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Recent News and Articles on the Keywords: studies suggest + asthma education + asthma  Related to the article below (Last Update: 5/5/2008)

Overcoming 'I'm In Control Syndrome'
eMaxHealth.com, NC -
Two studies that offer new insights to help adolescents and younger children improve their asthma control will be presented by researchers from Cincinnati ...
The silent tormentor
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To improve the overall management of asthma, the National Asthma Education Program expert panel published guidelines in 1991, and an international consensus ...
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Austin American-Statesman, TX - May 3, 2008
She credits the center with improvements in her other sons ? two of whom struggle with attention deficit disorders, she says, and another with asthma. ...
Evidence Limited to Recommend Antihistamines for Cough in Children
Medscape (subscription) - Apr 22, 2008
... asthma, or suppurative lung disease. Two of the reviewers independently evaluated study quality and extracted data. There were 3 therapeutic studies ...
Duration of antidepressant use during pregnancy and risk of major ...
British Journal of Psychiatry (subscription), UK - Apr 30, 2008
Indeed, several studies have shown that inadequate treatment of women with psychiatric disorders during the gestational period puts them at risk of ...
Disability and treatment of specific mental and physical disorders ...
British Journal of Psychiatry (subscription), UK - Apr 30, 2008
Physical disorders were assessed with a standard chronic disorders checklist 9 containing ten conditions that include asthma, cancer, cardiovascular disease ...
World Health Day: The Hazards of Global Warming to Your Health
Yahoo! News - Apr 6, 2008
Global warming enhances smog formation, which contributes to an increased risk for chronic diseases including lung cancer, heart disease, asthma and ...
Drinks that drain the brain
Frost Illustrated, IN - Apr 8, 2008
Another ingredient, sulfite, also has been found to cause asthma attacks in susceptible individuals. Reports indicate that African American children ...
Source: Google News

… Distribution Are Dependent on Interpretation of the National Asthma Education and Prevention Program … -
AL Fuhlbrigge, RJ Adams, TW Guilbert, E Grant, P … - American Journal of Respiratory and Critical Care Medicine, 2002 - 171.66.122.149
... However, estimates suggest 94.1% of occupied housing units ... Our study population is
representative of the United ... education level similar to our asthma population ...

A National Estimate of the Economic Costs of Asthma -
DH SMITH, DC MALONE, KA LAWSON, LJ OKAMOTO, C … - American Journal of Respiratory and Critical Care Medicine, 1997 - Am Thoracic Soc
... More recent data suggest that inhaled beta agonists ... recommendations from the National
Asthma Education Program (22 ... Information from these studies can be useful ...

Trends in Childhood Asthma: Prevalence, Health Care Utilization, and Mortality -
LJ Akinbami, KC Schoendorf - Pediatrics, 2002 - Am Acad Pediatrics
... the dissemination of the National Asthma Education and Prevention ... and minority children
with asthma are less ... 51,52 Furthermore, some studies suggest that after ...

… Management Practices Associated With Reduced Risk of Pediatric Asthma Hospitalization and Emergency … -
TA Lieu, CP Quesenberry, AM Capra, ME Sorel, KE … - Pediatrics, 1997 - Am Acad Pediatrics
... of the medical centers in this study used highly ... plans for the home management of
asthma that were ... authors on request.) Our findings suggest that prospective ...

Can Guideline-defined Asthma Control Be Achieved?: The Gaining Optimal Asthma ControL Study -
ED Bateman, HA Boushey, J Bousquet, WW Busse, TJH … - American Journal of Respiratory and Critical Care Medicine, 2004 - 171.66.122.149
... The results from our study suggest that additional benefit may ... on the Scientific
Advisory Board for this study. ... National Asthma Education and Prevention Program ...

Improving Care for Minority Children With Asthma: Professional Education in Public Health Clinics -
D Evans, R Mellins, K Lobach, C Ramos-Bonoan, M … - Pediatrics, 1997 - Am Acad Pediatrics
... Given that resources for patient education programs are ... the pilot and the main study
suggest that traditional ... to improve quality of care for asthma are likely ...

Strengthening Asthma Education to Enhance Disease Control* -
NM Clark, MR Partridge - Chest, 2002 - Am Coll Chest Phys
... Studies suggest that physicians must be involved in providing asthma education to
patients for at least two reasons: (1) from the patient?s perspective, the ...

