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Asthma Self-Management Program

An Evidence-Based Practice

This practice has been Archived and is no longer maintained.

Description

The Asthma Self-Management Program (ASMP) is an educational and behavioral intervention for people aged 14 years or older who have been diagnosed with asthma. The program has sessions once a week for eight weeks, with topics including the respiratory system, trigger avoidance, monitoring techniques, peak flow meter and inhaler use, asthma medication, and use of an asthma journal to monitor breathing and self-care. The sessions use print materials, a course manual, and discussions to assess and develop participant skills. Participants also perform take-home exercises to apply newly acquired skills. Repeated performance of self-management behavior in program sessions and at home improve mastery and increase participants’ confidence in their ability to control their asthma.

Goal / Mission

The goal of the Asthma Self-Management Program is to improve asthma self-management and outcome.

Results / Accomplishments

In a pre-post study, participants in the program had significantly higher self-efficacy scores after 1 year than at baseline, and statistically significant improvements in functioning at 1 and 2 years following program completion. At the 2-year follow-up, participants reduced nighttime waking due to asthma from 1.3 at baseline to 0.5 nights per week. Participants reduced missed days of work or school from 2.9 to 1.5 days per year, and days with reduced productivity at work or school fell from 18.7 to 3.2 days per year. Participant hospitalizations decreased by 64%, emergency department visits decreased by 86%, and urgent-care visits decreased by more than 50%.

About this Promising Practice

Organization(s)
Glaxo Wellcome Inc.
Primary Contact
No current contact information available
Topics
Health / Respiratory Diseases
Environmental Health / Toxins & Contaminants
Organization(s)
Glaxo Wellcome Inc.
Source
Centers for Disease Control and Prevention
Date of publication
2001
Date of implementation
1996
Location
North Carolina
For more details
http://www.cdc.gov/asthma/interventions/adults_med...
Target Audience
Teens, Adults

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An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.