RT Journal Article
SR Electronic
T1 Tele-education in asthma management. What are the benefits?
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P1286
VO 40
IS Suppl 56
A1 Olga Vakhno
A1 Vitaly Kupaev
A1 Dmitry Nagatkin
YR 2012
UL http://erj.ersjournals.com/content/40/Suppl_56/P1286.abstract
AB The aim was to research two approaches of asthma' education and to find the most effective one.98 mild asthmatic patients have been involved randomly so far (age 41.0±15.2 yrs). We study 3 groups according to the type of chosen education: 1st -group have passed the ordinary asthma education (were educated by physician)(n=22), 2nd- have passed tele-education asthma program (n=36), 3d-didn't have any advantage (n=40). Criteria to objectify the effectiveness were: asthma control assessed by ACT and ACQ, life quality level, lung function, Cooperation Index (CI), the cost of intervention, self-management, knowledge control test results.The majority of patients initially had partly controlled asthma (43.9%) and current working social status (60.6%). Finally we have detected that patients of the 1st and 2nd groups have obtained significantly higher control level, higher life quality values, decrease in taking reliever medications in comparison with the 3d group (p<0.05). The higher Cooperation Index was observed in the 1st group (Mean=67.0%, p<0.05). Cost of ordinary asthma education, performed by physician (the 1st group) was 20.1 € and tele-education (the 2nd group) -10.7 €. There were significant correlations in the 2nd group between results of asthma control (ACT™ and ACQ scores) and knowledge control test results (rACT=0.77, p<0.05 and rACQ=0.68, p<0.05). ACT and ACQ results were significantly lower in the 3d group (Mean ACT=16.3 pts, Mean ACQ= 1.8, p<0.05).Conclusion: So, each of the approaches to asthma education leads to higher asthma control. Besides this, tele-education has shown more cost effectiveness. This instrument is required to be available to each patient.