Language:

Effect of an Education Programme for South Asians with Asthma and Their Clinicians: A Cluster Randomised Controlled Trial (OEDIPUS)

PloS one, 2016-12, Vol.11 (12), p.e0158783-e0158783 [Peer Reviewed Journal]

COPYRIGHT 2016 Public Library of Science ;COPYRIGHT 2016 Public Library of Science ;2016 Griffiths et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;2016 Griffiths et al 2016 Griffiths et al ;ISSN: 1932-6203 ;EISSN: 1932-6203 ;DOI: 10.1371/journal.pone.0158783 ;PMID: 28030569

Full text available

Citations Cited by

Actions
1. Add to My Research
2. Remove from My Research
3. E-mail
4. Print
5. Permalink
6. Citation
7. EasyBib
8. EndNote
9. RefWorks
10. Delicious
11. Export RIS
12. Export BibTeX

Title:
Effect of an Education Programme for South Asians with Asthma and Their Clinicians: A Cluster Randomised Controlled Trial (OEDIPUS)
Author: Griffiths, Chris ; Bremner, Stephen ; Islam, Kamrul ; Sohanpal, Ratna ; Vidal, Debi-Lee ; Dawson, Carolyn ; Foster, Gillian ; Ramsay, Jean ; Feder, Gene ; Taylor, Stephanie ; Barnes, Neil ; Choudhury, Aklak ; Packe, Geoff ; Bayliss, Elizabeth ; Trathen, Duncan ; Moss, Philip ; Cook, Viv ; Livingstone, Anna Eleri ; Eldridge, Sandra
Lee, Ji-Hyun
Subjects: Adult ; Asian Continental Ancestry Group ; Asian people ; Asians ; Asthma ; Child ; Chronic illnesses ; Clusters ; Control methods ; Dentistry ; Disease control ; Education ; Educational aspects ; Emergency medical care ; Epidemiology ; Female ; Health aspects ; Health care ; Health disparities ; Health Education ; Health Personnel ; Humans ; Intervention ; Male ; Management ; Medical personnel ; Medicine ; Medicine and Health Sciences ; Minority & ethnic groups ; Morbidity ; Nurses ; Outcome Assessment (Health Care) ; Patients ; People and Places ; Pharmacists ; Primary care ; Primary care nursing ; Primary Health Care ; Primary nursing ; Public health ; Quality of Life ; Randomization ; Vitamin deficiency ; Young Adult
Is Part Of: PloS one, 2016-12, Vol.11 (12), p.e0158783-e0158783
Description: People with asthma from ethnic minority groups experience significant morbidity. Culturally-specific interventions to reduce asthma morbidity are rare. We tested the hypothesis that a culturally-specific education programme, adapted from promising theory-based interventions developed in the USA, would reduce unscheduled care for South Asians with asthma in the UK. A cluster randomised controlled trial, set in two east London boroughs. 105 of 107 eligible general practices were randomised to usual care or the education programme. Participants were south Asians with asthma aged 3 years and older with recent unscheduled care. The programme had two components: the Physician Asthma Care Education (PACE) programme and the Chronic Disease Self Management Programme (CDSMP), targeted at clinicians and patients with asthma respectively. Both were culturally adapted for south Asians with asthma. Specialist nurses, and primary care teams from intervention practices were trained using the PACE programme. South Asian participants attended an outpatient appointment; those registered with intervention practices received self-management training from PACE-trained specialist nurses, a follow-up appointment with PACE-trained primary care practices, and an invitation to attend the CDSMP. Patients from control practices received usual care. Primary outcome was unscheduled care. 375 south Asians with asthma from 84 general practices took part, 183 registered with intervention practices and 192 with control practices. Primary outcome data were available for 358/375 (95.5%) of participants. The intervention had no effect on time to first unscheduled attendance for asthma (Adjusted Hazard Ratio AHR = 1.19 95% CI 0.92 to 1.53). Time to first review in primary care was reduced (AHR = 2.22, (1.67 to 2.95). Asthma-related quality of life and self-efficacy were improved at 3 months (adjusted mean difference -2.56, (-3.89 to -1.24); 0.44, (0.05 to 0.82) respectively. A multi-component education programme adapted for south Asians with asthma did not reduce unscheduled care but did improve follow-up in primary care, self-efficacy and quality of life. More effective interventions are needed for south Asians with asthma.
Publisher: United States: Public Library of Science
Language: English
Identifier: ISSN: 1932-6203
EISSN: 1932-6203
DOI: 10.1371/journal.pone.0158783
PMID: 28030569
Source: GFMER Free Medical Journals
MEDLINE
PubMed Central
Public Library of Science (PLoS)
ProQuest Central
DOAJ Directory of Open Access Journals

Back to results list


INSPIRE LIBRARY - TON DUC THANG UNIVERSITY	(84-028) 37 755 057	Feedback
19 Nguyen Huu Tho St. Dist.7, HCM	thuvien@tdtu.edu.vn	Feedback

Effect of an Education Programme for South Asians with Asthma and Their Clinicians: A Cluster Randomised Controlled Trial (OEDIPUS)

Searching Remote Databases, Please Wait