| Autor: |
Hasan MI; General Practitioner, Canungra Town Medical Centre, Canungra, Qld, Australia., Shahunja KM; ; and UQ Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Qld, Australia; and ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Qld, Australia., Mamun A; UQ Poche Centre for Indigenous Health, The University of Queensland, Brisbane, Qld, Australia; and ARC Centre of Excellence for Children and Families over the Life Course, The University of Queensland, Brisbane, Qld, Australia. |
| Abstrakt: |
Background This study aims to assess the effectiveness of a structured audio-visual educational session for people on asthma symptoms management during a general practitioner visit. Methods We conducted this single-centre intervention study in a general practice clinic in Queensland, Australia. There were 78 intervention and 78 control participants in this study. We followed 1:1 randomisation to allocate study intervention between two groups of participants with asthma. The intervention group received an audio-visual demonstration of asthma, its symptoms, triggers, and how to use inhalers correctly, along with the standard asthma management by a physician on enrolment. The control group received only the standard asthma management by a physician. We assessed the 'Asthma Control Test' score on enrolment and after 90days and compared the changes across the groups. Results Participants were, on average, 28years old (range: 6-60, 60% women). The intervention group showed a 1.9-unit increment, and the control group showed a -0.5-unit increment in 'Asthma Control Test' score from baseline to endline. The difference of differences between the intervention and control groups was 2.4 units (P =0.016) after adjusting for potential confounders. In age-stratified analysis, the children (6-17years) showed a significant difference (mean difference of 2.5 between intervention and control groups) in their asthma control score. Conclusions Structured educational sessions involving audio-visual media along with standard management for people with asthma during general practice visits would be effective for better asthma control. However, a further multi-centre study with a larger sample is needed to see its efficacy. |
