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!
For drivers with telescopic lenses, driving experience and training affect road test results
30.03.2015 | Wolters Kluwer Health
Precocious GEM: Shape-shifting sensor can report conditions from deep in the body
30.03.2015 | National Institute of Standards and Technology (NIST)
In an experiment at the Department of Energy's SLAC National Accelerator Laboratory, scientists precisely measured the temperature and structure of aluminum as...
The IPH presents a solution at HANNOVER MESSE 2015 to make ship traffic more reliable while decreasing the maintenance costs at the same time. In cooperation with project partners, the research institute from Hannover, Germany, has developed a sensor system which continuously monitors the condition of the marine gearbox, thus preventing breakdowns. Special feature: the monitoring system works wirelessly and energy-autonomously. The required electrical power is generated where it is needed – directly at the sensor.
As well as cars need to be certified regularly (in Germany by the TÜV – Technical Inspection Association), ships need to be inspected – if the powertrain stops...
When an earthquake hits, the faster first responders can get to an impacted area, the more likely infrastructure--and lives--can be saved.
The Atlantic overturning is one of Earth’s most important heat transport systems, pumping warm water northwards and cold water southwards. Also known as the Gulf Stream system, it is responsible for the mild climate in northwestern Europe.
Scientists now found evidence for a slowdown of the overturning – multiple lines of observation suggest that in recent decades, the current system has been...
Because they are regularly subjected to heavy vehicle traffic, emissions, moisture and salt, above- and underground parking garages, as well as bridges, frequently experience large areas of corrosion. Most inspection systems to date have only been capable of inspecting smaller surface areas.
From April 13 to April 17 at the Hannover Messe (hall 2, exhibit booth C16), engineers from the Fraunhofer Institute for Nondestructive Testing IZFP will be...
25.03.2015 | Event News
19.03.2015 | Event News
17.03.2015 | Event News
30.03.2015 | Press release
30.03.2015 | Life Sciences
30.03.2015 | Earth Sciences