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However, these effects were not sustained during a longer period of time in a part of the intervention group. Adolescents allocated to the IBSM group of the trial showed improved asthma-related quality of life and asthma control within 3 months. In a previous randomized controlled trial, we assessed whether IBSM improved asthma control, asthma-related quality of life, and lung function in adolescents with partially controlled and uncontrolled asthma. Īsthma control and asthma-related quality of life can be improved in adults and adolescents, and the number of outpatient visits can be reduced by participating in an internet-based self-management (IBSM) support program. A lack of knowledge and perception of symptoms, especially when combined with a desire for independence and high-risk behaviors, interferes with adherence to asthma medication. Adolescents form a vulnerable subgroup of patients with asthma that is characterized by a high prevalence of poor outcomes and high rates of morbidity and mortality.
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This study provides important knowledge on the effects of asthma education and monitoring in daily life.Īsthma control is the goal in long-term asthma management, but despite the availability of effective therapies, this goal is not reached in three-quarters of patients with persistent asthma. There were no significant differences in outcomes between normoperceivers and hypoperceivers.Ĭonclusions: Education, especially in combination with frequent web-based monitoring, is an important determinant for the 1-year outcomes of asthma control in internet-based self-management programs for adolescents with partly controlled and uncontrolled asthma however, we could not establish the effect of symptom perception. Frequent monitoring alone did not improve asthma control ( P=.07) and quality of life ( P=.44) significantly, but its combination with education did result in improved ACQ scores (difference: −0.88 P=.02). Results: Adolescents who attended education sessions had significant and clinically relevant improvements in asthma control (ACQ score difference: −0.6 P=.03) and exhibited a nonsignificant trend of improvement in asthma-related quality of life (Pediatric Asthma Quality of Life Questionnaire score difference: −0.45 P=.15) when compared to those who did not adhere to education. We assessed the impacts that attendance in education sessions, the frequency of web-based monitoring, and the level of perception had on changes in asthma control (Asthma Control Questionnaire ) and asthma-related quality of life (Pediatric Asthma Quality of Life Questionnaire) from baseline to 12 months after intervention. Methods: We conducted a subgroup analysis of the intervention group of a randomized controlled trial, which included adolescents who participated in the internet-based self-management arm. Objective: We aimed to test the hypothesis that adherence to education and web-based monitoring and adequate symptom perception are important determinants for the improvement of asthma control in self-management programs.
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The components of self-management programs include education and the web-based self-monitoring of symptoms the latter requires adequate perception in order to timely adjust lifestyle or medication or to contact a care provider.
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JMIR Rehabilitation and Assistive Technologies 114 articles.JMIR Pediatrics and Parenting 117 articles.Interactive Journal of Medical Research 207 articles.JMIR Public Health and Surveillance 669 articles.Journal of Medical Internet Research 5463 articles.