The prevalence and impact of adult asthma are substantial,
and poor self-management practices, especially failures to adhere to treatment regimens, appear to be a significant problem.
Desirable characteristics of an intervention program to improve
self-management were identified through needs assessment and
review of existing patient education resources. A comprehensive
program was developed that integrated a workbook with one-to-one counseling and adherence-enhancing strategies. A longitudinal 1-year study compared patients receiving this self-management program with "usual care" patients receiving standard
asthma pamphlets. Patients were randomly assigned to conditions. Baseline score and asthma severity were statistically controlled. Self-management patients had substantially better adherence than usual care patients, as well as improved functional
status, at follow-up. Hospital and emergency department visits
decreased in both groups but did not differ between groups.
(Arch Intern Med. 1990;150:1664-1668)
Bailey WC, Richards JM, Brooks CM, Soong S, Windsor RA, Manzella BA. A Randomized Trial to Improve Self-Management Practices of Adults With Asthma. Arch Intern Med. 1990;150(8):1664-1668. doi:10.1001/archinte.1990.00040031664013