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Asthma knowledge remains poor among rising patient numbers in Zambia
Healio “Knowledge about asthma is poor among Zambians and misconceptions are prevalent,” Emilia Jumbe Marsden, MD, of Pendleton Family Practice in Lusaka, Zambia, and colleagues wrote. Jumbe Marsden and colleagues evaluated 1,540 participants (mean … |
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Condition: Asthma
Intervention: Other: Q-Kap
Sponsor: Stefania La Grutta, MD
Not yet recruiting – verified June 2015
View full post on ClinicalTrials.gov: asthma | received in the last 14 days
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Asthma knowledge limited among elderly Turkish patients
Healio “The present study found that older patients with asthma had limited asthma self-management knowledge and worse asthma control and showed improper use of the inhaler device,” A.B. Ozturk, MD, department of allergy and immunology, Koç University, … |
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Pediatricians improved their knowledge of environmental triggers for asthma
Healio “Following a brief, targeted education intervention, physicians reported a significant increase in knowledge about environmental triggers of asthma and a willingness to incorporate exposure history questions and remediation recommendations in their … |
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| Related Articles |
Improving Pediatrician Knowledge About Environmental Triggers of Asthma.
Clin Pediatr (Phila). 2013 Mar 28;
Authors: Roberts JR, Karr CJ, de Ybarrondo L, McCurdy LE, Freeland KD, Hulsey TC, Forman J
Abstract
Background. Control of environmental triggers (ETs) greatly improves asthma outcomes in children. Disseminating these findings to general pediatricians has not been well established. Methods. After delivering a structured and standardized presentation on ET identification and control to pediatricians, we surveyed them about knowledge and practices of ET assessment and management. We analyzed matched responses for pre/post and 3- to 6-month follow-up using McNemar’s ?(2) test. Results. Matched data were available for 367 participants, and 3- to 6-month follow-up data were available for 83. There was a significant posttraining increase in intention to ask about ETs and recommend ET management. After 3 to 6 months, all responses remained significantly higher than baseline, except “likely to refer to an asthma specialist.” Conclusion. Pediatricians reported a significant improvement in knowledge about ETs of asthma and a willingness to incorporate exposure history questions and remediation recommendations in their routine practice.
PMID: 23539690 [PubMed – as supplied by publisher]
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The knowledge, attitudes and practices of parents of children with asthma in …
7thSpace Interactive (press release) Asthma is becoming increasingly prevalent among children in China. Poor parent knowledge and attitudes often contribute to inappropriate management practices, leading to deficiencies in the care process We aimed to document the knowledge, attitudes … |
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Using a knowledge translation framework to implement asthma clinical practice guidelines in primary care.
Int J Qual Health Care. 2012 Aug 14;
Authors: Licskai C, Sands T, Ong M, Paolatto L, Nicoletti I
Abstract
Quality problemInternational guidelines establish evidence-based standards for asthma care; however, recommendations are often not implemented and many patients do not meet control targets.Initial assessmentRegional pilot data demonstrated a knowledge-to-practice gap.Choice of solutionsWe engineered health system change in a multi-step approach described by the Canadian Institutes of Health Research knowledge translation framework.ImplementationKnowledge translation occurred at multiple levels: patient, practice and local health system. A regional administrative infrastructure and inter-disciplinary care teams were developed. The key project deliverable was a guideline-based interdisciplinary asthma management program. Six community organizations, 33 primary care physicians and 519 patients participated. The program operating cost was $290/patient.EvaluationSix guideline-based care elements were implemented, including spirometry measurement, asthma controller therapy, a written self-management action plan and general asthma education, including the inhaler device technique, role of medications and environmental control strategies in 93, 95, 86, 100, 97 and 87% of patients, respectively. Of the total patients 66% were adults, 61% were female, the mean age was 35.7 (SD = ±24.2) years. At baseline 42% had two or more symptoms beyond acceptable limits vs. 17% (P< 0.001) post-intervention; 71% reported urgent/emergent healthcare visits at baseline (2.94 visits/year) vs. 45% (1.45 visits/year) (P< 0.001); 39% reported absenteeism (5.0 days/year) vs. 19% (3.0 days/year) (P< 0.001). The mean follow-up interval was 22 (SD = ±7) months.Lessons learnedA knowledge-translation framework can guide multi-level organizational change, facilitate asthma guideline implementation, and improve health outcomes in community primary care practices. Program costs are similar to those of diabetes programs. Program savings offset costs in a ratio of 2.1:1.
PMID: 22893665 [PubMed – as supplied by publisher]
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