Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: California (cont'd)
An Evaluation of a Self-Management Program for Adults with Asthma
Los Angeles, CA
Jill Berg, PhD, RN
The purpose of this study was to evaluate the impact of a self-management program for adults with moderate to severe asthma on compliance with inhaled, prescribed, non-emergency medications; asthma symptoms; and airway obstruction.
In this controlled experimental study, 55 subjects from a rural community were randomized to one of two groups.
In addition to routine medical care the six-week asthma self-management program included two-hour nurse-led sessions. The sessions covered the following topics: self-management behaviors and skills, asthma medications, triggers, prevention of attacks, relaxation techniques, psychological responses, and problem solving skills.
Primary measures included the Metered Dose Inhaler Chronolog, a journal of daily asthma concerns, and a peak-flow meter to appraise airway obstruction. Secondary measures included the Asthma Self-Management Assessment Tool and the Self-Efficacy for Asthma Management Scale. These measures were completed pre- and post-intervention. Data analysis using descriptive and inferential statistics revealed that after six weeks subjects receiving the self-management program increased compliance with inhaled medications (U = 271, p = .043).
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