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Journal articles on the topic 'Asthma Action Plan'

Author: Grafiati

Published: 4 June 2021

Last updated: 3 February 2022

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1

Mangold, Rita, and Gary Salzman. "Electronic Asthma Action Plan Database: Asthma Action Plan Development Using Microsoft Access." Journal of Asthma 42, no. 3 (April 1, 2005): 191–96. http://dx.doi.org/10.1081/jas-200054631.

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Mangold, Rita A., and Gary A. Salzman. "Electronic Asthma Action Plan Database: Asthma Action Plan Development Using Microsoft Access." Journal of Asthma 42, no. 3 (January 2005): 191–96. http://dx.doi.org/10.1081/jas-54631.

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Beauchesne, Marie-France, Valérie Levert, Miray El Tawil, Manon Labrecque, and Lucie Blais. "Action Plans in Asthma." Canadian Respiratory Journal 13, no. 6 (2006): 306–10. http://dx.doi.org/10.1155/2006/458658.

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BACKGROUND: Action plans are recommended for most patients with persistent asthma to reduce the morbidity associated with this chronic disease. Unfortunately, despite these recommendations, this tool remains underused.METHODS: The authors conducted a descriptive study at the asthma clinic of a tertiary care centre to determine the number of asthmatic patients presenting to a respiratory physician (new reference or follow-up visit) who possessed an individualized, written action plan, and to evaluate the patients’ level of confidence and perceived efficacy toward their plans. In addition, for all patients in the study, the level of confidence in and the perceived efficacy of three different action plans (two traditional tools versus a simplified tool) were compared.RESULTS: A total of 92 asthmatic patients were included in the study. Overall, 46% of the patients possessed an action plan. The patients’ average level of confidence and perceived efficacy toward their action plans were high (4.1 out of five and 3.3 out of four, respectively). When the three different action plans were compared, the level of confidence in and perceived efficacy of the traditional tools were similar, both being superior to the simplified tool.CONCLUSION: The number of asthmatic patients who presented to the asthma clinic and who possessed an action plan was higher than the reported Canadian mean of 10%; however, most of the patients were treated by specialized respiratory physicians, which may explain this improvement. Considering that most patients with persistent asthma should have an individualized, written action plan, the present study confirms that this tool is still not used for all asthmatic patients.

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Srinivas, Pagadpally. "BENEFIT OF ASTHMA ACTION PLAN." Journal of Evolution of Medical and Dental Sciences 4, no. 72 (September 4, 2015): 12537–41. http://dx.doi.org/10.14260/jemds/2015/1805.

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5

Quah, Lishan Jessica, Yi Hern Tan, and Tunn Ren Tay. "Asthma Action Plan for Adults." Singapore Family Physician 44, no. 4 (September 1, 2019): 14–19. http://dx.doi.org/10.33591/sfp.44.4.u3.

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Reisy Tane , Hany Wihardja, Reisy Tane ,. Hany Wihardja. "Mobile Asthma Action Plan for Adolescent with Asthma." International Journal of Medicine and Pharmaceutical Sciences 8, no. 2 (2018): 49–56. http://dx.doi.org/10.24247/ijmpsapr20188.

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Looms, Rachel. "Creation of a primary care personal asthma action plan." Journal of Prescribing Practice 1, no. 1 (January 2, 2019): 33–36. http://dx.doi.org/10.12968/jprp.2019.1.1.33.

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National guidelines recommend that all patients with asthma are offered a personal asthma action plan (PAAP), which contains potentially lifesaving information should a patient experience a decline in symptoms. A PAAP was created for use within a primary care setting based on a review of currently available plans. It was based on a colour-coded system: green for when the patient feels well, amber for a decline in symptoms, and red for an asthma attack. It was designed to fit onto one side of A4 paper, with guidance for the patient to take a photograph of it with their mobile phone. The PAAP was only recently introduced into practice, so its impact on reducing asthma related complications or hospital admissions has not yet been reviewed.

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Booth, Andrew. "Benefits of an individual asthma action plan." Practice Nursing 23, no. 12 (December 2012): 594–602. http://dx.doi.org/10.12968/pnur.2012.23.12.594.

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Garnish, Sarah E., Emma C. Tovey Crutchfield, James M. Murphy, and Joanne M. Hildebrand. "Add necroptosis to your asthma action plan." Immunology & Cell Biology 99, no. 8 (July 26, 2021): 800–802. http://dx.doi.org/10.1111/imcb.12489.

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Murphy, Julie A., Jennifer M. Heisser, and McKenzie Montgomery. "Evidence-Based Review of Smartphone Versus Paper Asthma Action Plans on Asthma Control." Journal of Pharmacy Technology 35, no. 3 (February 19, 2019): 126–34. http://dx.doi.org/10.1177/8755122519830446.

