The Experts below are selected from a list of 390 Experts worldwide ranked by ideXlab platform

O F Pedersen - One of the best experts on this subject based on the ideXlab platform.

M R Miller - One of the best experts on this subject based on the ideXlab platform.

John P Allegrante - One of the best experts on this subject based on the ideXlab platform.

  • a randomized controlled trial of self management education for asthma patients in the emergency department
    Annals of Emergency Medicine, 2011
    Co-Authors: Carol A Mancuso, Margaret G E Peterson, Theodore J Gaeta, Jose L Fernandez, Robert H Birkhahn, Lawrence Melniker, John P Allegrante
    Abstract:

    Study objective Patients using the emergency department (ED) for asthma may benefit from self-management education. Our goal is to test an educational intervention in 296 asthma ED patients. Methods This was a randomized controlled trial with concealed allocation. Controls received instruction from an asthma knowledge test, Peak Flowmeter training, and asthma brochures. Intervention patients received these plus a self-management workbook, a behavioral contract, inhaler training, and telephone reinforcements. The main outcome was change in Asthma Quality of Life Questionnaire (AQLQ) score at 8 weeks (a change of 1.5 is a marked clinically important difference). Secondary outcomes were repeated ED visits and change in AQLQ scores at 4, 12, and 16 weeks and 1 year. Results Mean age of patients was 44 years, and 93% had the 8-week follow-up. Enrollment AQLQ scores were comparable and increased at 8 weeks by more than a marked clinically important difference in both groups. For controls, the change in score was 1.95 (95% confidence interval [CI] 1.74 to 2.16; P Conclusion Patients in both groups had marked sustained improvements in clinical status 16 weeks after an ED visit for asthma. A self-management education intervention delivered in the ED and reinforced by telephone was successfully implemented, with high retention rates, but did not provide incremental benefit for quality of life and short-term repeated ED visit outcomes.

  • a randomized controlled trial of self management education for asthma patients in the emergency department
    Annals of Emergency Medicine, 2011
    Co-Authors: Carol A Mancuso, Margaret G E Peterson, Theodore J Gaeta, Jose L Fernandez, Robert H Birkhahn, Lawrence Melniker, John P Allegrante
    Abstract:

    Study objective Patients using the emergency department (ED) for asthma may benefit from self-management education. Our goal is to test an educational intervention in 296 asthma ED patients. Methods This was a randomized controlled trial with concealed allocation. Controls received instruction from an asthma knowledge test, Peak Flowmeter training, and asthma brochures. Intervention patients received these plus a self-management workbook, a behavioral contract, inhaler training, and telephone reinforcements. The main outcome was change in Asthma Quality of Life Questionnaire (AQLQ) score at 8 weeks (a change of 1.5 is a marked clinically important difference). Secondary outcomes were repeated ED visits and change in AQLQ scores at 4, 12, and 16 weeks and 1 year. Results Mean age of patients was 44 years, and 93% had the 8-week follow-up. Enrollment AQLQ scores were comparable and increased at 8 weeks by more than a marked clinically important difference in both groups. For controls, the change in score was 1.95 (95% confidence interval [CI] 1.74 to 2.16; P P P =.43). Patients who improved more (ie, change was above the group mean) were more likely to be high school graduates (odds ratio=1.9; 95% CI 1.0 to 3.8), previous or current smokers at enrollment (odds ratio=2.2; 95% CI 1.3 to 3.5), and to have been admitted to the hospital from the ED (odds ratio=1.7; 95% CI 1.0 to 2.8). Similar variables were associated with AQLQ outcomes in hierarchic analyses during 16 weeks. Repeated ED visits occurred for 12% of patients at 8 weeks and in multivariate analysis were associated with no hospitalization for the index ED visit, difficult access to outpatient care, and previous ED visits. Fewer patients (16%) had an ED visit at 12 weeks compared with a similar time before enrollment (36%). Conclusion Patients in both groups had marked sustained improvements in clinical status 16 weeks after an ED visit for asthma. A self-management education intervention delivered in the ED and reinforced by telephone was successfully implemented, with high retention rates, but did not provide incremental benefit for quality of life and short-term repeated ED visit outcomes.

Carol A Mancuso - One of the best experts on this subject based on the ideXlab platform.

