseline, participants will be randomly assigned to receive a PAAP or WAAP generated for them and reviewed with them by their asthma physician. Study procedures will take place over 4 separate time points: a baseline clinic appointment, 1-month telephone follow-up, and 3- and 6-month clinic-based follow-ups. At each time point, data will be collected related to the main outcomes: AAP knowledge, AAP satisfaction, asthma control, pulmonary function, and adherence to daily asthma medication. A sample size of up to 60 participants (aged 8-17 years) will be recruited. Feasibility and acceptability data will be collected via one-to-one qualitative interviews with providers involved in the study and a subgroup of families that participate in the study. RESULTS Recruitment and data collection began in May 2017 and were completed in October 2018. CONCLUSIONS This pilot and feasibility study will test the potential efficacy, feasibility, and acceptability of an AAP intervention and study procedures. The findings will inform the design and delivery of a future definitive trial to assess the efficacy of PAAPs versus WAAPs in supporting asthma self-management among children and adolescents. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11733

Efficacy of Chinese Children's Asthma Action Plan in the management of children with asthma

2020 ◽  
Vol 41 (1) ◽  
pp. e3-e10
Author(s):  
Kang Zhu ◽  
Li Xiang ◽  
Kunling Shen
Keyword(s):  
Pulmonary Function ◽  
Asthma Control ◽  
Action Plan ◽  
Intervention Group ◽  
Control Group ◽  
Asthma Care ◽  
Number Of Patients ◽  
Children With Asthma ◽  
Asthma Action Plan

Background: Abundant evidence has proven the effectiveness of following an asthma action plan for children. China released its first children's asthma action plan in 2017 to improve asthma control. Objective: To assess the effectiveness of the Chinese Children's Asthma Action Plan (CCAAP) in the management of children with asthma. Methods: Children with persistent asthma (6‐14 years old) at 10 tertiary hospitals were randomized to receive either CCAAP instructions (intervention group, n = 87) or no plan (control group, n = 86) in addition to the usual asthma care, including education, stepwise asthma therapy, and regular outpatient follow-up. Children were followed up by using a serial measurement of outcomes over the course of 3 months. Results: CCAAP instructions did not have a significant effect on any of outcomes compared with the intervention group: (1) variables related to asthma exacerbation, including the number of patients (p = 0.09), symptomatic days (p = 0.658), severity, medication (courses of reliever, p = 0.696; combined rhinitis medication, p = 0.081; combined oral antibiotics, p = 0.852), missed work days (p = 0.538) or school days (p = 0.441), and economic costs (p = 0.898); (2) asthma control (p = 0.180); or (3) pulmonary function parameters during the follow-up period. Both groups showed significant improvement in asthma control (both p < 0.001) and pulmonary function (p < 0.017) from baseline to the 3-month follow-up. Conclusion: The results of this study indicated that provision of CCAAP may play a useful role in the management of children with asthma, but there were no greater benefits than usual asthma care. We need to plan a larger appropriately powered study.

The effectiveness of a pictorial asthma action plan for improving asthma control and the quality of life in illiterate women

2013 ◽  
Vol 51 (4) ◽  
pp. 423-428 ◽  
Author(s):  
Leyla Pur Ozyigit ◽  
Bahar Ozcelik ◽  
Seda Ozcan Ciloglu ◽  
Feyza Erkan
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Action Plan ◽  
Asthma Action Plan

scholarly journals Supported self-management for asthma

Breathe ◽  
2015 ◽  
Vol 11 (2) ◽  
pp. 98-109 ◽  
Author(s):  
Hilary Pinnock
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Management Education ◽  
Action Plan ◽  
Skills Training ◽  
Evidence Base ◽  
Self Management ◽  
List Type ◽  
Asthma Action Plan

Key pointsSelf-management education in asthma is not an optional extra. Healthcare professionals have a responsibility to ensure that everyone with asthma has personalised advice to enable them to optimise how they self-manage their condition.Overviews of the extensive evidence-base conclude that asthma self-management supported by regular professional review, improves asthma control, reduces exacerbations and admissions, and improves quality of life.Self-management education should be reinforced by a written personalised asthma action plan which provides a summary of the regular management strategy, how to recognise deterioration and the action to take.Successful implementation combines education for patients, skills training for professionals in the context of an organisation committed to both the concept and the practice of supported self-management.Educational aimsTo summarise the evidence base underpinning supported self-management for asthmaTo provide clinicians with a practical approach to providing supported self-management for asthmaTo suggest an appropriate strategy for implementing supported self-managementSummaryThe evidence in favour of supported self-management for asthma is overwhelming. Self-management including provision of a written asthma action plan and supported by regular medical review, almost halves the risk of hospitalisation, significantly reduces emergency department attendances and unscheduled consultations, and improves markers of asthma control and quality of life. Demographic and cultural tailoring enables effective programmes to be implemented in deprived and/or ethnic communities or within schools.A crucial component of effective asthma self-management interventions is the provision of an agreed, written personalised action plan which advises on using regular medication, recognising deterioration and appropriate action to take. Monitoring can be based on symptoms or on peak flows and should specify thresholds for action including increasing inhaled steroids, commencing oral steroids, and when (and how) to seek professional help. Plans should be personalised to reflect asthma severity and treatment regimes, avoidance of triggers, co-morbid rhinitis and the individual’s preferences.Implementation is a challenge. Systematic review evidence suggests that it is possible to implement asthma self-management in routine care, but that to be effective this requires a whole systems approach which considers implementation from the perspective of patient education and resources, professional skills and motivation and organisation priorities and routines.