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Objective: To summarize and evaluate existing literature regarding the impact of mobile asthma action plans (MAAPs) versus written asthma action plans (WAAPs) on degree of asthma control. Data Sources: PubMed, EMBASE, Web of Science, and ClinicalTrials.gov were searched (2000-January 2019) using the term asthma action plan with each of the following: smartphone, computers, handheld, mobile applications, portable electronic application, portable software application, tablet, or technology. Study Selection and Data Extraction: The search was limited to cohort and randomized controlled trials examining MAAP versus WAAP data. Data extracted included the following: study design, population, intervention, control, outcomes related to asthma control, and potential biases assessed using Cochrane Collaboration’s Risk of Bias Assessment Tool. Data Synthesis: Four of the 41 studies identified were included, each of which were randomized control trials. One study showed significant improvement using a non–asthma-specific assessment tool, 1 study showed improvement only for patients with uncontrolled asthma at baseline, and 2 studies showed no difference in asthma control scores. Overall risk of bias across all studies was low to moderate. Relevance to Patient Care and Clinical Practice: Health care providers should select an asthma action plan (AAP) format based on what the patient is most likely to understand and consistently use. Conclusions: Because of conflicting published data regarding the use of MAAPs versus WAAPs and risk of bias, it is unclear at this time whether one format of AAP is superior to the other for either adolescents or adults.

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11

Zhu, Kang, Li Xiang, and Kunling Shen. "Efficacy of Chinese Children's Asthma Action Plan in the management of children with asthma." Allergy and Asthma Proceedings 41, no. 1 (January 1, 2020): e3-e10. http://dx.doi.org/10.2500/aap.2020.41.190010.

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Background: Abundant evidence has proven the effectiveness of following an asthma action plan for children. China released its first children's asthma action plan in 2017 to improve asthma control. Objective: To assess the effectiveness of the Chinese Children's Asthma Action Plan (CCAAP) in the management of children with asthma. Methods: Children with persistent asthma (6‐14 years old) at 10 tertiary hospitals were randomized to receive either CCAAP instructions (intervention group, n = 87) or no plan (control group, n = 86) in addition to the usual asthma care, including education, stepwise asthma therapy, and regular outpatient follow-up. Children were followed up by using a serial measurement of outcomes over the course of 3 months. Results: CCAAP instructions did not have a significant effect on any of outcomes compared with the intervention group: (1) variables related to asthma exacerbation, including the number of patients (p = 0.09), symptomatic days (p = 0.658), severity, medication (courses of reliever, p = 0.696; combined rhinitis medication, p = 0.081; combined oral antibiotics, p = 0.852), missed work days (p = 0.538) or school days (p = 0.441), and economic costs (p = 0.898); (2) asthma control (p = 0.180); or (3) pulmonary function parameters during the follow-up period. Both groups showed significant improvement in asthma control (both p < 0.001) and pulmonary function (p < 0.017) from baseline to the 3-month follow-up. Conclusion: The results of this study indicated that provision of CCAAP may play a useful role in the management of children with asthma, but there were no greater benefits than usual asthma care. We need to plan a larger appropriately powered study.

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Atkins, Fred M., and Francis Weld Peabody. "The Asthma Action Plan: At the Fulcrum of Individualized Asthma Care." Journal of Asthma 34, no. 1 (January 1997): 1–4. http://dx.doi.org/10.3109/02770909709071197.

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13

Boise, Elizabeth. "Patient Education and Designing an Asthma Action Plan." Otolaryngologic Clinics of North America 47, no. 1 (February 2014): 127–34. http://dx.doi.org/10.1016/j.otc.2013.09.008.

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14

Portnoy, Jay M., and Helen Murphy. "Is it time for asthma action plan apps?" Annals of Allergy, Asthma & Immunology 118, no. 3 (March 2017): 239–40. http://dx.doi.org/10.1016/j.anai.2017.01.001.

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15

Pinnock, Hilary. "Supported self-management for asthma." Breathe 11, no. 2 (June 2015): 98–109. http://dx.doi.org/10.1183/20734735.015614.

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Key pointsSelf-management education in asthma is not an optional extra. Healthcare professionals have a responsibility to ensure that everyone with asthma has personalised advice to enable them to optimise how they self-manage their condition.Overviews of the extensive evidence-base conclude that asthma self-management supported by regular professional review, improves asthma control, reduces exacerbations and admissions, and improves quality of life.Self-management education should be reinforced by a written personalised asthma action plan which provides a summary of the regular management strategy, how to recognise deterioration and the action to take.Successful implementation combines education for patients, skills training for professionals in the context of an organisation committed to both the concept and the practice of supported self-management.Educational aimsTo summarise the evidence base underpinning supported self-management for asthmaTo provide clinicians with a practical approach to providing supported self-management for asthmaTo suggest an appropriate strategy for implementing supported self-managementSummaryThe evidence in favour of supported self-management for asthma is overwhelming. Self-management including provision of a written asthma action plan and supported by regular medical review, almost halves the risk of hospitalisation, significantly reduces emergency department attendances and unscheduled consultations, and improves markers of asthma control and quality of life. Demographic and cultural tailoring enables effective programmes to be implemented in deprived and/or ethnic communities or within schools.A crucial component of effective asthma self-management interventions is the provision of an agreed, written personalised action plan which advises on using regular medication, recognising deterioration and appropriate action to take. Monitoring can be based on symptoms or on peak flows and should specify thresholds for action including increasing inhaled steroids, commencing oral steroids, and when (and how) to seek professional help. Plans should be personalised to reflect asthma severity and treatment regimes, avoidance of triggers, co-morbid rhinitis and the individual’s preferences.Implementation is a challenge. Systematic review evidence suggests that it is possible to implement asthma self-management in routine care, but that to be effective this requires a whole systems approach which considers implementation from the perspective of patient education and resources, professional skills and motivation and organisation priorities and routines.

