A repeated short educational intervention improves asthma control and quality of life

作者：Plaza Vicente^*; Peiro Meritxell; Torrejon Montserrat; Fletcher Monica; Lopez Vina Antolin; Maria Ignacio Jose; Antonio Quintano Jose; Bardagi Santiago; Gich Ignasi

来源：European Respiratory Journal, 2015, 46(5): 1298-1307.

DOI：10.1183/13993003.00458-2015

We assessed the effectiveness of an asthma educational programme based on a repeated short intervention (AEP-RSI) to improve asthma control (symptom control and future risk) and quality of life.
A total of 230 adults with mild-to-moderate persistent uncontrolled asthma participated in a 1-year cluster randomised controlled multicentre study. The AEP-RSI was given in four face-to-face sessions at 3-month intervals, and included administration of a written personalised action plan and training on inhaler technique. Centres were randomised to the AEP-RSI (intervention) group or usual clinical practice group. Specialised centres using a standard educational programme were the gold standard group.
A significant improvement in the Asthma Control Test score was observed in all three groups (p<0.001), but improvements were higher in the intervention and gold standard groups than in the usual clinical practice group (p=0.042), which also showed fewer exacerbations (mean +/- SD; 1.20 +/- 2.02 and 0.56 +/- 1.5 versus 2.04 +/- 2.72, respectively) and greater increases in the Mini Asthma Quality of Life Questionnaire scores (0.95 +/- 1.04 and 0.89 +/- 0.84 versus 0.52 +/- 0.97, respectively).
The AEP-RSI was effective in improving asthma symptom control, future risk and quality of life.

• 出版日期2015-11