An evaluation of a self-management program for adults with asthma.
The purpose of this study was to evaluate the impact of a self-management program for adults with moderate to severe asthma on compliance with inhaled, prescribed, nonemergency medications; asthma symptoms; and airway obstruction. In this controlled experimental study, 55 subjects from a rural community were randomized to one of two groups. Self-efficacy theory served as the framework for this study. Primary measures included the Metered Dose Inhaler (MDI) Chronolog, a journal of daily asthma concerns, and a peak-flow meter to appraise airway obstruction. Secondary measures included the Asthma Self-Management Assessment Tool (ASMAT) and the Self-Efficacy for Asthma Management Scale (SEAMS). These measures were completed pre- and post-intervention. Data analysis using descriptive and inferential statistics revealed that subjects receiving the self-management program increased compliance with inhaled medications (U = 271, p = .043).
Berg
J
J
California State University, Long Beach, USA.
Dunbar-Jacob
J
J
Sereika
S M
SM
D000293:Adolescent; D000328:Adult; D001249:Asthma / Q000188:drug therapy / Q000451:nursing*; D005260:Female; D006801:Humans; D008297:Male; D015403:Nursing Evaluation Research; D010349:Patient Compliance; D015397:Program Evaluation; D012423:Rural Health; D012648:Self Care / Q000379:methods*