Effectiveness of pictorial based self-management among adult with asthma in a suburban primary care health clinic: A randomised controlled trial

M. R. Radzniwan, S. Y. Chow, A. S. Shamsul, Mohd Fairuz Ali

Research output: Contribution to journalArticle

Abstract

introduction: Self-management asthma education is important in a good asthma model of care. However, its delivery should be simple and easily comprehensible for successful utilisation. Pictograms have been shown to assist the understanding of asthma self-management. The objective of this study is to determine the effectiveness of a pictorial based asthma self-management towards asthma control. Material and Methods: This was a open label single centre randomised trial. Sixty-two adults with asthma attending a primary care clinic in suburban Selangor, Malaysia and taking preventive inhaled corticosteroids were randomised into two groups; pictorial based self-management or conventional care. The pictorial based group received a 10 minute individualised session on pictorial asthma action plan. The main outcome measures were improvement in asthma control test (ACT) scores, number of hospitalisations, unscheduled health care visits and absenteeism after three months of follow up. Results: A total of 62 participants were analysed. Both groups had improvement of asthma control within the follow-up period. However, there was no significant difference in the asthma control (ACT score changes) between the intervention and control group with their mean ACT score: 21.3 ± 3.2 vs 20.5 ± 3.8, p=0.39, respectively. The mean difference of ACT score from baseline were 2.2 ± 3.2 vs 1.3 ± 4.6 p=0.35, respectively. No significant statistical differences were observed in the number of unscheduled healthcare visits, hospitalisations and absenteeism among the two groups. Conclusions: Pictorial based self-management did not offer any advantage over the conventional care among relatively well controlled asthma, middle to lower socioeconomic and low education background population.

Original languageEnglish
Pages (from-to)183-190
Number of pages8
JournalBrunei International Medical Journal
Volume12
Issue number6
Publication statusPublished - 1 Dec 2016
Externally publishedYes

Fingerprint

Self Care
Primary Health Care
Asthma
Randomized Controlled Trials
Absenteeism
Hospitalization
Delivery of Health Care
Education
Malaysia
Adrenal Cortex Hormones
Outcome Assessment (Health Care)

Keywords

  • Asthma
  • Control
  • Education
  • Management
  • Self-management

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Effectiveness of pictorial based self-management among adult with asthma in a suburban primary care health clinic : A randomised controlled trial. / Radzniwan, M. R.; Chow, S. Y.; Shamsul, A. S.; Ali, Mohd Fairuz.

In: Brunei International Medical Journal, Vol. 12, No. 6, 01.12.2016, p. 183-190.

Research output: Contribution to journalArticle

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