Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
International Programs: Spain
Outpatient Asthma Clinic Self-Management Program
General Hospital of Serrania
Jose-Maria Ignacio-Garcia, MD
34 67 0763149
An asthma self-management education program was conducted beginning in 1996 at the General Hospital of Serrania in Ronda, Spain.
Patients received medical assessments, a tailored medical regimen, written asthma action plans, written education materials, training on the use of inhalers, peak flow meter, and other devices, and comprehensive one-on-one asthma self-management education from a physician during seven visits to the asthma outpatient clinic over a period of three years.
The benefits at three years of the asthma self-management education program coupled with educational reinforcement were assessed at follow-up visits in 63 adults with chronic asthma (age 15-64). Significant improvements were found in the number of days off work or school, unscheduled general practitioner consultations, admissions to emergency services, hospital admissions, and nocturnal awakenings, as well as lung function.
Study authors concluded that in adults with chronic asthma, an asthma self-management education program coupled with educational reinforcement was effective at decreasing asthma morbidity, improving lung function and decreasing consumption of oral steroids.
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