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Titolo:
EVALUATION OF A COMMUNITY-BASED ASTHMA MANAGEMENT PROGRAM IN A POPULATION-SAMPLE OF SCHOOLCHILDREN
Autore:
TOELLE BG; PEAT JK; SALOME CM; MELLIS CM; BAUMAN AE; WOOLCOCK AJ;
Indirizzi:
ROYAL PRINCE ALFRED HOSP,INST RESP MED CAMPERDOWN NSW 2050 AUSTRALIA ROYAL PRINCE ALFRED HOSP,ALLEN & HANBURYS EPIDEMIOL UNIT CAMPERDOWN NSW 2050 AUSTRALIA UNIV SYDNEY,DEPT MED SYDNEY NSW 2006 AUSTRALIA UNIV NEW S WALES,DEPT COMMUNITY MED KENSINGTON NSW 2033 AUSTRALIA
Titolo Testata:
Medical journal of Australia
fascicolo: 11, volume: 158, anno: 1993,
pagine: 742 - 746
SICI:
0025-729X(1993)158:11<742:EOACAM>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
AUSTRALIAN SCHOOLCHILDREN; RESPIRATORY SYMPTOMS; BRONCHIAL HYPERRESPONSIVENESS; EDUCATION; METHACHOLINE; CHILDREN; IMPACT; COST;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
26
Recensione:
Indirizzi per estratti:
Citazione:
B.G. Toelle et al., "EVALUATION OF A COMMUNITY-BASED ASTHMA MANAGEMENT PROGRAM IN A POPULATION-SAMPLE OF SCHOOLCHILDREN", Medical journal of Australia, 158(11), 1993, pp. 742-746

Abstract

Objective: To assess the eff ect of a community-based management program, incorporating both education and treatment directed at children, parents, doctors, pharmacists, community nurses and school teachers. Design: The effect of this intervention in a population sample of 65 children with a wide range of morbidity due to asthma was compared with a control group of 55 children living in a different area. Both groupswere re-evaluated concurrently after three and six months. Main outcome measures: Forced expiratory volume in one second (FEV1); bronchial responsiveness to histamine measured as the provoking dose causing a 20% fall in FEV1 (PD20FEV1) and as dose-response ratio (DRR); Airflometer variability; symptom frequency; and knowledge of asthma. Morbidity was measured by parents using a self-administered questionnaire and included days absent from school and unscheduled doctor or emergency room visits. Results: At three months, the intervention group had a significant improvement in knowledge of asthma compared with both their baseline and the control group's change in knowledge. Also, FEV1 improvedin this group and symptoms which limit activity decreased significantly. However, the largest improvements were recorded at the six-month follow up. In the intervention group, bronchial responsiveness and night cough were reduced significantly and FEV1 was improved, compared with both baseline measurements and the control group. Knowledge of asthma also improved significantly from baseline, and unscheduled doctor oremergency room visits were reduced. Conclusion: These improvements inthis group of children, many of whom had mild asthma, verify that community-based management programs can be effective in treating childhood asthma.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/05/20 alle ore 13:10:49