Randomised comparison of guided self management and traditional treatment of asthma over one year

British Medical Journal

Volumn 312, Issue 7033, 1996, Pages 748-752

  Lahdensuo, Aarne ^a   Haahtela, Tari ^b   Herrala, Jaakko ^a   Kava, Tuomo ^c   Kiviranta, Kirsti ^b   Kuusisto, Paula ^a   Perämäki, Erkki ^c   Poussa, Tuija ^d   Saarelainen, Seppo ^a   Svahn, Thore ^e  

^a TAMPERE UNIVERSITY HOSPITAL   (Finland)

^b HELSINKI UNIVERSITY CENTRAL HOSPITAL   (Finland)

^c NORTH KARELIA CENTRAL HOSPITAL   (Finland)

^d STAT Consulting   (Finland)

^e Suomen Astra Oy   (Finland)

Author keywords

[No Author keywords available]

Indexed keywords

ANTIBIOTIC AGENT; ANTIINFLAMMATORY AGENT; PREDNISOLONE;

ABSENTEEISM; ADULT; ARTICLE; ASTHMA; CLINICAL TRIAL; COMPARATIVE STUDY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; FINLAND; HOSPITAL ADMISSION; HUMAN; LUNG FUNCTION; MAJOR CLINICAL STUDY; MALE; MANAGEMENT; MULTICENTER STUDY; OUTPATIENT CARE; PATIENT EDUCATION; PEAK EXPIRATORY FLOW; PRIORITY JOURNAL; QUALITY OF LIFE; RANDOMIZED CONTROLLED TRIAL; SINGLE BLIND PROCEDURE;

EID: 0343280151     PISSN: 09598146     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmj.312.7033.748     Document Type: Article

References (27)

1. British Thoracic Association. Death from asthma in two regions of England. BMJ 1982;285:1251-5.
2. Johnson AJ, Nunn AJ, Somner AR, Stableforth DE, Stewart CJ. Circumstances of death from asthma. BMJ 1984;288:1870-5.
3. Blainey D, Lomas D, Beale A, Partridge MR. The cost of acute asthma - how much is preventable? Health Trends 1991;22:151-3.
4. Avery CH, March J, Brook RH. An assessment of the adequacy of self-care by adult asthmatics. J Community Health 1980;5:167-80.
5. Partridge MR. Patients' self assessment and treatment strategies for acute asthma. Research and Clinical Forums 1993;15:65-73.
6. National Heart Lung and Blood Institute, National Institutes of Health. International concerns report on diagnosis and management of asthma. Bethesda, Maryland: National Heart, Lung and Blood Institute, NIH, 1992. (Publication No 92.3091).
7. British Thoracic Society, British Paediatric Association, Research Unit of the Royal College of Physicians of London, King's Fund Centre, National Asthma Campaign, Royal College of General Practitioners, et al. Guidelines on the management of asthma. Thorax 1993;48:S1-24.
8. Beasley R, Cushley M, Holgate ST. A self management plan in the treatment of adult asthma. Thorax 1989;44:200-4.
9. Bailey WC, Richards JM, Brooks CM, Soong S-J, Windsor RA, Manzella BA. A randomized trial to improve self management practices of adults with asthma. Arch. Intern Med 1990;150:1664-8.
10. Mayo PH, Richman J, Harris HW. Results of a program to reduce admissions for adult asthma. Ann Intern Med 1990;112:864-71.
11. Charlton I, Charlton G, Broomfield J, Mullee MA. Evaluation of peak flow and symptoms-only self management plans for control of asthma in general practice. BMJ 1990;301:1355-9.
12. Grampian Asthma Study of Integrated Care (GRASSIC). Effectiveness of routine self monitoring of peak flow in patients with asthma. BMJ 1994;308:564-7.
13. D'Souza W, Crane J, Burgess C, Te Karu H, Fox C, Harper M, et al. Community-based asthma care: trial of a "credit card" asthma self management plan. Eur Respir J 1994;7:1260-5.
14. Jones PW, Quirk FH, Baveystock CM, Littlejohns P. A self-complete measure for chronic airflow limitation - the St George's Respiratory Questionnaire. Am Rev Respir Dis 1992;145:1321-7.
15. Hudgel DW, Langston L, Selner JC, McIntosh K. Viral and bacterial infections in adults with chronic asthma. Am Rev Respir Dis 1979;120:393-7.
16. Nicholson KG, Kent J, Ireland DC. Respiratory viruses and exacerbations of asthma in adults. BMJ 1993;307:982-6.
17. Jamison JP, McKinley RK, Irwin WG. Trial of daily peak expiratory flow rate monitoring in the management of asthma. Thorax 1990;45:341P.
18. Hargreave FE, Dolovich J, Newhouse MT. The assessment and treatment of asthma: a conference report. J Allergy Clin Immunol 1990;85:1098-111.
19. Kendrick AH, Higgs CMB, Whitfield MJ, Laszlo G. Accuracy of perception of severity of asthma: patients treated in general practice. BMJ 1993;307: 422-4.
20. Reeder KP, Dolce JJ, Duke L, Raczynski JM, Bailey WC. Peak flow meters: are they monitoring tools or training devices? J Asthma 1990;27:219-27.
21. Osman LM, Abdalla MI, Beattle JAG, Ross SJ, Russell IT, Friend JA, et al. Reducing hospital admission through computer supported education for asthma patients. BMJ 1994;308:568-71.
22. Wilson SR, Scamagas P, German DF, Hughes GW, Lulla S, Coss S, et al. A controlled trial of two forms of self management education for adults with asthma. Am J Med 1993;94:564-76.
23. Hilton S, Anderson HR, Sibbald B, Freeling P. Controlled evaluation of the effects of patient education on asthma morbidity in general practice. Lancet 1986;i:26-9.
24. Kleiger JH, Dirks JF. Medication compliance in chronic asthma patients. J Asthma Res 1979,16:93-196.
25. Kinsman RA, Dirks JF, Pahlem NW. Noncompliance to prescribed-as-needed (PRN) medication use in asthma: useage patterns and patient characteristics. J Psychosom Res 1980,24:97-107.
26. Haahtela T, Jdrvinen M, Kava T, Kiviranta K, Koskinen S, Lehtonen K, et al. Comparison of a B2-agonist, terbutaline, with an inhaled corticosteroid, budesonide, in newly detected asthma. N Engl J Med 1991;325:388-92.
27. Haahtela T, Jdrvinen M, Kava T, Kiviranta K, Koskinen S, Lehtonen K, et al. Effects of reducing or discontinuing inhaled budesonide in patients with mild asthma. N Engl J Med 1994;331:700-5.