RT Journal Article
SR Electronic
T1 Can we improve the follow up of asthmatic patients with asthma educational program (PAMA)?
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP P3021
VO 44
IS Suppl 58
A1 Laia Lamarca Fornell
A1 Xavier Flor Escriche
A1 Silvia Álvarez Álvarez
A1 Montse Estruch Francitorra
A1 Eva Ares Fernández
A1 Cristina Alos Manrique
A1 Cristina Santiago Fernández
A1 Montserrat Reverté Simó
A1 Edurne Pérez Mayo
A1 Angels Raventos Castany
A1 Glòria Sanchez Sanchez
A1 Trinitat Tovar Velasco
A1 M. Victòria Feijoo Rodriguez
YR 2014
UL http://erj.ersjournals.com/content/44/Suppl_58/P3021.abstract
AB Asthma prevalence has increased, becoming a health and economic problem, mainly due to poor control of the disease.OBJECTIVESTo determine if PAMA implementation:-Improves disease control and patients' quality of life-Reduces number of exacerbations and emergency visits due to asthmaSecondary:-To determine optimal PAMA application frequencyMETHODSA 3 years long RCT, in 10 urban primary care teams, to evaluate PAMA which includes: patient education: inhalation systems, exacerbation symptoms and treatment action plan, asthma control test (ACT), revision of patient's technique and delivery of behaviours to avoid list.Data were collected in an interview with his doctor or nurse. Main data: age, gender, smoking status, asthma severity, treatment, exacerbations, hospital admissions, ACT and quality of life test (mini-AQLQ).BASELINE RESULTS498 asthmatic patients were included and randomized into 3 intervention groups: I: PAMA application every 6 months:124; II: every 12 months:120; III: every 18 months:115 and control group: (usual management):139.Average age 49 years old (SD 16.4). 72% women. 36.9% had intermittent asthma, and 40% moderate persistent, 24.1% presented partially controlled and 5.8% uncontrolled asthma.47% had no follow-up visits and 51.4% presented exacerbations in the last year with 0.7(SD 1.1) average emergency visits for patient, 55.7% were attended in primary care and 30.9% solved with self-management or phone instructions. Average ACT scoring: 20.9(SD 4.2) and mini-AQLQ: 5.7(SD 1.1).CONCLUSIONSThe implementation of an educational program with scheduled follow-up visits can reduce the exacerbations as well as improve the asthma control and quality of life.