Two short interventions to reduce health care requirements in asthma patients. A multicentre controlled study (ASTHMACAP II)

Ferran Morell, Iñigo Ojanguren, Rosa Cordovilla, Isabel Urrutia, Ramón Agüero, Javier Guerra, Teresa Genover, Maria Antonia Ramon

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    Abstract

    Background and objective Asthma control is suboptimal. The objective of this study was to reduce health care requirements and work absenteeism. Material and methods Multicenter randomized controlled study investigating asthma control, educational parameters, health service use, and absenteeism. After adjusting treatment according to GINA recommendations, control group patients (CG) followed their physician's recommendations, while intervention group (IG) patients additionally underwent a 5-minute educational intervention. This protocol was repeated at 3 months, and a final assessment was carried out at 6 months. Results 479 patients (mean age 40 (SD 17) years) were recruited from primary care, and 334 completed the study. Comparatively, IG patients showed an improvement at the 3- and 6-month evaluations in the six educational parameters (P < 0.001) and required fewer urgent visits to the GP for exacerbations [RR = 0.49 (95% CI 0.26-0.90); P < 0.04], and before the third evaluation, also in urgent GP visits [RR = 0.25 (95% CI 0.12-0.52); P < 0.001]. Before this third evaluation, IG had fewer scheduled visits to the GP [RR = 0.48 (95% CI 0.28-0.82); P < 0.003], and fewer visits to the primary care [RR = 0.40 (95% CI 0.18-0.87); P < 0.05], and to hospital emergency rooms [RR = 0.13 (95% CI 0.04-0.42); P < 0.001]. In addition, before the third evaluation, IG patients were less often absent from work [RR = 0.22 (95% CI 0.05-0.98); P < 0.03] or unable to work at home [RR = 0.31 (95% CI 0.12-0.82); P < 0.02]. Conclusions Two short educational interventions improved asthma education and decreased the use of health resources and work absenteeism. © 2012 Elsevier España, S.L.
    Original languageEnglish
    Pages (from-to)348-354
    JournalMedicina Clinica
    Volume142
    Issue number8
    DOIs
    Publication statusPublished - 22 Apr 2014

    Keywords

    • Asthma
    • Asthma education
    • Asthma in primary care
    • Asthma management

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    Morell, F., Ojanguren, I., Cordovilla, R., Urrutia, I., Agüero, R., Guerra, J., Genover, T., & Ramon, M. A. (2014). Two short interventions to reduce health care requirements in asthma patients. A multicentre controlled study (ASTHMACAP II). Medicina Clinica, 142(8), 348-354. https://doi.org/10.1016/j.medcli.2013.01.051