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Borgmeyer, Anne, Patricia Jamerson, Patricia Gyr, Nina Westhus, and Emily Glynn. "The School Nurse Role in Asthma Management: Can the Action Plan Help?" Journal of School Nursing 21, no. 1 (February 2005): 23–30. http://dx.doi.org/10.1177/10598405050210010601.

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Asthma is the most common chronic disorder in American schoolchildren, and school nurses play a valuable role in its management. A study was conducted in which school nurses were asked to describe their role in caring for students with asthma and their use of Asthma Action Plans (AAPs). The nurses indicated that they frequently provided direct care and education. They were comfortable with providing care to students with asthma and familiar with AAPs. Having an AAP increased their confidence in managing students with asthma. This emphasizes the need for continued education regarding the AAP and the development of policies that direct care and encourage use of an AAP at school.

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17

Licskai, Christopher J., Todd W. Sands, and Madonna Ferrone. "Development and pilot testing of a mobile health solution for asthma self-management: Asthma action plan smartphone application pilot study." Canadian Respiratory Journal 20, no. 4 (2013): 301–6. http://dx.doi.org/10.1155/2013/906710.

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BACKGROUND: Collaborative self-management is a core recommendation of national asthma guidelines; the written action plan is the knowledge tool that supports this objective. Mobile health technologies have the potential to enhance the effectiveness of the action plan as a knowledge translation tool.OBJECTIVE: To design, develop and pilot a mobile health system to support asthma self-management.METHODS: The present study was a prospective, single-centre, nonrandomized, pilot preintervention-postintervention analysis. System design and development were guided by an expert steering committee. The network included an agnostic web browser-based asthma action plan smart-phone application (SPA). Subjects securely transmitted symptoms and peak flow data daily, and received automated control assessment, treatment advice and environmental alerts.RESULTS: Twenty-two adult subjects (mean age 47 years, 82% women) completed the study. Biophysical data were received on 84% of subject days (subject day = 1 subject × 1 day). Subjects viewed their action plan current zone of control on 54% and current air quality on 61% of subject days, 86% followed self-management advice and 50% acted to reduce exposure risks. A large majority affirmed ease of use, clarity and timeliness, and 95% desired SPA use after the study. At baseline, 91% had at least one symptom criterion for uncontrolled asthma and 64% had ≥2, compared with 45% (P=0.006) and 27% (P=0.022) at study close. Mean Asthma Quality of Life Questionnaire score improved from 4.3 to 4.8 (P=0.047).CONCLUSIONS: A dynamic, real-time, interactive, mobile health system with an integrated asthma action plan SPA can support knowledge translation at the patient and provider levels.

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18

Rank, Matthew A., Gerald W. Volcheck, James T. C. Li, Ashokakumar M. Patel, and Kaiser G. Lim. "Formulating an Effective and Efficient Written Asthma Action Plan." Mayo Clinic Proceedings 83, no. 11 (November 2008): 1263–70. http://dx.doi.org/10.4065/83.11.1263.

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19

Keogh, Kat. "Children with asthma must have action plan, nurses told." Nursing Standard 28, no. 52 (September 2, 2014): 0. http://dx.doi.org/10.7748/ns.28.52.0.2852986.

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20

Looms, Rachel. "Creation of a primary care personal asthma action plan." Independent Nurse 2019, no. 5 (May 2, 2019): 14–18. http://dx.doi.org/10.12968/indn.2019.5.14.

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21

Wohlleben, Mikayla, Laura Meleady, Krista Oei, and Claire Seaton. "110 Improving Asthma Education in the Emergency Department: A Quality Improvement Initiative." Paediatrics & Child Health 25, Supplement_2 (August 2020): e45-e46. http://dx.doi.org/10.1093/pch/pxaa068.109.

