Patient and Family Management of Asthma: Theory-Based Techniques for the Clinician

Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor 48109-2029.
Journal of Asthma (Impact Factor: 1.83). 07/2009; 31(6):427-435. DOI: 10.3109/02770909409089484

ABSTRACT Several model asthma education programs are available to improve patient self-management, and elements of these models are discussed as they relate to the teaching role of health-care providers. Self-regulation is being explored in current asthma education research, and preliminary findings of a study are presented that show self-regulation behaviors to be associated with more frequent use of asthma management strategies by patients. Using more management strategies was associated with being observant of symptoms (p = .0001) and feeling confident to manage them (p = .01). Taking more preventive actions was associated with being observant (p = .001) and feeling confident to keep the child out of the triggering situation (p = .02) and prevent symptoms (p = .001). Important issues arising from recent psychosocial research are outlined for consideration by the clinician. These include ways that counseling by the health professional can encourage self-regulation and better at-home management of asthma.

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