The quality improvement initiative, conducted in a primary care setting, dramatically improved asthma control and outcomes for high-risk adolescents.
The study is published online in the journal Pediatrics.
"Improving asthma is particularly difficult for teenagers, whose adherence to treatment is often poor and outcomes worse than those of younger patients," says Maria Britto, MD, director of the Center for Innovation in Chronic Disease Care at Cincinnati Children's and senior author of the study.
"We were able to achieve sustained improvement in patients whose chronic asthma is not well-controlled by implementing a package of chronic care interventions. These included standardized and evidence-based care; self-management support, such as self-monitoring by using diaries and journals; care coordination and active outreach among healthcare providers; linking these teens to community resources; and following-up with patients whose chronic asthma is not well-controlled."
From 2007 to 2011, Dr. Britto and her colleagues at Cincinnati Children's focused improvement efforts on 322 primary care patients, all of whom had asthma. Only 10 percent, however, had optimally well-controlled asthma. By August 2009, the proportion of these patients had increased to 30 percent and remained at that level over time.
Moreover, the initiative resulted in nearly 100 percent of patients receiving an evidence-based care bundle of tools to control their asthma. These tools included an action plan (which included goal setting and learning how to overcome barriers) and controller medications at the most recent doctor visit. Prior to the initiative, only 38 percent had received this bundle.
Ninety percent of patients also received a self-management bundle of tools, including a patient self-assessment and a personal action plan. Formal self-management support had not been in place prior to this initiative.
"Patients and parents who were confident in their ability to manage their asthma increased from 70 percent to 85 percent," says Dr. Britto. "But patients with chronically poor asthma control are likely to need additional interventions."
Asthma is the most common chronic disease of childhood, affecting seven million children in the United States, more than 9 percent of all children in the U.S. Asthma results in an estimated 10.5 million missed school days, 640,000 emergency visits, and 157,000 hospitalizations each year.About Cincinnati Children's
Jim Feuer | EurekAlert!
Fiber optic biosensor-integrated microfluidic chip to detect glucose levels
29.04.2016 | The Optical Society
Got good fat?
27.04.2016 | Rheinische Friedrich-Wilhelms-Universität Bonn
If a person pushes a broken-down car alone, there is a certain effect. If another person helps, the result is the sum of their efforts. If two micro-particles are pushing another microparticle, however, the resulting effect may not necessarily be the sum their efforts. A recent study published in Nature Communications, measured this odd effect that scientists call “many body.”
In the microscopic world, where the modern miniaturized machines at the new frontiers of technology operate, as long as we are in the presence of two...
Researchers from the Max Planck Institute Stuttgart have developed self-propelled tiny ‘microbots’ that can remove lead or organic pollution from contaminated water.
Working with colleagues in Barcelona and Singapore, Samuel Sánchez’s group used graphene oxide to make their microscale motors, which are able to adsorb lead...
Neutron scattering and computational modeling have revealed unique and unexpected behavior of water molecules under extreme confinement that is unmatched by any known gas, liquid or solid states.
In a paper published in Physical Review Letters, researchers at the Department of Energy's Oak Ridge National Laboratory describe a new tunneling state of...
Honeycomb structures as the basic building block for industrial applications presented using holo pyramid
Researchers of the Alfred Wegener Institute (AWI) will introduce their latest developments in the field of bionic lightweight design at Hannover Messe from 25...
Polymer solar cells can be even cheaper and more reliable thanks to a breakthrough by scientists at Linköping University and the Chinese Academy of Sciences (CAS). This work is about avoiding costly and unstable fullerenes.
Polymer solar cells can be even cheaper and more reliable thanks to a breakthrough by scientists at Linköping University and the Chinese Academy of Sciences...
27.04.2016 | Event News
15.04.2016 | Event News
12.04.2016 | Event News
02.05.2016 | Life Sciences
02.05.2016 | Materials Sciences
02.05.2016 | Physics and Astronomy