Asthma
Conditions
Brief summary
Evaluate the incremental effectiveness of peak flow monitoring ove symptom monitoring as a management tool to enhance asthma control in adults \>= 50 years with moderate-severe asthma.
Detailed description
BACKGROUND: We propose a five-year Demonstration and Education project to assess the incremental value of peak flow monitoring (PFM) over symptom monitoring (SM) as a management tool for asthma control in adults greater than or equal to 50 years with moderate-severe asthma. We will develop three parallel asthma education programs for older adults using as our base an existing asthma education program (AIR/Kaiser Adult Education Program) of demonstrated efficacy for adults ,50 years of age. DESIGN NARRATIVE: Primary outcome Frequency and cost of health care utilization for asthma, and asthma-specific quality of life Key secondary outcomes Prebronchodilator FEV1; diurnal variability in PEF The study completion date listed in this record was obtained from the End Date entered in the Protocol Registration and Results System (PRS) record.
Interventions
BEHAVIORALPeak Flow Monitoring
Sponsors
National Heart, Lung, and Blood Institute (NHLBI)
Study design
Allocation
RANDOMIZED
Eligibility
Sex/Gender
ALL
Age
50 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
Inclusions: Doctor-diagnosed asthma; \>=50 years; using asthma medications; \>12% increase in FEV1 after two puffs of inhaled beta-agonist; willing to participate in asthma meducation program and two-year follow up; likely to stay in Portland area; KPNW member for two years. Exclusions: Unable to read, speak or understand English; no telephone; failure to keep two pre-randomization appointments; inability to reproducible FEV 1 maneuver; participation in pilot phase of study; concurrent participation in any other medical research study.
Outcome results
None listed