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http://dx.doi.org/10.12811/kshsm.2015.9.3.175

A Meta-analysis of Intervention Studies on the Effects of Self Management and Education in Adult Asthmatic Patients  

Kim, Chae-Bong (Department of Public Health Graduate School of Korea University)
Han, Min-Kyung (Graduate School of Public Health Yonsei University)
Jeong, Mi-Seon (Graduate School of Public Health Yonsei University)
Choi, Bo-Young (Graduate School of Public Health Yonsei University)
Choi, Kil-Yong (University of Ulsan College of Medicine)
Kim, Moo-Young (Department of Family Medicine, Seoul Medical Center)
Publication Information
The Korean Journal of Health Service Management / v.9, no.3, 2015 , pp. 175-185 More about this Journal
Abstract
Objectives : This study was did a meta-analysis of emergency room visits decreased effectiveness of self management education interventions in asthma among adult patients with asthma. Methods : A search of the database PubMed resulted in identifying 8,619 studies done between January 1990 and November 2012. STATA version 10.0 was used to analyze the effect size, explore possible causes of heterogeneity, and determine publication bias with a funnel plot. Results : We included 7 cases on emergency room visits decreased effectiveness of self management and education. Asthmatic patients experienced fewer attacks (summary effect size, 0.75; 95% confidence interval [CI], 0.65-0.95). We found that emergency room visits decreased effectiveness of self management and education were associated with statistically significant effects. Conclusions : Based on these finding, self management and education on interventions are necessary to prevent asthmatic attacks in patients and to reduce the severity of the attacks, and self management and education programs are needed in Korea.
Keywords
Self Management and Education; Asthma; Emergency Room Visit; Meta-Analysis;
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1 Y.S. Chang(2012), Korean Asthma Management Guideline for Adults, The Korean Journal of Medicine, Vol.2012(2);198-202.
2 Y.H. Nam, S.K. Lee(2011), Stepwise Approach Update to the Asthma Treatment, The Korean Journal of Medicine, Vol.80(2);145-151.
3 P.G. Gibson, H. Powell, J. Coughlan, A. Wilson, M.J. Abramson, P. Haywood, A. Bauman, M.J. Hensley, E.H. Walters, J.J.L. Roberts(2002), Self management education and regular practitioner review for adults with asthma, Cochrane Database Syst Rev., Vol.3(1);CD001117.
4 H.J. Yoon(2006), Review : Treatment Guideline of Bronchial Asthma, Tuberculosis and Respiratory Diseases, Vol.60(6);601-607.   DOI
5 R.J. Adams, A. Fuhlbrigge, T. Guilbert, P. Lozano, F. Martinez(2002), Inadequate use of asthma medication in the United States: results of the asthma in America national population survey, Journal of Allergy and Clinical Immunology, Vol.110(1);58-64.   DOI
6 S. Tapp, T.J. Lasserson, B.H. Rowe(2007), Education interventions for adults who attend the emergency room for acute asthma, The Cochrane Library, Vol.18(3);CD003000.
7 J.P. Guevara, F.M. Wolf, C.M. Grum, N.M. Clark(2003), Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis, Bmj, Vol.326(7402);1308-1309.   DOI
8 A.C. Bernard-Bonnin, S. Stachenko, D. Bonin, C. Charette, E. Rousseau(1995), Self management teaching programs and morbidity of pediatric asthma: a meta-analysis, Journal of Allergy and Clinical Immunology, Vol.95(1);34-41.   DOI
9 J.Y. Lee(2008), Meta-analysis. Journal of Korean society for atmospheric environment, Vol.23(6);361-378.
10 M. Egger, G.D. Smith, D. Altman(2008), Systematic reviews in health care: meta-analysis in context, second edition, BMJ books, pp.1-487.
11 J.P. Higgins, S. Green(2008), Cochrane handbook for systematic reviews of interventions: Wiley Online Library, pp.1-29.
12 A.R. Jadad, R.A. Moore, D. Carroll, C. Jenkinson, D.J.M. Reynolds, D.J. Gavaghan, H.J. McQuay(1996), Assessing the quality of reports of randomized clinical trials: is blinding necessary? Controlled clinical trials, Vol.17(1);1-12.   DOI
13 W.J. Park, S.J. Park, S.D. Hwang(2015), Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis, J Korean Acad Nurs., Vol.45(2);169-182.   DOI
14 A.R. Heard, I.J. Richards, J.H. Alpers, L.S. Pilotto, B.J. Smith, J.A. Black(1999), Randomised controlled trial of general practice based asthma clinics, The Medical journal of Australia, Vol.171(2);68-71.
15 M. Borenstein, L.V. Hedges, J. Higgins, H.R. Rothstein(2009), Introduction to Meta-Analysis, Front matter: Wiley Online Library, pp.1-456.
16 M. Egger, G.D. Smith, M. Schneider, C. Minder(1997), Bias in meta-analysis detected by a simple, graphical test, Bmj., Vol.315(7109);629-634.   DOI
17 C. Ghosh, P. Ravindran, M. Joshi, S.C. Stearns(1998), Reductions in hospital use from self management training for chronic asthmatics, Social science & medicine, Vol.46(8);1087-1093.   DOI
18 C.A. Mancuso, M.G. Peterson, T.J. Gaeta, J.L. Fernandez, R.H. Birkhahn, L.A. Melniker, J.P. Allegrante(2011), A randomized controlled trial of self management education for asthma patients in the emergency department. Annals of emergency medicine, Vol.57(6);603-612.   DOI
19 H. Moudgil, T. Marshall, D. Honeybourne(2000), Asthma education and quality of life in the community: a randomised controlled study to evaluate the impact on white European and Indian subcontinent ethnic groups from socioeconomically deprived areas in Birmingham, UK. Thorax, Vol.55(3);177-183.   DOI
20 T.V. Perneger, P. Sudre, P. Muntner, C. Uldry, C. Courteheuse, A-F. Naef, S. Jacquemet, L. Nicod, T. Rochat, J-P. Assal(2002), Effect of patient education on self management skills and health status in patients with asthma: a randomized trial, The American journal of medicine, Vol.113(1);7-14.   DOI
21 R. Yoon, D. McKenzie, A. Bauman, D. Miles(1993), Controlled trial evaluation of an asthma education programme for adults, Thorax, Vol.48(11);1110-1116.   DOI
22 J.H. Choi, J.D. Lim(2010), The effect of patient trust on relationship commitment in healthcare settings, The Korean Journal of Health Service Management, Vol.4(1);1-10.
23 R.S. Zeiger, S. Heller, M.H. Mellon, J. Wald, R. Falkoff, M. Schatz(1991), Facilitated referral to asthma specialist reduces relapses in asthma emergency room visits, Journal of Allergy and Clinical Immunology, Vol.87(6);1160-1168.   DOI
24 A. Warsi, P.S. Wang, M.P. LaValley, J. Avorn, D.H. Solomon(2004), Self management education programs in chronic disease: a systematic review and methodological critique of the literature, Archives of Interna, Medicine, Vol.164(15);1641-1649.   DOI
25 P.D. Mullen, L.W. Green, G.S. Persinger(1985), Clinical trials of patient education for chronic conditions: a comparative meta-analysis of intervention types, Preventive medicine, Vol.14(6);753-781.   DOI