Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
International Programs: India
Reductions in Hospital Use from Self Management Training
C. Sudheendra Ghosh, MD, DipNB, MPH
91 471 244 8825
"Reductions in Hospital Use from Self Management Training" was conducted in India by the Medical College in Thiruvananthrpuram from 1991-1994 to assess the impact of asthma Self-Management Training on the health status and resource use of patients with chronic asthma age 10-45.
The study consisted of a randomized controlled design of chronic asthmatic patients in a tertiary care center in India. The intervention group (153 patients) received four training sessions of two hours each over one month, in addition to the regular care provided to the control group (150 patients). During these sessions, patients were trained to adjust treatment promptly, appropriately, and safely depending on the severity of the disease.
Health status and resource use were measured at baseline and over a one-year follow up period. The intervention group had significantly better health status (measured by breathing ability), fewer productive days lost, and lower resource use (hospitalizations and emergency room visits) than the control group.
The study concluded that incorporation of asthma Self Management Training as part of clinical management of asthma can result in improvements in health status and reductions in hospital use.
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