scholarly journals Positive change in asthma control using therapeutic patient education in severe uncontrolled asthma: a one-year prospective study

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Xiaoxian Zhang ◽  
Zhengdao Lai ◽  
Rihuang Qiu ◽  
E Guo ◽  
Jing Li ◽  
...  
Keyword(s):  
Patient Education ◽  
Asthma Control ◽  
Education Program ◽  
Serum Levels ◽  
Controlled Study ◽  
Uncontrolled Asthma ◽  
Therapeutic Patient Education ◽  
Patient Education Program ◽  
Asthma Patients ◽  
One Year

Abstract Background Severe asthma is difficult to control. Therapeutic patient education enables patients to better understand their disease and cope with treatment, but the effect of therapeutic patient education in severe uncontrolled asthma is unclear. We evaluated whether therapeutic patient education is effective in improving asthma control and decreasing the frequency of exacerbations in severe uncontrolled asthma. Methods This was a prospective, observational, and self-controlled study that enrolled 40 subjects with severe uncontrolled asthma. Patients were seen at a clinic four times (on day 1 and after 3, 6, and 12 months). After baseline data collection, the subjects completed a therapeutic patient education program and were also followed-up via telephone after 1, 2, 4, 5, 7, 8, 9, 10, and 11 months to monitor asthma medication adherence and collect asthma-related information. Results Within the 1-year study period, a total of 23 exacerbations were recorded in 14 patients, seven of whom required emergency treatment and two of whom were hospitalized. Twelve months after the standardized therapeutic patient education program, pulmonary function and fractional exhaled nitric oxide levels improved significantly in all 40 patients. Moreover, the scores from three standardized asthma questionnaires and indices suggested improved quality of life in these patients with severe uncontrolled asthma. Serum levels of biomarkers reflecting asthma immune responses did not change between baseline and the 1-year follow-up time point. Conclusions Therapeutic patient education is effective in improving asthma control and decreasing exacerbations in patients with severe uncontrolled asthma.

Therapeutic patient education: A solution to the treatment of obesity and metabolic syndrome in psychiatry

2017 ◽  
Vol 41 (S1) ◽  
pp. S471-S472
Author(s):  
A. Bailly ◽  
L. Fau ◽  
C. Lourioux ◽  
N. Gramaje ◽  
A. Mechain ◽  
...  
Keyword(s):  
Metabolic Syndrome ◽  
Patient Education ◽  
Education Program ◽  
Therapeutic Patient Education ◽  
Patient Education Program ◽  
Individual Care ◽  
History Of ◽  
Competing Interest ◽  
Treatment Of Obesity ◽  
A Prospective Study

Introduction/objectivesObesity and overweight are major public health issues. Obesity is a risk factor associated with many non-communicable diseases such as diabetes, certain types of cancers, musculoskeletal disorders and cardiovascular, dermatological or gastroenterological diseases. Patients with severe psychiatric disorders have a higher risk of developing overweight or obesity than the general population. The risk of obesity in schizophrenics patients can be multiplied by a factor ranging from 2.8 to 3.5. Patients suffering from mood disorder have sightly lower risk of obesity, however we still consider a factor ranging from 1.2 to 1.5. This significant weight gain can be partly explained by medication.MethodsThe hospital centre Le Vinatier, in France, has developed a therapeutic patient education program in helping patients to self-manage their preventable disease. In order to tackle the multifaceted nature of obesity, the program used the expertise of many different professionals: general practitioners, dieticians, dentists, physical adapted education teachers, pharmacists, nurses and so on. This programme is provided for patients suffering from obesity or an overweight complicated by diabetes, or/and metabolic syndrome, and/or history of cardiovascular diseases or/and a failure of a dietary monitoring. The program includes individual care and collective workshops in nutrition, oral heath, body image, adapted physical education, and roundtable.Results/conclusionsA retrospective study has already shown that this therapeutic patient education program, like others before, presented better results than dietary consultations. A prospective study is currently being carried out to validate these results in the long term and to demonstrate the benefit associated to this program.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Epilepsy surgery: A therapeutic patient education program

2018 ◽  
Vol 174 (10) ◽  
pp. 726-730 ◽  
Author(s):  
H. Catenoix ◽  
C. Feutrier ◽  
F. Taffin ◽  
R. Peverelli ◽  
M. Rodot ◽  
...  
Keyword(s):  
Patient Education ◽  
Epilepsy Surgery ◽  
Education Program ◽  
Therapeutic Patient Education ◽  
Patient Education Program

scholarly journals Long term effect of spa therapy combined with patient education program on subjects with overweight and obesity — A controlled study

2019 ◽  
Vol 13 (5) ◽  
pp. 492-498 ◽  
Author(s):  
Coralie Schnebelen-Berthier ◽  
Nathalie Negro ◽  
Arnaud Jaruga ◽  
Christian-François Roques ◽  
Jean-Michel Lecerf
Keyword(s):  
Patient Education ◽  
Education Program ◽  
Overweight And Obesity ◽  
Term Effect ◽  
Controlled Study ◽  
Spa Therapy ◽  
Patient Education Program ◽  
Long Term Effect

scholarly journals Effects of an outpatient education program in patients with uncontrolled asthma

2013 ◽  
Vol 39 (3) ◽  
pp. 272-279 ◽  
Author(s):  
Carmen Denise Borba Rodrigues ◽  
Rosemary Petrik Pereira ◽  
Paulo de Tarso Roth Dalcin
Keyword(s):  
Quality Of Life ◽  
Asthma Control ◽  
Educational Intervention ◽  
Education Program ◽  
Inhalation Technique ◽  
Uncontrolled Asthma ◽  
Face To Face ◽  
Metered Dose ◽  
Asthma Patients

OBJECTIVE: To evaluate the effects of an outpatient education program in patients with uncontrolled asthma. METHODS: This was an uncontrolled study evaluating an educational intervention and involving patients with uncontrolled asthma ≥ 14 years of age. The participants completed a questionnaire designed to assess the level of asthma control, the inhalation technique, and quality of life. All of the patients underwent pulmonary function testing, after which they participated in an education program consisting of one 45-min face-to-face session, followed by phone interviews at two, four, and eight weeks. The participants were reevaluated after three months. RESULTS: Sixty-three patients completed the study. There was a significant improvement in the level of asthma control (p < 0.001). Of the 63 patients, 28 (44.4%) and 6 (9.5%) were classified as having partially controlled asthma and controlled asthma, respectively. The mean FEV1 was 63.0 ± 20.0% and 68.5 ± 21.2% of the predicted value prior to and after the educational intervention, respectively (p = 0.002), and all of the quality of life scores improved (p < 0.05 for all). The same was true for the proportion of patients prior to and after the educational intervention using the proper inhalation technique when using metered dose inhalers (15.4% vs. 46.2%; p = 0.02) and dry powder inhalers (21.3% vs. 76.6%; p < 0.001). The logistic regression analysis revealed that an incorrect inhalation technique identified during the first evaluation was independently associated with a favorable response to the educational intervention. CONCLUSIONS: This study suggests that an outpatient education program for asthma patients improves the level of asthma control, lung function parameters, and quality of life. An incorrect inhalation technique identified during the first evaluation was predictive of a favorable response to the educational intervention.

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