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Review: self management education for adults with asthma improves health outcomes

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Question Is education in self management plus regular review by doctors or nurse practitioners effective in improving health outcomes for adults with asthma?

Data sources

Studies were identified using Medline, Embase/Excerpta Medica, and CINAHL with the terms asthma or wheeze and education or self management. Bibliographies of studies were scanned and 16 respiratory journals and meeting abstracts from 3 specialty societies were handsearched.

Study selection

Randomised controlled trials (RCTs) were selected if the patients were predominantly adults with confirmed asthma, the intervention included education related to asthma and its management, and the outcomes included any of hospital admissions, emergency department visits, unscheduled doctor visits, days lost from work or school, forced expiratory volume at 1 second, peak expiratory flow, use of rescue β …

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  • Sources of funding: NSW Health Australia and National Asthma Campaign Australia.

  • For correspondence: Dr P Gibson, Respiratory Medicine, John Hunter Hospital, Locked Bag 1, Hunter Mail Centre, New South Wales 2310, Australia. Fax +61 2 4921 3537.

  • A modified version of this abstract appears in Evidence-Based Medicine 1998 Nov-Dec.