Reduction in asthma morbidity following a community-based asthma self-management programme in Tonga


Foliaki, S; Fakakovikaetau, T; D'Souza, W; Latu, S; Tutone, V; Cheng, S; Pearce, N; (2009) Reduction in asthma morbidity following a community-based asthma self-management programme in Tonga. The international journal of tuberculosis and lung disease, 13 (1). pp. 142-147. ISSN 1027-3719

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Abstract

BACKGROUND: The Tonga Asthma Self-management Project assessed whether the introduction of an asthma self-management plan would reduce asthma morbidity. METHODS: The project involved a 'before and after' trial, with each participant serving as his/her own control. Asthma patients used the self-management plan to manage their asthma medication or obtain medical help based on their peak expiratory flow (PEF) rate and/or asthma symptoms. RESULTS: The 110 participants initially had relatively high asthma morbidity: 68% had had an emergency medical visit for asthma in the previous 12 months. Ninety-two (84%) completed the 12-month programme. Emergency doctor visits fell from 66% in the previous 12 months to 18% (P < 0.001) in the following 12 months. Other measures also Improved, including hospital admissions (from 19% to 3%, P = 0.001), having 14 days or more,out of action' (from 29% to 4%, P < 0.001), waking >= 2 nights a week (from 40% to 13%, P < 0.001), severe asthma attacks (from 54% to 18%, P < 0.001) and mean PEF rates (from 341 l/min to 417 l/min, a 22% increase, P < 0.001). CONCLUSIONS: The potential benefits of asthma self-management plans and community-based asthma education are supported by the findings of the Tonga study. Their implementation is essential in the resource-scarce Pacific health setting.

Item Type: Article
Keywords: Adolescent, Adult, Albuterol, administration & dosage, Asthma, drug therapy, prevention & control, Child, Disease Management, Emergency Service, Hospital, statistics & numerical data, Female, Humans, Male, Middle Aged, Nebulizers and Vaporizers, statistics & numerical data, Peak Expiratory Flow Rate, Self Care, Tonga, Young Adult
Faculty and Department: Faculty of Epidemiology and Population Health > Dept of Medical Statistics
Research Centre: Centre for Global Non-Communicable Diseases (NCDs)
PubMed ID: 19105893
Web of Science ID: 262010900024
URI: http://researchonline.lshtm.ac.uk/id/eprint/1791

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