Effects of an outpatient education program in patients with uncontrolled asthma

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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A 1-day visit in a severe asthma centre: effect on asthma control, quality of life and healthcare use

European Respiratory Journal ◽

10.1183/13993003.00220-2016 ◽

2016 ◽

Vol 48 (3) ◽

pp. 726-733 ◽

Cited By ~ 36

Author(s):

Akke-Nynke van der Meer ◽

Henk Pasma ◽

Wilma Kempenaar-Okkema ◽

Jo-Anneke Pelinck ◽

Myrte Schutten ◽

...

Keyword(s):

Quality Of Life ◽

Asthma Control ◽

Severe Asthma ◽

Life Questionnaire ◽

Healthcare Use ◽

Uncontrolled Asthma ◽

Control Quality ◽

Asthma Patients

Patients with uncontrolled asthma report ongoing symptoms, poor quality-of-life and extensive healthcare use (HCU) and might benefit from management by a specialised severe asthma team. It is unknown whether a one-time evaluation by asthma experts, without long-term supervision by a specialised team, provides favourable outcomes. We evaluated asthma control (Asthma Control Questionnaire; ACQ), quality-of-life (Asthma-related Quality of Life Questionnaire; AQLQ) and HCU before and 1 year after a 1-day visit programme in a severe asthma centre, including a multidisciplinary assessment resulting in a personalised management plan to be implemented by patients own pulmonologists.40 uncontrolled asthma patients completed questionnaires (ACQ, AQLQ, HCU) at baseline, and 6 and 12 months follow-up.ACQ improved from 2.6 (interquartile range 1.7–3.2) to 1.8 (1.2–3.2) (p=0.003) and AQLQ from 4.8 (4.0–5.2) to 5.3 (4.4–6.0) (p<0.001). We found a reduction in patients with ≥2 exacerbations (95% versus 17%; p<0.001), ≥1 emergency room visit (78% versus 37%; p<0.001) and ≥1 hospitalisation (47% versus 10%; p=0.001).Evaluation of uncontrolled asthma patients in a 1-day visit programme in a severe asthma centre resulted in significant improvements in asthma control, quality-of-life and healthcare use after 1 year. This 1-day visit approach seems beneficial for uncontrolled asthma patients and might reduce their dependence on expensive treatment modalities and long-term management in specialised centres.

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Assessment of quality of life in asthma patients in 5 to 18 years of children

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20204549 ◽

2020 ◽

Vol 7 (11) ◽

pp. 2214

Author(s):

Nikhil Jain ◽

Karan Joshi

Keyword(s):

Quality Of Life ◽

Asthma Control ◽

Persistent Asthma ◽

Tertiary Hospital ◽

P Value ◽

Cross Sectional ◽

Asthmatic Patients ◽

Asthma Patients ◽

Severity Of The Disease

Background: Asthma is a common cause of morbidity and mortality with prevalence of 300 million in world. The QOL of asthmatic patients cannot be determined only on the basis the severity of the disease, but requires a measurement of personal perception. This study was conducted with the aim to assess and compare the QOL using PedsQl scale in asthma patients between 5 to 18 years of age with different demographic and clinical variables.Methods: This was a cross-sectional observational study conducted at respiratory clinic in tertiary hospital, Rewa from October 2017 to June 2019. A total number of 150 asthmatic patients and their parents participated. Asthmatic patients (N=150) and their parents, presenting to asthma clinic of Gandhi Memorial Hospital, Rewa (after applying inclusion-exclusion criteria) were assessed for QOL using PedsQl scale 3.0. Statistical analysis was performed by SPSS version 20. Test of significance by student T-test and one way ANOVA.Results: The QOL is severely hampered by asthma with mean of 59 in intermittent asthma, 51 in mild, 44.74 in moderate and 40 in severe persistent asthma, significant p value of <0.05. Younger age, level of asthma control and severity were significantly related to QOL with p value of <0.05. Sex, socioeconomic status, were insignificantly related.Conclusions: QOL is impaired as the grading of asthma increases. Impairment of Quality of life are mostly associated with low level of asthma control, poly-therapy and frequent night attacks.