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Abstract Introduction/Background Asthma education and action plans have been shown to improve compliance and symptom control. Provincial guidelines, created in 2015, included asthma action plans, but use of these resources across our site was not consistent. Objectives The objectives of this study were to develop and implement an asthma education package, standardize discharge instructions and improve appropriate referrals to Asthma Clinics. Design/Methods Using process mapping, staff surveys and patient interviews, we undertook a current state analysis. The resulting change ideas were implemented between October 2018 and January 2020 in 5 PDSA (Plan Do Study Act) cycles, utilizing chart reviews and a standardized data tool to measure outcomes. Rates of repeat Emergency Department (ED) attendances, 2 weeks following the initial encounter and overall rates of ED asthma visits were assessed, using patient medical record data. Results Two-hundred-and-twenty-five ED presentations were reviewed, 65.2% (146/224) had a previous diagnosis of asthma. 48.9% (110/225) reported using an inhaled corticosteroid (ICS) at presentation. 89.7% (201/224) had not seen a healthcare provider during this acute illness. Asthma action plan utilization increased from 0% at baseline to an average of 60%, sustained over 2 years. 74.2% (167/225) had an ICS prescribed or advised at discharge. Only 3.8% (8/209) of patients re-presented to an ED within 2 weeks of this asthma visit. 57.3% (129/225) children were referred for ongoing pediatric care: either by a community pediatrician (72.9%; 94/129) or our hospital Asthma Clinic (34.8%; 32/129). Between 2017 and 2019, there was no significant change in total asthma presentations to our ED/per year (1300, 1395 and 1307, respectively) (Figure 1). Conclusion A standardized asthma education package including pre-printed discharge resources, asthma action plans, and a provincially adopted, multi-language education video was successfully implemented into our ED. This demonstrates a multi-disciplinary approach to asthma education that can be utilized across the province. Our data highlights the need for a strong community-based approach for asthma care, and further work is ongoing to assess the efficacy of this education package on medication compliance and recurrent ED visits.

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Roberts, Nicola J., Zeinab Mohamed, Pei-Se Wong, Marianne Johnson, Li-Cher Loh, and Martyn R. Partridge. "The development and comprehensibility of a pictorial asthma action plan." Patient Education and Counseling 74, no. 1 (January 2009): 12–18. http://dx.doi.org/10.1016/j.pec.2008.07.049.

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Gupta, Samir, Mark Chignell, Susan Hall, and Sharon E. Straus. "Online Collaboration Tool for Asthma Action Plan With Usability (OCTAPUS)." Chest 138, no. 4 (October 2010): 172A. http://dx.doi.org/10.1378/chest.10883.

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Yin, H. Shonna, Ruchi S. Gupta, Suzy Tomopoulos, Alan L. Mendelsohn, Maureen Egan, Linda van Schaick, Michael S. Wolf, et al. "A Low-Literacy Asthma Action Plan to Improve Provider Asthma Counseling: A Randomized Study." Pediatrics 137, no. 1 (December 2, 2015): e20150468. http://dx.doi.org/10.1542/peds.2015-0468.

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Md Jamal, Shamsuriani. "Written Asthma Action Plan in Emergency Department Improves Knowledge and Asthma Control among Adult Acute Asthma Patients." Medicine & Health 15, no. 1 (June 30, 2020): 218–24. http://dx.doi.org/10.17576/mh.2020.1501.20.

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Weller, Trisha. "Monitoring skills – Asthma." Nurse Prescriber 1, no. 10 (October 2004): 1–7. http://dx.doi.org/10.1017/s1467115804001890.

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SummaryAsthma is a common respiratory disease in the UK with over 5 million sufferers. It a reversible airways disease characterised by bronchoconstriction, inflammation, oedema and mucus production. There is a wide spectrum of severity and asthma can be controlled effectively by pharmacotherapy. The British Guideline on the Management of Asthma provides the framework for treatment. Primary care nurses have been involved in the management of asthma for many years and a large number have undertaken asthma training courses. The asthma guidelines recognise the benefit of trained asthma nurses in the provision of care.The revised General Medical Services contract rewards practices who provide asthma care under the Quality Indicators framework. Supplementary nurse prescribing allows nurses with appropriate training to prescribe asthma medication, providing the diagnosis of asthma is confirmed by a medical practitioner and a clinical management plan is used. Community pharmacists have an important role in the care of patients with asthma as well and some pharmacists have become supplementary prescribers. Their role will become more evident in the future.The main asthma medications are bronchodilators and inhaled steroids, which should be used at the lowest dose to control symptoms. Caution should be exercised in young children where many asthma medications are used ‘off-label’. Their use can be justified when it is the most appropriate medication and is supported by evidence such as asthma guidelines.All patients on asthma medicines should be monitored closely, not only to ensure control of symptoms but to monitor for adverse side effects. Sufficient knowledge of appropriate pharmacology is required by those involved in asthma management. Regular asthma review should be structured and include issues of adherence to medication, appropriate use, inhaler technique, current symptoms and effects on lifestyle. All patients should have an asthma action plan so they know how to manage their asthma. This action plan is agreed with the patient and the health professional. Appropriate asthma management and supplementary prescribing will enhance patient care.

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Butterfoss, Frances D., Cynthia Kelly, and Jude Taylor-Fishwick. "Health Planning That Magnifies the Community's Voice: Allies Against Asthma." Health Education & Behavior 32, no. 1 (February 2005): 113–28. http://dx.doi.org/10.1177/1090198104269568.

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Allies Against Asthma, a working group of the Consortium for Infant and Child Health (CINCH), conducted a comprehensive asthma needs assessment in Hampton Roads, Virginia, in 2001. Results from extant data and parent surveys indicated that asthma prevalence was high (15% to 18%), 45% to 50% of children received primary care for asthma in the emergency department, 30% had been recently hospitalized, and most children were not adequately medicated. Focus groups revealed inadequate asthma education, low income, lack of resources and consistent care, disparities in insurance coverage, and noncompliance with national asthma guidelines. An integrated community asthma action plan was developed and funded. Members were satisfied with the planning process—88% felt the plan reflected the needs assessment, and 86% agreed the plan would effectively improve asthma management. Interventions commenced in January 2002. The inclusive process that led to these interventions will ensure that the project is successful and sustainable.