Risk Factors for Near-fatal Asthma A Case-Control Study in Hospitalized Patients with Asthma -
MO TURNER, K NOERTJOJO, S VEDAL, T BAI, S CRUMP, J … - American Journal of Respiratory and Critical Care Medicine, 1998 - Am Thoracic Soc
... Our findings suggest a gender difference between ... await confirmation by prospective
studies designed to ... physician barriers (28) to effective asthma education. ...

Use of regularly scheduled albuterol treatment in asthma: genotype-stratified, randomised, placebo- …
E Israel, VM Chinchilli, JG Ford, HA Boushey, R … - The Lancet, 2004 - Elsevier
... Previous retrospective studies suggested that regular albuterol ... Laboratories when
the study was conceived ... 2 National Asthma Education Program, Guidelines for ...

… training programme in children admitted to hospital with acute asthma: a randomised controlled … -
P Madge, J McColl, J Paton - Thorax, 1997 - pt.wkhealth.com
... Instead, we suggest that asthma re-admissions over a ... a major health care goal in
childhood asthma. Because of limited resources, the study training programme ...

Source: Google Scholar

A new review of studies suggests that people with asthma who receive disease education during, or soon after, a serious emergency-room visit are less likely to be re-admitted to the hospital than patients who receive no instruction.
"We've known for a long time that education works in chronic diseases and education in the emergency department makes good sense," said review co-author Brian Rowe, an emergency physician at the University of Alberta Hospital in Edmonton, AB.

The reviewers analyzed 12 randomized controlled studies involving 1,954 patients. All study participants visited the emergency department for a severe asthma attack. Some patient groups received usual care plus asthma education; others received usual care only.
Doctors say education and self-management training are mainstays of most chronic diseases, such as asthma, diabetes and hypertension. The goal is to teach patients to maintain better control of their illness, which might improve health and require less interaction with the healthcare system.

Frequency of re-hospitalization was lower for patients who received asthma education, the review found. Education after an emergency room visit also appears to improve patient attendance at scheduled medical appointments.

However, there was little evidence to suggest that education improved other health indicators such as lung function, lost days at work, quality of life or the need to use rescue medications.

The review appears in the latest issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates medical research. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing medical trials on a topic.

Asthma education varied greatly across the 12 analyzed studies. The programs included everything from counseling to information about monitoring symptoms and airway constriction to information about what actions to take if asthma worsens.

"We still aren't sure which components of education are essential and which can be eliminated without a loss of effectiveness," Rowe said.

Different healthcare professionals (nurses, doctors, educators) delivered the instruction in different settings (clinics, emergency rooms, home).

The review did not determine which professionals provided the best asthma instruction. Nevertheless, Rowe said, "Physicians generally don't have time to provide education in the chaotic environment of the ED and they, perhaps, are not very effective at providing the type of education needed for this and other chronic diseases in this setting."

"Certified asthma educators, pharmacists and other healthcare providers may be more effective and efficient at providing this education," he said.
The reviewed studies measured considerably different health outcomes sometimes simply a return visit to the emergency room, sometimes admissions to the hospital. Six studies, involving 665 participants, found that education resulted in a significant reduction of repeat hospital stays after the emergency department visit. Seven studies involving 690 participants found no significant differences in subsequent visits to the emergency department between patients who received education and those who did not.

The differing educational programs and varying health measures made it difficult to draw conclusions from the studies.

"It tells us that we need to be very specific in outcome measurements and to specify at the beginning what intervention we are going to make," said William Calhoun, director of Allergy, Pulmonary, Immunology, Critical Care and Sleep at the University of Texas Medical Branch in Galveston, Texas.

"We need very clear, well-designed studies on asthma education and its effects," Calhoun said. He did not participate in the Cochrane review.

The review authors said the limitations of the current analysis reveal a strong need for further study into asthma education interventions. In the future, they would like to see better health outcome reporting and a review of socioeconomic and cultural factors that could effect asthma management and health.

Tapp S, et al. Education interventions for adults who attend the emergency room for acute asthma (Review). Cochrane Database of Systematic Reviews 2007, Issue 3.

The Cochrane Collaboration is an international non-profit, independent organization that produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions. Visit http://www.cochrane.org for more information.

Health Behavior News Service
Center for the Advancement of Health 2000 Florida Ave. NW, Ste 210
Washington, DC 20009
United States
http://www.hbns.org
 
 
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