Formative Evaluation for Implementation of a Low Literacy Pictorial Asthma Action Plan Delivered via Telehealth Improves Asthma Control

2020 ◽  
pp. 106286062094683
Author(s):  
Monique K. Vallabhan ◽  
Elizabeth Y. Jimenez ◽  
Grace L. McCauley ◽  
Holly Willyard ◽  
Alberta S. Kong
Keyword(s):  
Asthma Control ◽  
Formative Evaluation ◽  
Action Plan ◽  
The United States ◽  
Direct Care ◽  
Face Validity ◽  
Direct Patient Care ◽  
Low Literacy ◽  
Asthma Control Test ◽  
Asthma Action Plan

Consistently uncontrolled asthma in children is an increasing concern in the United States. The use of asthma action plans with asthma education is inconsistent and may be improved with adaptations for low literacy. The objective of this study was formative evaluation for implementation of the New Mexico Pictorial Asthma Action Plan (NM PicAAP). Quality improvement processes guided NM PicAAP face validation and telehealth direct patient care implementation. The asthma control test was selected to measure asthma control. NM PicAAP was revised for face validity, and training curriculum on its use and telehealth implementation processes were developed. Seven youth received NM PicAAP via telehealth direct care, which increased overall asthma control scores over 1 month. NM PicAAP may be useful and effective for improving asthma care in children via telehealth. Additional testing is needed to assess applicability.

scholarly journals Evidence-Based Review of Smartphone Versus Paper Asthma Action Plans on Asthma Control

2019 ◽  
Vol 35 (3) ◽  
pp. 126-134 ◽  
Author(s):  
Julie A. Murphy ◽  
Jennifer M. Heisser ◽  
McKenzie Montgomery
Keyword(s):  
Asthma Control ◽  
Assessment Tool ◽  
Action Plan ◽  
Risk Of Bias ◽  
Published Data ◽  
Action Plans ◽  
Care Providers ◽  
The Impact ◽  
Asthma Action Plans ◽  
Asthma Action Plan

Objective: To summarize and evaluate existing literature regarding the impact of mobile asthma action plans (MAAPs) versus written asthma action plans (WAAPs) on degree of asthma control. Data Sources: PubMed, EMBASE, Web of Science, and ClinicalTrials.gov were searched (2000-January 2019) using the term asthma action plan with each of the following: smartphone, computers, handheld, mobile applications, portable electronic application, portable software application, tablet, or technology. Study Selection and Data Extraction: The search was limited to cohort and randomized controlled trials examining MAAP versus WAAP data. Data extracted included the following: study design, population, intervention, control, outcomes related to asthma control, and potential biases assessed using Cochrane Collaboration’s Risk of Bias Assessment Tool. Data Synthesis: Four of the 41 studies identified were included, each of which were randomized control trials. One study showed significant improvement using a non–asthma-specific assessment tool, 1 study showed improvement only for patients with uncontrolled asthma at baseline, and 2 studies showed no difference in asthma control scores. Overall risk of bias across all studies was low to moderate. Relevance to Patient Care and Clinical Practice: Health care providers should select an asthma action plan (AAP) format based on what the patient is most likely to understand and consistently use. Conclusions: Because of conflicting published data regarding the use of MAAPs versus WAAPs and risk of bias, it is unclear at this time whether one format of AAP is superior to the other for either adolescents or adults.

Acceptability of applying asthma action plan for asthma patients at a hospital in Hochiminh City, Vietnam: an implementation research

2021 ◽  
Vol 05 (04) ◽  
pp. 89-98
Author(s):  
Thi Kim Anh Le ◽  
◽  
Thi My Linh Nguyen
Keyword(s):  
Asthma Control ◽  
Implementation Research ◽  
Action Plan ◽  
Phase 1 ◽  
Asthma Management ◽  
Implementation Strategies ◽  
Management Units ◽  
Implementation Phase ◽  
Asthma Patients ◽  
Asthma Action Plan

Objectives: The asthma management strategy at respiratory departments in Vietnam so far does not include the implementation of an asthma action plan (AAP). This study aimed to implement an AAP in the hospital and analyze the acceptability for the implementation procedures of patients, clinicians and asthma management units. Methods: The implementation consisted of 2 phases. Phase 1 was a cross-sectional design that combined quantitative and qualitative methods to assess the asthma control and analyse potential obstacles of the hospital for AAP implementation. Phase 2 was a pre-experimental design to assess the acceptability in implementing the APP. Asthma control was assessed by GINA’s criteria. Implementation strategies included interventions at both organization (issued a procedure and a guideline of consulting the AAP for patients) and individual levels (trained doctors in counseling and monitoring of AAP for patients; provided instruction leaflets of APP for patients). Results: The proportion of asthma sufficient control was 59%, partial control was 30.8%, and insufficient control was 10.2%. Most of obstacles related to asthma management and control were of health facility, such as no concrete procedures in monitoring, insufficiency of infrastructure, overload of patients. Implementation strategies of AAP in this study got the acceptability of patients, clinicians and asthma management units. Conclusion: The study showed the importance of deployment of AAP for asthma patients in Vietnam hospitals. It is essential to provide more staffs for the asthma and COPD management units, especially trained nurses. Keywords: Asthma Action Plan; implementation research; Vietnam, acceptability; asthma control.

scholarly journals Add necroptosis to your asthma action plan

2021 ◽  
Author(s):  
Sarah E Garnish ◽  
Emma C Tovey Crutchfield ◽  
James M Murphy ◽  
Joanne M Hildebrand
Keyword(s):  
Action Plan ◽  
Asthma Action Plan
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