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Zipkin, Ronen, Sheree M. Schrager, Matthew Keefer, Lori Marshall, and Susan Wu. "Improving Home Management Plan of Care Compliance Rates Through an Electronic Asthma Action Plan." Journal of Asthma 50, no. 6 (May 28, 2013): 664–71. http://dx.doi.org/10.3109/02770903.2013.793708.

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Honey, Brooke L., Nancy Inhofe, Peter Sullivan, Sarah Martien, and Sajidah Swar. "Use of a Wallet Written Asthma Action Plan Compared to a Full-Page Plan." Journal of Asthma & Allergy Educators 4, no. 6 (July 11, 2013): 310–15. http://dx.doi.org/10.1177/2150129713495058.

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Farag, Hassan, Ekram W. Abd El-Wahab, Nessrin A. El-Nimr, and Hoda A. Saad El-Din. "Asthma action plan for proactive bronchial asthma self-management in adults: a randomized controlled trial." International Health 10, no. 6 (July 20, 2018): 502–16. http://dx.doi.org/10.1093/inthealth/ihy050.

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Riera, Antonio, Aledie Navas-Nazario, Veronika Shabanova, and Federico E. Vaca. "The impact of limited English proficiency on asthma action plan use." Journal of Asthma 51, no. 2 (November 26, 2013): 178–84. http://dx.doi.org/10.3109/02770903.2013.858266.

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Findlay, James, Jacqueline Parkes, Alison Ward, and Marylyn Richardson. "A pilot evaluation of the Zoned Asthma Action Plan (ZAAP) card." Primary Care Respiratory Journal 21, no. 2 (February 15, 2012): 220–21. http://dx.doi.org/10.4104/pcrj.2012.00009.

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Chaffin, D. C., K. K. Slish, M. D. Cabana, and N. M. Clark. "Which Patients are More Likely to Receive an Asthma Action Plan?" Journal of Allergy and Clinical Immunology 117, no. 2 (February 2006): S274. http://dx.doi.org/10.1016/j.jaci.2005.12.1135.

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Le, Thi Kim Anh, and Thi My Linh Nguyen. "Acceptability of applying asthma action plan for asthma patients at a hospital in Hochiminh City, Vietnam: an implementation research." Journal of Health and Development Studies 05, no. 04 (July 15, 2021): 89–98. http://dx.doi.org/10.38148/jhds.0504skpt21-024.

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Objectives: The asthma management strategy at respiratory departments in Vietnam so far does not include the implementation of an asthma action plan (AAP). This study aimed to implement an AAP in the hospital and analyze the acceptability for the implementation procedures of patients, clinicians and asthma management units. Methods: The implementation consisted of 2 phases. Phase 1 was a cross-sectional design that combined quantitative and qualitative methods to assess the asthma control and analyse potential obstacles of the hospital for AAP implementation. Phase 2 was a pre-experimental design to assess the acceptability in implementing the APP. Asthma control was assessed by GINA’s criteria. Implementation strategies included interventions at both organization (issued a procedure and a guideline of consulting the AAP for patients) and individual levels (trained doctors in counseling and monitoring of AAP for patients; provided instruction leaflets of APP for patients). Results: The proportion of asthma sufficient control was 59%, partial control was 30.8%, and insufficient control was 10.2%. Most of obstacles related to asthma management and control were of health facility, such as no concrete procedures in monitoring, insufficiency of infrastructure, overload of patients. Implementation strategies of AAP in this study got the acceptability of patients, clinicians and asthma management units. Conclusion: The study showed the importance of deployment of AAP for asthma patients in Vietnam hospitals. It is essential to provide more staffs for the asthma and COPD management units, especially trained nurses. Keywords: Asthma Action Plan; implementation research; Vietnam, acceptability; asthma control.

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Daines, Luke, Susan Morrow, Sharon Wiener-Ogilvie, Caroline Scott, Liz Steed, Stephanie JC Taylor, and Hilary Pinnock. "Understanding how patients establish strategies for living with asthma: a qualitative study in UK primary care as part of IMP2ART." British Journal of General Practice 70, no. 694 (March 23, 2020): e303-e311. http://dx.doi.org/10.3399/bjgp20x708869.

