Tuberculosis and Respiratory Diseases

The Korean Academy of Tuberculosis and Respiratory Diseases (대한결핵및호흡기학회)
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The Need for a Well-Organized, Video-Assisted Asthma Education Program at Korean Primary Care Clinics

  • Kim, Yee Hyung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Yoo, Kwang Ha (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Konkuk University Medical Center) ;
  • Yoo, Jee-Hong (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kyung Hee University College of Medicine) ;
  • Kim, Tae-Eun (Department of Clinical Pharmacology, Konkuk University Medical Center) ;
  • Kim, Deog Kyeom (Seoul Metropolitan Government Seoul National University Boramae Medical Center) ;
  • Park, Yong Bum (Department of Internal Medicine, Hallym University Medical Center, Hallym University College of Medicine) ;
  • Rhee, Chin Kook (Department of Internal Medicine, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Kim, Tae-Hyung (Department of Internal Medicine, Hanyang University Guri Hospital) ;
  • Kim, Young Sam (Division of Pulmonology, Department of Internal Medicine, Yonsei University College of Medicine) ;
  • Yoon, Hyoung Kyu (Department of Internal Medicine, Yeouido St. Mary's Hospital, College of Medicine, The Catholic University of Korea) ;
  • Um, Soo-Jung (Department of Internal Medicine, Dong-A University College of Medicine) ;
  • Park, I-Nae (Department of Internal Medicine, Inje University Seoul Paik Hospital) ;
  • Ryu, Yon Ju (Department of Internal Medicine, Ewha Womans University School of Medicine) ;
  • Jung, Jae-Woo (Division of Pulmonary Medicine, Department of Internal Medicine, Chung-Ang University School of Medicine) ;
  • Hwang, Yong Il (Division of Pulmonary, Allergy and Critical Care Medicine, Department of Internal Medicine, Hallym University Sacred Heart Hospital) ;
  • Lee, Heung Bum (Department of Internal Medicine, Research Institute of Clinical Medicine, Chonbuk National University Medical School) ;
  • Lim, Sung-Chul (Department of Internal Medicine, Chonnam National University Hospital) ;
  • Jung, Sung Soo (Division of Pulmonology, Department of Internal Medicine, Chungnam National University College of Medicine) ;
  • Kim, Eun-Kyung (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, CHA Bundang Medical Center, CHA University) ;
  • Kim, Woo Jin (Department of Internal Medicine and Environmental Health Center, Kangwon National University Hospital) ;
  • Lee, Sung-Soon (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Inje University Ilsan Paik Hospital, Inje University College of Medicine) ;
  • Lee, Jaechun (Department of Internal Medicine, Jeju National University School of Medicine) ;
  • Kim, Ki Uk (Department of Internal Medicine, Pusan National University School of Medicine) ;
  • Kim, Hyun Kuk (Division of Pulmonology, Department of Internal Medicine, Inje University Haeundae Paik Hospital, Inje University College of Medicine) ;
  • Kim, Sang Ha (Department of Internal Medicine, Yonsei University Wonju College of Medicine) ;
  • Park, Joo Hun (Department of Internal Medicine, Ajou University School of Medicine) ;
  • Shin, Kyeong Cheol (Regional Center for Respiratory Disease, Yeungnam University Medical Center, Yeungnam University College of Medicine) ;
  • Choe, Kang Hyeon (Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Chungbuk National University College of Medicine) ;
  • Yum, Ho-Kee (Department of Internal Medicine, Inje University Seoul Paik Hospital)
  • Received : 2016.10.29
  • Accepted : 2017.02.13
  • Published : 2017.04.30
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Abstract

Background: The purpose of this study was to assess the effect of our new video-assisted asthma education program on patients' knowledge regarding asthma and asthma control. Methods: Adult asthmatics who were diagnosed by primary care physicians and followed for at least 1 year were educated via smart devices and pamphlets. The education sessions were carried out three times at 2-week intervals. Each education period lasted at most 5 minutes. The effectiveness was then evaluated using questionnaires and an asthma control test (ACT). Results: The study enrolled 144 patients (mean age, $56.7{\pm}16.7years$). Half of the patients had not been taught how to use their inhalers. After participating in the education program, the participants' understanding of asthma improved significantly across all six items of a questionnaire assessing their general knowledge of asthma. The proportion of patients who made errors while manipulating their inhalers was reduced to less than 10%. The ACT score increased from $16.6{\pm}4.6$ to $20.0{\pm}3.9$ (p<0.001). The number of asthmatics whose ACT score was at least 20 increased from 45 (33.3%) to 93 (65.3%) (p<0.001). The magnitude of improvement in the ACT score did not differ between patients who received an education session at least three times within 1 year and those who had not. The majority of patients agreed to the need for an education program (95.8%) and showed a willingness to pay an additional cost for the education (81.9%). Conclusion: This study indicated that our newly developed education program would become an effective component of asthma management in primary care clinics.

Keywords

References

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