TY - JOUR T1 - Addition of peak flow monitoring to symptom monitoring did not improve healthcare visits, quality of life, or lung function in older adults with moderate-to-severe asthma JF - Evidence Based Nursing JO - Evid Based Nurs SP - 52 LP - 52 DO - 10.1136/ebn.10.2.52 VL - 10 IS - 2 A2 - , Y1 - 2007/04/01 UR - http://ebn.bmj.com/content/10/2/52.abstract N2 - Buist AS, Vollmer WM, Wilson SR, et al. A randomized clinical trial of peak flow versus symptom monitoring in older adults with asthma. Am J Respir Crit Care Med 2006;174:1077–87.OpenUrlCrossRefPubMed Q In older adults with moderate-to-severe asthma, is symptom monitoring plus peak flow monitoring (PFM) (used as part of a comprehensive management plan) better than symptom monitoring alone for healthcare utilisation, quality of life, and lung function?Design:randomised controlled trial.Allocation:{concealed}.* Blinding:blinded (data collectors and {healthcare providers}*).Follow up period:up to 2 years.Setting:a large managed care organisation in Oregon, USA.Patients:296 adults 50–92 years of age (mean age 66 y, 52% women) who had physician diagnosed asthma, medication use suggestive of moderate-to-severe asthma, bronchodilator reversibility (>8% of baseline forced expiratory volume in 1 sec [FEV1 … ER -