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Conference Paper: Effect of asthma self management programme on asthma morbidity and health care utilization in adult patients admitted to hospital with acute asthma in Hong Kong: A randomised controlled trial

TitleEffect of asthma self management programme on asthma morbidity and health care utilization in adult patients admitted to hospital with acute asthma in Hong Kong: A randomised controlled trial
Authors
Issue Date2004
PublisherWiley-Blackwell Publishing Asia
Citation
The 9th Congress of the Asian Pacific Society of Respirology, Hong Kong, 10-13 December 2004. In Respirology, 2004, v. 9 n. S3, p. A91 Abstract no. 267 How to Cite?
AbstractIntroduction Asthma is major cause of morbidity in Hong Kong. Asthma self-management plan has been shown beneficial in reducing asthma morbidity, use of health services and even mortality in studies in many parts of the world. However, data on the effectiveness of such programme in Hong Kong are lacking. Study Objectives To evaluate the effectiveness of an asthma selfmanagement programme on asthma-related use of medical services, absenteeism from work and morbidity in patients admitted to the Queen Mary Hospital for acute asthma in Hong Kong. Method Patients were randomized into the intervention and the control group, and followed up for 12 months. The intervention group received the Asthma Self-management Program with a written self-action plan and usual care while the control group received only usual care. Both groups were given asthma education. Comparisons of outcomes at 12 months were made between the 2 groups with respect to the ratio of asthma related hospitalization, A&E visits, visits to general practitioners, days off work, asthma symptomatology, use of medications and lung function. Results Forty patients were randomised into the intervention and 36 into the control group. Both groups have comparable baseline characteristics and similar rate of lost to follow up (~13%). At 12 month, patients in the intervention group were significantly less likely to have cumulative days off work or off school (RR = 0.23, 95% CI: 0.13 to 0.34) and unscheduled doctor visits (RR = 0.60, 95% CI: 0.30 to 1.00). There were no significant differences in the incidence of hospitalization, A&E visits, frequency of asthma symptoms and lung function between the two groups. Conclusion Asthma self-management plan is an acceptable and effective way of reducing asthma related absenteeism from work and unscheduled visits to doctors. It should be included in the management of adult patients with asthma in Hong Kong.
Persistent Identifierhttp://hdl.handle.net/10722/101362
ISSN
2023 Impact Factor: 6.6
2023 SCImago Journal Rankings: 1.559

 

DC FieldValueLanguage
dc.contributor.authorWang, Jen_HK
dc.contributor.authorLaw, KWen_HK
dc.contributor.authorIp, MSMen_HK
dc.contributor.authorWu, AYYen_HK
dc.contributor.authorWong, MKen_HK
dc.contributor.authorLam, Ben_HK
dc.contributor.authorChow, KMen_HK
dc.contributor.authorChan-Yeung, MMWen_HK
dc.date.accessioned2010-09-25T19:46:34Z-
dc.date.available2010-09-25T19:46:34Z-
dc.date.issued2004en_HK
dc.identifier.citationThe 9th Congress of the Asian Pacific Society of Respirology, Hong Kong, 10-13 December 2004. In Respirology, 2004, v. 9 n. S3, p. A91 Abstract no. 267en_HK
dc.identifier.issn1323-7799-
dc.identifier.urihttp://hdl.handle.net/10722/101362-
dc.description.abstractIntroduction Asthma is major cause of morbidity in Hong Kong. Asthma self-management plan has been shown beneficial in reducing asthma morbidity, use of health services and even mortality in studies in many parts of the world. However, data on the effectiveness of such programme in Hong Kong are lacking. Study Objectives To evaluate the effectiveness of an asthma selfmanagement programme on asthma-related use of medical services, absenteeism from work and morbidity in patients admitted to the Queen Mary Hospital for acute asthma in Hong Kong. Method Patients were randomized into the intervention and the control group, and followed up for 12 months. The intervention group received the Asthma Self-management Program with a written self-action plan and usual care while the control group received only usual care. Both groups were given asthma education. Comparisons of outcomes at 12 months were made between the 2 groups with respect to the ratio of asthma related hospitalization, A&E visits, visits to general practitioners, days off work, asthma symptomatology, use of medications and lung function. Results Forty patients were randomised into the intervention and 36 into the control group. Both groups have comparable baseline characteristics and similar rate of lost to follow up (~13%). At 12 month, patients in the intervention group were significantly less likely to have cumulative days off work or off school (RR = 0.23, 95% CI: 0.13 to 0.34) and unscheduled doctor visits (RR = 0.60, 95% CI: 0.30 to 1.00). There were no significant differences in the incidence of hospitalization, A&E visits, frequency of asthma symptoms and lung function between the two groups. Conclusion Asthma self-management plan is an acceptable and effective way of reducing asthma related absenteeism from work and unscheduled visits to doctors. It should be included in the management of adult patients with asthma in Hong Kong.-
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Asia-
dc.relation.ispartofRespirologyen_HK
dc.titleEffect of asthma self management programme on asthma morbidity and health care utilization in adult patients admitted to hospital with acute asthma in Hong Kong: A randomised controlled trialen_HK
dc.typeConference_Paperen_HK
dc.identifier.emailIp, MSM: msmip@hku.hken_HK
dc.identifier.emailWu, AYY: adrianwu@hku.hken_HK
dc.identifier.emailLam, B: lambing@HKUCC.hku.hken_HK
dc.identifier.emailChow, KM: chowkm@hkucc.hku.hken_HK
dc.identifier.emailChan, MMW: mmwchan@hku.hken_HK
dc.identifier.authorityIp, MSM=rp00347en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1440-1843.2004.00673.x-
dc.identifier.hkuros98141en_HK
dc.identifier.volume9en_HK
dc.identifier.issueS3en_HK
dc.identifier.spageA91en_HK
dc.identifier.issnl1323-7799-

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