A pilot study of telephone based asthma management (original) (raw)

A patient-centered telephone intervention using the asthma action plan

Family medicine, 2012

Application of the patient-centered medical home (PCMH) practice model requires managing patients with chronic diseases, such as asthma, with patient-centered approaches that ensure appropriate ongoing assessment and treatment for all patients. The Asthma Control Score (ACS) and the Asthma Action Plan (AAP) are validated tools for assessment and management of asthma. ACS use by phone has been shown to accurately assess patients' asthma control; however, no studies to date demonstrate the utility of AAP implementation by phone to improve asthma control. This study tested the effectiveness of AAP implementation by phone to improve asthma control. Adult patients with asthma (n=48) participating in a managed care insurance plan at a university-based family medicine residency clinic were enrolled in the study. Patients were contacted by phone, and an initial ACS was assessed. Patients with an ACS <20 (uncontrolled asthma) had their medication adjusted and a new AAP implemented by ...

Use and impact of an automated telephone outreach system for asthma in a managed care setting

The American journal of managed care, 2006

To test the ability of an automated telephone outreach intervention to reduce acute healthcare utilization and improve quality of life among adult asthma patients in a large managed care organization. Randomized clinical trial. Patients with persistent asthma were randomly assigned to telephone outreach (automated = 3389, live caller = 192) or usual care (n = 3367). Intervention participants received 3 outreach calls over a 10-month period. The intervention provided brief, supportive information and flagged individuals with poor asthma control for follow-up by a provider. A survey was mailed to 792 intervention participants and 236 providers after the intervention. Additional feedback was obtained as part of the final intervention contact. The intent-to-treat analysis found no significant differences between the intervention and usual-care groups for medication use, healthcare utilization, asthma control, or quality of life. Post hoc analyses found that, compared with the control gr...

Severe Asthma, Telemedicine, Self-Administered Therapy: Listening First to the Patient

2021

Severe asthma patients are at increased risk of major exacerbations and they need to be monitored regularly. The COVID-19 pandemic has impressively impacted on the health care resources. The telemedicine approach applied to the follow-up of asthmatic patients has been proved to be effective in monitoring their disease and adherence to the therapy. The aim of our study was to investigate the satisfaction of severe asthma patients, before the activation of a telemedicine management complemented by a standard of care. An ad hoc questionnaire was developed and sent by e-mail to 180 severe asthma patients. Most of subjects (82%) were confident with the idea of doing self-measurements and self-managing their disease; 77% of subjects favoured to carry out virtual visit and telemedicine. 93% of patients considered easy the self-injection therapy. 94% of subjects felt safe and 93% were not worried while self-administering. Only mild adverse events were reported in 22% subjects after self-adm...

Severe Asthma, Telemedicine, and Self-Administered Therapy: Listening First to the Patient

Journal of Clinical Medicine

Severe asthma patients are at an increased risk of major complications and they need to be monitored regularly. The COVID-19 pandemic has notably impacted on the health care resources. The telemedicine approach applied to the follow-up of asthmatic patients has been proven to be effective in monitoring their disease and their adherence to the therapy. The aim of our study was to investigate the satisfaction of severe asthma patients before the activation of a telemedicine management, as well as their current experience with self-administration of injection therapy. An ad hoc questionnaire was developed and sent by e-mail to 180 severe asthma patients. Most of subjects, 82%, were confident with the idea of doing self-measurements and self-managing their disease. Further, 77% of subjects favoured to carry out virtual visits and telemedicine. Regarding the home treatment, 93% of patients considered the self-injection therapy easy, 94% of subjects felt safe, and 93% were not worried whi...

Long-term reduction in asthma morbidity following an asthma self-management programme

European Respiratory Journal

The adult "credit card" asthma self-management plan has been shown to be an effective and acceptable system for reducing asthma morbidity when introduced as part of a 6 month community-based asthma programme. The aim of the present study was to assess the effectiveness of the credit card plan 2 yrs after the end of the programme. Markers of asthma morbidity and use of medical services were compared during the 12 months before enrolment, and 2 yrs after completing the 6 month asthma programme. Of the 69 participants who originally enroled in the 6 month asthma programme, 58 were surveyed 2 yrs after completion of the programme. These participants showed a significant improvement in all but one of the asthma morbidity measures. The proportion waking most nights with asthma in the previous 12 months decreased from 29 to 9% (p=0.02), emergency visits to a general practitioner decreased from 43 to 16% (p=0.001), hospital emergency department visits with asthma decreased from 19...