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BackgroundIn the context of a variable condition such as asthma, patient recognition of deteriorating control and knowing what prompt action to take is crucial. Yet, implementation of recommended self-management strategies remains poor.AimTo explore how patients with asthma and parents/carers of children with asthma develop and establish recommended self-management strategies for living with asthma, and how clinicians can best support the process.Design and settingA qualitative study in UK primary care.MethodPatients with asthma and parents/carers of children with asthma from 10 general practices were purposively sampled (using age, sex, and duration of asthma) to participate in focus groups or interviews between May 2016 and August 2016. Participants’ experiences of health care, management of asthma, and views on supported self-management were explored. Interviews and focus group sessions were audio-recorded and transcribed verbatim. Iterative thematic analysis was conducted, guided by the research questions and drawing on habit theory in discussion with a multidisciplinary research team.ResultsA total of 49 participants (45 patients; 4 parents/carers) took part in 32 interviews and five focus groups. Of these, 11 reported using an action plan. Patients learnt how to self-manage over time, building knowledge from personal experience and other sources, such as the internet. Some regular actions, for example, taking medication, became habitual. Dealing with new or unexpected scenarios required reflective abilities, which may be supported by a tailored action plan.ConclusionPatients reported learning intuitively how to self-manage. Some regular actions became habitual; dealing with the unexpected required more reflective cognitive skills. In order to support implementation of optimal asthma self- management, clinicians should consider both these aspects of self-management and support, and educate patients proactively.

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Lougheed, M. Diane, Dilshad Moosa, Shelagh Finlayson, Wilma M. Hopman, Mallory Quinn, Kim Szpiro, and Joseph Reisman. "Impact of a Provincial Asthma Guidelines Continuing Medical Education Project: The Ontario Asthma Plan of Action’s Provider Education in Asthma Care Project." Canadian Respiratory Journal 14, no. 2 (2007): 111–17. http://dx.doi.org/10.1155/2007/768203.

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BACKGROUND: The Ontario Ministry of Health and Long-Term Care funded the Ontario Lung Association to develop and implement a continuing medical education program to promote implementation of the Canadian asthma guidelines in primary care.OBJECTIVES: To determine baseline knowledge, preferred learning format, satisfaction with the program and reported impact on practice patterns.METHODS: A 3 h workshop was developed that combined didactic presentations and small group case discussions. Outcome measures included a workshop evaluation, baseline assessment of asthma management knowledge and three-month postreflective evaluations.RESULTS: One hundred thirty-seven workshops were delivered to 2783 primary care providers (1313 physicians, 1470 allied health) between September 2002 and March 2005. Of the 2133 participants, 1007 physicians and 1126 allied health professionals submitted workshop evaluations. Most (98%) of the attendees indicated they would recommend the workshop to a colleague. The majority preferred the combination of didactic lecture plus interactive case discussions. A subset of physicians provided consent to use these data for research (n=298 pediatric and 288 adult needs assessments; n=349 postreflective evaluations). Important needs identified included appropriate medication for chronic asthma and development of written action plans. On the postreflective evaluations, 88.7% remained very satisfied, 95.5% reported increased confidence, 91.9% reported an influence on practice and 67.2% reported using a written action plan.CONCLUSIONS: This continuing medical education program addresses identified needs of primary care providers. Participants reported improvements in asthma care, including prescribing practices, use of spirometry and written action plans. Similar programs should be considered as part of multifaceted asthma guidelines dissemination and implementation initiatives in other provinces and nationally.

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Faisal, Hana Khairina Putri, and Faisal Yunus. "Asthma death." Pneumologia 68, no. 4 (March 31, 2020): 162–68. http://dx.doi.org/10.2478/pneum-2019-0030.

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AbstractThe prevalence of asthma is still high in many countries. However, the asthma mortality rate has been significantly decreased after the epidemic of asthma death in the 1970s. The epidemic was occurred in New Zealand and was associated with the use of high-dose inhaled fenoterol at that time. The increased use of inhaled corticosteroids (ICS) in asthma management is proposed as the key factor in the declining trend of asthma mortality rate. The risk factors of asthma-related deaths included history of near-fatal asthma requiring intubation and mechanical ventilation, hospitalisation or emergency care visit for asthma in the past year, currently using or having recently stopped using oral corticosteroids, not currently using ICS, overuse of short-acting b2-agonists, history of psychiatric disease or psychosocial problems, poor adherence with asthma medications and/or poor adherence with (or lack of) a written asthma action plan, food allergy in a patient with asthma, and air pollution.

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Cleland, Jennifer, David Price, Jan-Paul Rosen, Martyn Partridge, John Haughney, and Elizabeth Stahl. "ABS29: The SMART plan: development of a symptom-based asthma action plan for single inhaler therapy." Primary Care Respiratory Journal 15, no. 3 (June 1, 2006): 193. http://dx.doi.org/10.1016/j.pcrj.2006.04.129.

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Staudt, Amanda Marie, Hasanat Alamgir, Debra Lynn Long, Stephen Curtis Inscore, and Pamela Runge Wood. "Developing and Implementing a Citywide Asthma Action Plan: A Community Collaborative Partnership." Southern Medical Journal 108, no. 12 (December 2015): 710–14. http://dx.doi.org/10.14423/smj.0000000000000380.

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40

Kim, Mi-Yeong, Suh-Young Lee, Eun-Jung Jo, Seung-Eun Lee, Min-Gyu Kang, Woo-Jung Song, Sae-Hoon Kim, et al. "Feasibility of a smartphone application based action plan and monitoring in asthma." Asia Pacific Allergy 6, no. 3 (2016): 174. http://dx.doi.org/10.5415/apallergy.2016.6.3.174.

