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Asthma Education for Older Adults: Results from the National Asthma Survey

Asthma Education for Older Adults: Results from the National Asthma Survey Rationale. Although asthma education is effective in younger population, it is unknown whether it is effective in older adults. Methods. Using the Four-State National Asthma Survey (NAS) data, asthma control was compared between older adults (≥65 years) who had been taught to use a peak flow meter (PFM) and asthma action plan (AAP) with those who had not. We also compared older adults who had taken an asthma course with those who had not. Both short-term (symptoms within last 1 week, day and night symptoms in last 30 days, and the use of steroid in last 3 months) and long-term (asthma attack, emergency department visit, hospitalizations, and activity limitations in the prior year) outcomes were compared. Results. Three hundred and ninety-eight older adults with asthma were identified. There were no differences in the short- and long-term asthma outcomes between the older adults who had or had not received instruction on PFM or AAP use. In preliminary analysis, those who took AC were more likely to have at least one poorly controlled long-term outcome measure (81 vs. 65%, p = 0.034). However, this difference did not remain significant in a logistic regression analysis. Conclusions. Engagement in asthma education course, instruction on action plans, and instruction on PFM use does not appear to affect asthma outcomes in older adults. Education specifically tailored toward older adults is required for better asthma control. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Asthma Taylor & Francis

Asthma Education for Older Adults: Results from the National Asthma Survey

Baptist, Alan P.; Talreja, Neetu; Clark, Noreen M.
Journal of Asthma , Volume 48 (2): 6 – Mar 1, 2011
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References (31)

Publisher
Taylor & Francis
Copyright
© 2011 Informa Healthcare USA, Inc.
ISSN
1532-4303
eISSN
0277-0903
DOI
10.3109/02770903.2010.535880
pmid
21128881
Publisher site
See Article on Publisher Site

Abstract

Rationale. Although asthma education is effective in younger population, it is unknown whether it is effective in older adults. Methods. Using the Four-State National Asthma Survey (NAS) data, asthma control was compared between older adults (≥65 years) who had been taught to use a peak flow meter (PFM) and asthma action plan (AAP) with those who had not. We also compared older adults who had taken an asthma course with those who had not. Both short-term (symptoms within last 1 week, day and night symptoms in last 30 days, and the use of steroid in last 3 months) and long-term (asthma attack, emergency department visit, hospitalizations, and activity limitations in the prior year) outcomes were compared. Results. Three hundred and ninety-eight older adults with asthma were identified. There were no differences in the short- and long-term asthma outcomes between the older adults who had or had not received instruction on PFM or AAP use. In preliminary analysis, those who took AC were more likely to have at least one poorly controlled long-term outcome measure (81 vs. 65%, p = 0.034). However, this difference did not remain significant in a logistic regression analysis. Conclusions. Engagement in asthma education course, instruction on action plans, and instruction on PFM use does not appear to affect asthma outcomes in older adults. Education specifically tailored toward older adults is required for better asthma control.

Journal

Journal of Asthma – Taylor & Francis

Published: Mar 1, 2011

Keywords: age; asthma; asthma education; asthma control; elderly; national asthma survey; older adults; young adults

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