  • a randomized controlled trial of self management education for asthma patients in the emergency department
    Annals of Emergency Medicine, 2011
    Co-Authors: Carol A Mancuso, Margaret G E Peterson, Theodore J Gaeta, Jose L Fernandez, Robert H Birkhahn, Lawrence Melniker, John P Allegrante
    Abstract:

    Study objective Patients using the emergency department (ED) for asthma may benefit from self-management education. Our goal is to test an educational intervention in 296 asthma ED patients. Methods This was a randomized controlled trial with concealed allocation. Controls received instruction from an asthma knowledge test, Peak Flowmeter training, and asthma brochures. Intervention patients received these plus a self-management workbook, a behavioral contract, inhaler training, and telephone reinforcements. The main outcome was change in Asthma Quality of Life Questionnaire (AQLQ) score at 8 weeks (a change of 1.5 is a marked clinically important difference). Secondary outcomes were repeated ED visits and change in AQLQ scores at 4, 12, and 16 weeks and 1 year. Results Mean age of patients was 44 years, and 93% had the 8-week follow-up. Enrollment AQLQ scores were comparable and increased at 8 weeks by more than a marked clinically important difference in both groups. For controls, the change in score was 1.95 (95% confidence interval [CI] 1.74 to 2.16; P Conclusion Patients in both groups had marked sustained improvements in clinical status 16 weeks after an ED visit for asthma. A self-management education intervention delivered in the ED and reinforced by telephone was successfully implemented, with high retention rates, but did not provide incremental benefit for quality of life and short-term repeated ED visit outcomes.

  • a randomized controlled trial of self management education for asthma patients in the emergency department
    Annals of Emergency Medicine, 2011
    Co-Authors: Carol A Mancuso, Margaret G E Peterson, Theodore J Gaeta, Jose L Fernandez, Robert H Birkhahn, Lawrence Melniker, John P Allegrante
    Abstract:

    Study objective Patients using the emergency department (ED) for asthma may benefit from self-management education. Our goal is to test an educational intervention in 296 asthma ED patients. Methods This was a randomized controlled trial with concealed allocation. Controls received instruction from an asthma knowledge test, Peak Flowmeter training, and asthma brochures. Intervention patients received these plus a self-management workbook, a behavioral contract, inhaler training, and telephone reinforcements. The main outcome was change in Asthma Quality of Life Questionnaire (AQLQ) score at 8 weeks (a change of 1.5 is a marked clinically important difference). Secondary outcomes were repeated ED visits and change in AQLQ scores at 4, 12, and 16 weeks and 1 year. Results Mean age of patients was 44 years, and 93% had the 8-week follow-up. Enrollment AQLQ scores were comparable and increased at 8 weeks by more than a marked clinically important difference in both groups. For controls, the change in score was 1.95 (95% confidence interval [CI] 1.74 to 2.16; P P P =.43). Patients who improved more (ie, change was above the group mean) were more likely to be high school graduates (odds ratio=1.9; 95% CI 1.0 to 3.8), previous or current smokers at enrollment (odds ratio=2.2; 95% CI 1.3 to 3.5), and to have been admitted to the hospital from the ED (odds ratio=1.7; 95% CI 1.0 to 2.8). Similar variables were associated with AQLQ outcomes in hierarchic analyses during 16 weeks. Repeated ED visits occurred for 12% of patients at 8 weeks and in multivariate analysis were associated with no hospitalization for the index ED visit, difficult access to outpatient care, and previous ED visits. Fewer patients (16%) had an ED visit at 12 weeks compared with a similar time before enrollment (36%). Conclusion Patients in both groups had marked sustained improvements in clinical status 16 weeks after an ED visit for asthma. A self-management education intervention delivered in the ED and reinforced by telephone was successfully implemented, with high retention rates, but did not provide incremental benefit for quality of life and short-term repeated ED visit outcomes.

Louisphilippe Boulet - One of the best experts on this subject based on the ideXlab platform.

  • compliance with Peak expiratory flow monitoring in home management of asthma
    Chest, 1998
    Co-Authors: Johanne Cote, Andre Cartier, Jeanluc Malo, Michel Rouleau, Louisphilippe Boulet
    Abstract:

    Background The recent consensus reports on asthma management emphasize the importance of using Peak Flowmeters to accurately assess the degree of airflow obstruction. However, the optimal way to use those devices has not yet been determined. Objectives To assess compliance with Peak expiratory flow (PEF) measurements in the long-term management of asthma, and identify the characteristics of patients with poor compliance. Setting Asthma clinics from three tertiary-care hospitals. Design A descriptive and prospective study of 1-year duration. Patients Twenty-six patients with moderate to severe asthma taking part in an asthma education program. Main outcome measures Patients were asked to measure morning and evening PEF using an electronic Peak Flowmeter with a 3-month memory; they were unaware that PEF values were being recorded by this device. Results Compliance with PEF measurements was relatively good during the first month (63% of the measurements done) but even with regular reinforcement, fell to 50% at 6 months and to 33% at 12 months. Right from the beginning, 8 of 26 subjects (30%) never or almost never ( Conclusions While short-term compliance with PEF measurements is fairly good, most patients with moderate to severe asthma are not interested in measuring PEF twice daily over a prolonged period. In the current management of asthma, PEF measurement devices can be suggested to those showing a strong personal interest in using them, but should be limited to short periods of time. Furthermore, this study outlines the usefulness of electronic Peak Flowmeters when doing clinical research where PEF improvement is an important outcome.