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41

Wong, Su Sien, Anna Marie Nathan, Jessie de Bruyne, Rafdzah Zaki, and Siti Zurinah Mohd Tahir. "Does a Written Asthma Action Plan Reduce Unscheduled Doctor Visits in Children?" Indian Journal of Pediatrics 80, no. 7 (July 15, 2012): 590–95. http://dx.doi.org/10.1007/s12098-012-0839-0.

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42

Côté, Johanne. "Role of Asthma Education in the Management of Adult Asthma." Canadian Respiratory Journal 2, suppl a (1995): 38A—42A. http://dx.doi.org/10.1155/1995/241902.

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When a patient is newly diagnosed as having asthma, he or she is often prescribed new medication without getting much information on the disease and its treatment. This article emphasizes the need to educate asthmatics. Asthma treatment should begin with a proper adjustment of the medication, allowing asthmatics to lead a normal life. All asthmatics should be shown how to use their inhalation device properly. They should he knowledgeable about the basic aspects of asthma, airway inflammation and bronchoconstriction, use or medication and early symptoms heralding an asthma attack. Environmental factors that may trigger an asthma attack should be explained. Patients should be able to self-monitor asthma using either symptom severity or a peak flow meter. Because asthma is an unpredictable disease, patients should have a self-action plan to implement when their asthma deteriorates.

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Rangachari, Pavani, Renuka Mehta, R. Karl Rethemeyer, Carole Ferrang, Clifton Dennis, and Vickie Redd. "Short or long end of the lever? Associations between provider communication of the “asthma-action plan” and outpatient revisits for pediatric asthma." Journal of Hospital Administration 4, no. 5 (June 16, 2015): 26. http://dx.doi.org/10.5430/jha.v4n5p26.

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Objective: At the Children’s Hospital of Georgia (CHOG), we found that outpatient revisits for pediatric asthma were significantly above national norms. According to the NIH, costly hospital revisits for asthma can be prevented through guidelines-based self-management of asthma, central to which, is the use of a written Asthma-Action Plan (AAP). The asthma services literature has emphasized the role of the healthcare provider in promoting asthma self-management using the AAP, to prevent hospital revisits. On the other hand, the asthma policy literature has emphasized the need for a community-based approach to promote asthma self-management. A gap remains in understanding the extent of leverage that healthcare providers may have in preventing hospital revisits for asthma, through effective communication of AAP in the outpatient setting. Our study sought to address this gap.Methods: We conducted a 6-month intervention to implement patient-and-family-centered communication of the AAP in CHOG outpatient clinics, based on the “change-management” theoretical framework. Provider communication of AAP was assessed through a survey of “Parent Understanding of the Child’s AAP”. A quasi-experimental approach was used to measure outpatient revisits for pediatric asthma, pre- and post-intervention.Results: Survey results showed that provider communication of the AAP was unanimously perceived highly positively by parents of pediatric asthma patients, across various metrics of patient-and-family-centered care. However, there were no statistically significant differences in outpatient “revisit behavior” for pediatric asthma between pre- and post-intervention periods after controlling for several demographic variables. Additionally, revisits remained significantly above national norms.Conclusions: The study suggests that effective provider communication of the AAP by itself, may have limited potential to reduce hospital outpatient revisits for pediatric asthma. Results indicate the need for a broader community-based approach to address patient life variables impacting self-management and hospital revisits for pediatric asthma. Findings suggest need for a revised “socio-ecological” theoretical framework, and also provide insight into various research and practice implications for asthma management and control.

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Poureslami, Iraj, Jessica Shum, Richard T. Lester, Hamid Tavakoli, Delbert R. Dorscheid, and J. Mark FitzGerald. "A pilot randomized controlled trial on the impact of text messaging check-ins and a web-based asthma action plan versus a written action plan on asthma exacerbations." Journal of Asthma 56, no. 8 (October 16, 2018): 897–909. http://dx.doi.org/10.1080/02770903.2018.1500583.

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45

Fallon, Margaret, Linda Haynes, Tatiana Cadet, Sheila Petrosino, Esther Cazeau, Jessica Solis, Joanne Cox, Ann Chen Wu, and Faye F. Holder-Niles. "A Group Visit for High-Risk Pediatric Asthma Patients: A Quality Improvement Initiative to Improve Asthma Care." Clinical Pediatrics 58, no. 7 (April 2, 2019): 746–51. http://dx.doi.org/10.1177/0009922819839238.