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Level of asthma control and its impact on activities of daily living in asthma patients in Brazil

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37132013000500002 ◽

2013 ◽

Vol 39 (5) ◽

pp. 532-538 ◽

Cited By ~ 16

Author(s):

Mariana Rodrigues Gazzotti ◽

Oliver Augusto Nascimento ◽

Federico Montealegre ◽

James Fish ◽

Jose Roberto Jardim

Keyword(s):

Quality Of Life ◽

Activities Of Daily Living ◽

Emergency Room ◽

Asthma Control ◽

Daily Living ◽

Negative Impact ◽

Uncontrolled Asthma ◽

School Work ◽

The Impact

OBJECTIVE: To evaluate the impact of asthma on activities of daily living and on health status in patients with controlled, partially controlled, or uncontrolled asthma in Brazil. METHODS: We used data related to 400 patients in four Brazilian cities (São Paulo, Rio de Janeiro, Salvador, and Curitiba), obtained in a survey conducted throughout Latin America in 2011. All study subjects were > 12 years of age and completed a standardized questionnaire in face-to-face interviews. The questions addressed asthma control, hospitalizations, emergency room visits, and school/work absenteeism, as well as the impact of asthma on the quality of life, sleep, and leisure. The level of asthma control was determined in accordance with the Global Initiative for Asthma criteria. RESULTS: Among the 400 respondents, asthma was controlled in 37 (9.3%), partially controlled in 226 (56.5%), and uncontrolled in 137 (34.2%). The numbers of patients with uncontrolled or partially controlled asthma who visited the emergency room, who were hospitalized, and who missed school/work were higher than were those of patients with controlled asthma (p = 0.001, p = 0.05, and p = 0.01, respectively). Among those with uncontrolled asthma, the impact of the disease on activities of daily living, sleep, social activities, and normal physical exertion was greater than it was among those with controlled or partially controlled asthma (p < 0.001). CONCLUSIONS: In Brazil, asthma treatment should be monitored more closely in order to increase treatment adherence and, consequently, the level of asthma control, which can improve patient quality of life and minimize the negative impact of the disease.

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Gastroesophageal Reflux Disease Is Associated With Poor Asthma Control, Quality of Life, and Psychological Status in Chinese Asthma Patients

CHEST Journal ◽

10.1378/chest.08-1702 ◽

2009 ◽

Vol 135 (5) ◽

pp. 1181-1185 ◽

Cited By ~ 23

Author(s):

Ting Kin Cheung ◽

Bing Lam ◽

Kam Fai Lam ◽

Mary Ip ◽

Connie Ng ◽

...

Keyword(s):

Quality Of Life ◽

Gastroesophageal Reflux Disease ◽

Gastroesophageal Reflux ◽

Asthma Control ◽

Reflux Disease ◽

Psychological Status ◽

Control Quality ◽

Asthma Patients

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Factors affecting asthma psychomorbidity, control and illness-related quality of life: what is the interaction?

European Psychiatry ◽

10.1016/s0924-9338(11)73449-6 ◽

2011 ◽

Vol 26 (S2) ◽

pp. 1745-1745

Author(s):

N. Pilipenko ◽

M. Karekla

Keyword(s):

Quality Of Life ◽

Asthma Control ◽

Research Literature ◽

Smoking History ◽

Inflammatory Disorder ◽

Chronic Inflammatory Disorder ◽

Asthma Patients ◽

Related Quality ◽

The Impact

Asthma is a chronic inflammatory disorder of the airways, ounknown etiology and growing prevalence (GINA, 2009). Appropriate asthma management can control the disorder and enable patients to enjoy a good quality of life (WHO, 2007).Yet, many asthma patients are unable to maintain asthma control (Rabe et al., 2003) for various reasons, including psychological ones (Feldman et al., 2005).This study examined the prevalence of psychomorbidity, and its interaction with asthma control difficulties and asthma-related quality of life in a sample of 200 asthma patients in Cyprus. Asthma diagnoses and severity were established by medical chart review.Psychomorbidity was evaluated using the Patient Health Questionnaire (Spitzer, 1999). Additionally, the impact of asthma-specific (e.g. asthma knowledge), health-specific (e.g. smoking history) and socio-demographic (e.g. perceived poverty) factors was examined as prior research literature suggests these may significantly impact asthma control and asthma-related quality of life.Currently, the present study is in its final stages of data collection (to conclude 2010). The results will offer valuable insights into the mechanisms and factors which affect asthma control, quality of life, and psychomorbidity. In doing so, the present study will contribute to the improved understanding of asthma patients’ experiences, essential to guide medical and psychological interventions.

