Source:http://linkedlifedata.com/resource/pubmed/id/11405516
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2001-6-14
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pubmed:abstractText |
This study assessed the long-term efficacy of adding self-treatment guidelines to a self-management programme for adults with asthma. In this prospective randomized controlled trial, 245 patients with stable, moderate to severe asthma were included. They were randomized into a self-treatment group (group S) and a control group (group C). Both groups received self-management education. Additionally, group S received self-treatment guidelines based on peak expiratory flow (PEF) and symptoms. Outcome parameters included: asthma symptoms, quality of life, pulmonary function, and exacerbation rate. The 2-yr study was completed by 174 patients. Both groups showed an improvement in the quality of life of 7%. PEF variability decreased by 32% and 29%, and the number of outpatient visits by 25% and 18% in groups S and C, respectively. No significant differences in these parameters were found between the two groups. After 1 yr, patients in both groups perceived better control of asthma and had more self-confidence regarding their asthma. The latter improvements were significantly greater in group S as compared to group C. There were no other differences in outcome parameters between the groups. Individual self-treatment guidelines for exacerbations on top of a general self-management programme does not seem to be of additional benefit in terms of improvements in the clinical outcome of asthma. However, patients in the self-treatment group had better scores in subjective outcome measures such as perceived control of asthma and self-confidence than patients in the control group.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Mar
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pubmed:issn |
0903-1936
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
17
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
386-94
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:11405516-Adult,
pubmed-meshheading:11405516-Asthma,
pubmed-meshheading:11405516-Female,
pubmed-meshheading:11405516-Humans,
pubmed-meshheading:11405516-Male,
pubmed-meshheading:11405516-Middle Aged,
pubmed-meshheading:11405516-Peak Expiratory Flow Rate,
pubmed-meshheading:11405516-Practice Guidelines as Topic,
pubmed-meshheading:11405516-Prospective Studies,
pubmed-meshheading:11405516-Quality of Life,
pubmed-meshheading:11405516-Self Care,
pubmed-meshheading:11405516-Severity of Illness Index,
pubmed-meshheading:11405516-Single-Blind Method,
pubmed-meshheading:11405516-Time Factors
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pubmed:year |
2001
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pubmed:articleTitle |
Benefit from the inclusion of self-treatment guidelines to a self-management programme for adults with asthma.
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pubmed:affiliation |
Dept of Pulmonary Medicine, Medisch Spectrum Twente, Enschede, The Netherlands.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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