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Introduction. Asthma disproportionately affects poor and minority children. Limited parental knowledge and confidence in asthma management, as well as stress from chronic illness, may contribute to poor outcomes. Novel approaches for providing care are essential for this vulnerable population. Our objective was to evaluate the feasibility and impact of an asthma group visit for high-risk children. Methods. Our primary care practice cares for more than 2600 children with asthma. The majority have public insurance. Children classified as high risk (≥1 asthma-related emergency department visit/hospitalization in the preceding 2 years) were eligible. Children received brief physical examinations, medication review, and updated Asthma Action Plans. Educational sessions were held for children and parents. Pre and post surveys were used to assess parents’ experience and changes in confidence in asthma management. Results. Twenty children and their parents participated. Mean parent confidence scores (5-point Likert-type scale, 5 indicating greatest confidence) improved in managing their child’s asthma symptoms (3.60, 4.40, P ≤ .005), managing their child’s asthma medications (3.85, 4.30, P ≤ .005), using their child’s Asthma Action Plan (3.79, 4.45, P ≤ .02), communicating with the school about their child’s food allergies (4.32, 4.72, P ≤ .03), and helping their child relax to reduce emotional triggers of asthma (3.25, 4.47, P ≤ .01). All families reported that they would return to a group visit. Conclusion. Group visits are feasible for providing care, education, and peer support to a vulnerable population. Parents expressed satisfaction and improved confidence in aspects of asthma management. Group visits have the potential to improve asthma outcomes for high-risk families.

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Thivierge, Robert L. "Asthma Treatments for Children and Adolescents: Strategies for a Global Approach." Canadian Respiratory Journal 2, suppl a (1995): 43A—45A. http://dx.doi.org/10.1155/1995/854250.

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Strategies for a global approach to the management of asthma in children and adolescents are described. Such an approach requires the physician to explain to the patient the pathophysiology of asthma, to evaluate and, whenever possible, change predisposing environmental factors, to establish a written plan of action and to maintain a close follow-up of the patient to ensure compliance.

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Simon, Alan E., and Lara J. Akinbami. "Asthma Action Plan Receipt among Children with Asthma 2-17 Years of Age, United States, 2002-2013." Journal of Pediatrics 171 (April 2016): 283–89. http://dx.doi.org/10.1016/j.jpeds.2016.01.004.

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48

Pulcini, Joyce, Marie C. DeSisto, and C. Lynne McIntyre. "An Intervention to Increase the Use of Asthma Action Plans in Schools: A MASNRN Study." Journal of School Nursing 23, no. 3 (June 2007): 170–76. http://dx.doi.org/10.1177/10598405070230030801.

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School nurses, in collaboration with primary care providers (PCPs), can work to better manage asthma by using the Asthma Action Plan (AAP) with peak flow monitoring. The aim of this pilot study was to determine the effectiveness of an intervention to increase the number of AAPs in schools for students with asthma by having school nurses provide the students’ peak flow measurements to their PCPs with a request for an AAP. The study found a significant increase in AAPs when school nurses provided PCPs with accurate peak flow data and requested an AAP from the PCP than when school nurses requested an AAP via the students’ parents and did not provide peak flow data to the PCP. This study provided data on the importance of collaboration with PCPs in order to affect better care for children with asthma.

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Bundy, Elaine Y., and Lyn Stankiewicz Murphy. "Improving Provider Compliance in the Use of an Asthma Action Plan for Patients With Asthma in an Outpatient Setting." Clinical Scholars Review 7, no. 2 (2014): 128–34. http://dx.doi.org/10.1891/1939-2095.7.2.128.

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Problem: Improved patient asthma outcomes have been demonstrated through the use of a symptom-based written asthma action plan (AAP) in reducing acute care visits (Gibson & Powell, 2004). However, despite the research and guideline recommendations that support the use of AAPs, these plans are routinely not used by providers. The aim of this quality improvement (QI) project was to improve provider compliance in the use of a symptom-based AAP. Methods: A QI project was conducted in an outpatient setting involving an educational in-service on the use of an AAP. A retrospective medical record review was conducted following an educational in-service to assess the use and completeness of the AAP (N = 42). The rate of proportional change in compliance in the use of an AAP after the educational in-service and system procedural change was analyzed and reported. Results: A statistically significant improvement in provider compliance to the use and completion of a symptom-based AAP was found at 8 weeks following an educational in-service and system procedural change. Discussion: This QI project demonstrated the effectiveness of an educational in-service in improving provider compliance in the use of and the completion of a symptom-based AAP.

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Luzviminda Banez Miguel, Luzviminda Banez. "Kaʻu Community Asthma Management Program." Asian/Pacific Island Nursing Journal 5, no. 3 (December 7, 2020): 170–72. http://dx.doi.org/10.31372/20200503.1091.

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The “Kaʻu Community Asthma Management Program” (KCAMP) is a quality improvement and evidence-based practice Doctor of Nursing Practice (DNP) project. KCAMP’s objective was to determine whether community-based asthma education, self management, self-efficacy, an asthma action plan, journal writing, and use of peak flow meters reduce asthma exacerbations. The literature supports these effective interventions for asthma control (Andrews, Jones, & Mullan, 2014; Chen, Sheu, Chang, Wang, & Huang, 2010; Federman et al., 2013). KCAMP was designed with community-based interventions to improve the practice of management of asthma, decrease hospital and doctors’ visits’ costs, and improve the lives of people who have asthma. Fourteen adult residents with asthma from the Kaʻu District, ages 28 to 75, participated in the program. There were 64% (n = 9) females and 36% (n = 5) males. The racially diverse group included ten Hawaiians, three Asians, and one Caucasian.

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