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Clinical, functional and inflammatory evaluation in asthmatic patients after a simple short-term educational program: a randomized trial

10.21203/rs.3.rs-403514/v1 ◽

2021 ◽

Author(s):

Soraia Nogueira Felix ◽

Rosana Camara Agondi ◽

Marcelo Vivolo Aun ◽

Clarice Rosa Olivo ◽

Francine Maria de Almeida ◽

...

Keyword(s):

Quality Of Life ◽

Asthma Control ◽

Educational Intervention ◽

Intervention Group ◽

Educational Activity ◽

Control Group ◽

Life Questionnaire ◽

Asthmatic Patients ◽

Quality Life

Abstract This study aimed to evaluate the clinical evolution, functional parameters and inflammatory activity of asthma in patients who submitted to an educational intervention. 58 adult patients over 18 years of age with partly controlled and uncontrolled asthma were randomized into an intervention group (IG) (N = 32) and a control group (CG) (N = 26) and evaluated for 12 weeks. The Asthma Control Test (ACT), Asthma Control Questionnaire (ACQ), Asthma Quality Life Questionnaire (AQLQ) and Beck Depression Inventory (BDI) questionnaires were applied. Spirometry, exhaled nitric oxide (NO), exhaled breath condensate (EBC) and induced sputum (IS), measurement of the peak flow and symptoms were performed. The IG patients received an educational activity for 30 minutes applied by a nurse. Statistical analysis: analysis of variance with repeated intragroup measures. IG presented a decreased number of eosinophils in IS and IL-17A in EBC, an increase in the percentage of FEV1 after bronchodilatation and an improvement in quality of life compared to the CG. There was an improvement in depression levels and a decrease in IL-4 and IL-5 in the IS and in the EBC in the IG compared to the CG. Our results suggest that an educational intervention can bring benefits concerning the control of inflammation, lung function alterations, quality of life and levels of depression in asthmatic patients. Registration: ClinicalTrials.gov; NCT03655392.

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Effect of asthma control on general health-related quality of life in patients diagnosed with adult-onset asthma

Scientific Reports ◽

10.1038/s41598-019-52361-9 ◽

2019 ◽

Vol 9 (1) ◽

Cited By ~ 2

Author(s):

Pinja Ilmarinen ◽

Hind Juboori ◽

Leena E. Tuomisto ◽

Onni Niemelä ◽

Harri Sintonen ◽

...

Keyword(s):

Quality Of Life ◽

Sexual Activity ◽

Asthma Control ◽

Adult Onset ◽

Health Related Quality ◽

Uncontrolled Asthma ◽

Generic Hrqol ◽

Related Quality ◽

Health Related

Abstract Health-related quality of life (HRQoL) is a well-established aspect of health that can be measured by both disease-specific and general instruments. The effect of uncontrolled asthma on generic HRQoL has not been shown in patients with clinically confirmed adult-onset asthma and with asthma control defined according to the Global Initiative for Asthma, so the aim of this study was to determine this. In the 12-year follow-up cohort of the Seinäjoki Adult Asthma Study (n = 203), patients with uncontrolled and partially controlled asthma had lower generic HRQoL as determined by 15D compared to the controlled group. On 10 out of 15 dimensions of 15D, the mean scores were significantly lower in patients with uncontrolled asthma compared with those with controlled asthma. The affected dimensions were mobility, breathing, sleeping, usual activities, mental function, discomfort and symptoms, depression, distress, vitality and sexual activity. In the Tobit regression analysis, a poorer 15D score was associated with uncontrolled asthma, lower postbronchodilator FEV1, female sex, depression, treated dyspepsia and poorer 15D score at diagnosis. Our results show that uncontrolled asthma affects everyday life in several aspects, including previously unknown components such as sexual activity and vitality.

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