Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Tennessee
Comprehensive Long-Term Management Program for Asthma
University of Tennessee
Timothy H. Self, Pharm D
"Comprehensive Long-Term Management Program for Asthma" was conducted in Memphis, TN by the University of Tennessee Health Science Center from 1992-1996. The goal of the study was to determine if a comprehensive long-term management program, emphasizing inhaled corticosteroids and patient education, would improve outcomes in adult African-American asthmatics.
The study was a nonrandomized controlled trial with a 2-year intervention performed in a university-based clinic. Intervention patients were volunteers, and a comparable control group was identified via chart review at hospitals. The intervention consisted of individualized pharmacological therapies and detailed individual asthma education. Environmental control, peak flow monitoring, and a partnership with the patient were emphasized. Control patients received usual care from physicians.
ED visits and hospitalizations for 2 years before and 2 years during the intervention period were compared. QOL measurements were made at baseline and every 6 months in the intervention group.
The study concluded that a comprehensive long-term management program emphasizing inhaled corticosteroids combined with other state-of-the-art management, including intensive patient education, improves outcomes in adult African-American asthmatics.
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