title: Effects of Educational Interventions for Chronic Airway Disease on Primary Care.
abstract: Education has been known to essential for management of chronic airway diseases. However the real benefits remain unclear. We evaluated the effectiveness of an organized educational intervention for chronic airway diseases directed at primary care physicians and patients. The intervention was a 1-month education program of three visits, during which subjects were taught about their disease, an action plan in acute exacerbation and inhaler technique. Asthma control tests (ACT) for asthma and, chronic obstructive pulmonary disease (COPD) assessment tests (CAT) for COPD subjects were compared before and after education as an index of quality of life. Educational effectiveness was also measured associated with improvement of their knowledge for chronic airway disease itself, proper use of inhaler technique, and satisfaction of the subjects and clinicians before and after education. Among the 285 participants, 60.7% (n = 173) were men and the mean age was 62.2 ± 14.7. ACT for asthma and CAT in COPD patients were significantly improved by 49.7% (n = 79) and 51.2% (n = 65) more than MCID respectively after education (P < 0.05). In all individual items, knowledge about their disease, inhaler use and satisfaction of the patients and clinicians were also improved after education (P < 0.05). This study demonstrates the well-organized education program for primary care physicians and patients is a crucial process for management of chronic airway diseases.
authors.affiliation: Department of Internal Medicine, Division of Pulmonary and Critical Care Medicine, Konkuk University Medical Center, Chungju Hospital, Chungju, Korea .
authors.forename: Jung Yeon
authors.identifier: 0000-0001-7011-620X
authors.initials: JY
authors.lastname: Lee
authors.affiliation: Department of Internal Medicine, Konkuk University Medical Center, Seoul, Korea .
authors.forename: Kwang Ha
authors.identifier: 0000-0001-9969-2657
authors.initials: KH
authors.lastname: Yoo
authors.affiliation: Seoul Metropolitan Government, Seoul National University Boramae Medical Center, Seoul, Korea .
authors.forename: Deog Kyeom
authors.identifier: 0000-0001-9379-8098
authors.initials: DK
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea .
authors.forename: Sang-Ha
authors.identifier: 0000-0002-1763-5366
authors.initials: SH
authors.lastname: Kim
authors.affiliation: Department of Clinical Pharmacology, Konkuk University Medical Center, Seoul, Korea .
authors.forename: Tae-Eun
authors.identifier: 0000-0001-7598-7602
authors.initials: TE
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Hanyang University Guri Hospital, Guri, Korea .
authors.forename: Tae-Hyung
authors.identifier: 0000-0002-3863-7854
authors.initials: TH
authors.lastname: Kim
authors.affiliation: Department of Internal Medicine, Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea .
authors.forename: Chin Kook
authors.identifier: 0000-0003-4533-7937
authors.initials: CK
authors.lastname: Rhee
authors.affiliation: Department of Internal Medicine, College of Medicine, Hallym University Medical Center, Seoul, Korea .
authors.forename: Yong Bum
authors.identifier: 0000-0001-8810-6077
authors.initials: YB
authors.lastname: Park
authors.affiliation: Department of Internal Medicine, Yeouido St. Mary's Hospital, The Catholic University of Korea College of Medicine, Seoul, Korea .
authors.forename: Hyoung Kyu
authors.identifier: 0000-0003-4783-2077
authors.initials: HK
authors.lastname: Yoon
authors.affiliation: Department of Internal Medicine, Seoul Paik Hospital, Inje University, Seoul, Korea .
authors.forename: Ho-Kee
authors.identifier: 0000-0002-7929-0906
authors.initials: HK
authors.lastname: Yum
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001249:Asthma / Q000473:pathology; D019468:Disease Management; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008875:Middle Aged; D009330:Nebulizers and Vaporizers; D010353:Patient Education as Topic; D017060:Patient Satisfaction; D011320:Primary Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000473:pathology*; D011788:Quality of Life; D012119:Respiration; D055815:Young Adult
keywords: Asthma; Education; Inhaler; Physicians, Primary Care; Pulmonary Disease, Chronic Obstructive