0
Editorials |

Improving Asthma ManagementWritten Asthma Action Plan: Time for an Action Plan

Mary E. Strek, MD, FCCP
Author and Funding Information

From the University of Chicago, Department of Medicine, Section of Pulmonary and Critical Care.

Correspondence to: Mary E. Strek, MD, FCCP, the University of Chicago, 5841 S Maryland Ave, MC6076, Chicago, IL 60637; e-mail: mstrek@medicine.bsd.uchicago.edu


Financial/nonfinancial disclosures: The author has reported to CHEST the following conflicts of interest: Dr Strek conducts clinical research trials for the University of Chicago. None of the trials is related to the topic of this editorial.

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2012;142(5):1085-1087. doi:10.1378/chest.12-1115
Text Size: A A A
Published online

Extract

Asthma self-management education has been an essential component of the National Asthma Education and Prevention Program guidelines since their initial publication in 1991.1 Although asthma self-management education made sense intuitively, there was limited evidence of benefit at first. Subsequent research has shown improved health outcomes and a reduction in asthma-related health-care costs with self-management programs in patients with chronic asthma.2 As a result, updated National Asthma Education and Prevention Program asthma guidelines in 1997 and 2007 gave this educational component greater emphasis.3,4 Recommended as part of such programs are (1) asthma information and self-management training, (2) self-monitoring with symptoms or peak expiratory flow measurements, (3) regular clinician assessment, and (4) a written action plan. Evidence-based assessment of these items individually has demonstrated the greatest benefit from asthma education and self-monitoring. A limited number of studies have assessed the effect of a written action plan separate from self-management programs in general. A Cochrane meta-analysis of these studies concluded they provided insufficient evidence that action plans as the sole intervention improve asthma outcomes.5

First Page Preview

View Large
First page PDF preview

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

MEMBER & INDIVIDUAL SUBSCRIBER

Want Access?

NEW TO CHEST?

Become a CHEST member and receive a FREE subscription as a benefit of membership.

Individuals can purchase this article on ScienceDirect.

Individuals can purchase a subscription to the journal.

Individuals can purchase a subscription to the journal or buy individual articles.

Learn more about membership or Purchase a Full Subscription.

INSTITUTIONAL ACCESS

Institutional access is now available through ScienceDirect and can be purchased at myelsevier.com.

Related Content

Customize your page view by dragging & repositioning the boxes below.

Find Similar Articles
CHEST Journal Articles
PubMed Articles
Guidelines
Allergen immunotherapy: a practice parameter second update.
Joint Council of Allergy, Asthma and Immunology | 7/24/2009
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543