SELF-MANAGEMENT AS AN IMPORTANT COMPONENT OF BRONCHIAL ASTHMA THERAPY

Authors

  • I. Ya. Melnychaiko I. Horbachevsky Ternopil National Medical University
  • S. M. Andreychyn I. Horbachevsky Ternopil National Medical University
  • R. D. Levchuk I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/1811-2471.2024.v.i1.14524

Keywords:

bronchial asthma, self-managment, digital technologies

Abstract

SUMMARY. Bronchial asthma (BA) is one of the most common chronic diseases and affects 1 in 12 people in the developed countries of the world. With effective treatments and adherence to prescribed therapy, asthma can be controlled, but only 50 % of patients report that their asthma is controlled. The spread of asthma self-monitoring as a science-based practice is included in international clinical guidelines.

The aim – to analyze the current state of research on the effectiveness and prevalence of asthma self-management.

Material and Methods. Search systems, including PubMed, Google Scholar, UpToDate, were used to analyze scientific information over the last decade.

Results. Studies show that self-control of asthma reduces the number of exacerbations of the disease and hospitalizations, and increases the effectiveness of treatment. The use of a written action plan combined with regular clinical reviews has been found to significantly reduce health care utilization, improve patient quality of life, and be associated with a 70 % reduction in mortality. It has been studied that the use of digital tools in patients with asthma is associated with better disease control and increasing of symptoms.

Conclusions. The use of self-monitoring as a component of BA treatment has been shown to improve clinical outcomes and reduce unscheduled use of medical care. The development of digital technologies contributes to the improvement of the effectiveness of self-control of asthma. It is the duty of all professionals who provide medical care for patients with AD to provide such individuals with an action plan and personalized instructions that will allow them to improve and optimize self-management.

References

The Global Asthma Report (2022). Int. J. Tuberc. Lung Dis., 26, 1-104. Retrieved from: http://globalasthmareport.org/. DOI: https://doi.org/10.5588/ijtld.22.1010

Reddel, H.K., Bacharier, L.B., Bateman, E.D., Brightling, C.E., Brusselle, G.G., Buhl, R., … & Boulet, L.P. (2022). Global Initiative for Asthma Strategy 2021: Executive Summary and Rationale for Key Changes. J. Allergy Clin. Immunol. Pract., 10, 1-18. DOI: https://doi.org/10.1111/resp.14174

Grady, P.A., & Gough, L.L. (2014). Self-management: a comprehensive approach to management of chronic conditions. Am. J. Public Health, 104(8), 25-31. DOI: https://doi.org/10.2105/AJPH.2014.302041

Allegrante, J.P., Wells, M.T., & Peterson, J.C. (2019). Interventions to Support Behavioral Self-Management of Chronic Diseases. Annu. Rev. Public Health, 40, 127-146. DOI: https://doi.org/10.1146/annurev-publhealth-040218-044008

Siefert, M.L., Rosenbloom, S., Ercolano, E., & Boucher, J. (2023). Chronic Disease Management Models, Pain Management, and Palliative Care. Role Development for the Nurse Practitioner, 3, 187-212.

Royal College of Physicians (2014). Why asthma still kills: the National Review of Asthma Deaths (NRAD) Confidential Enquiry report. London: RCP. Retrieved from: https://www.rcplondon.ac.uk/file/869.

British Thoracic Society & Scottish Intercollegiate Guidelines Network. (2014). British guideline on the management of asthma. Thorax, 1, 1-192.

Pinnock, H. (2015). Supported self-management for asthma. Breathe (Sheff), 11(2), 98-109. DOI: https://doi.org/10.1183/20734735.015614

Hodkinson, A., Bower, P., Grigoroglou, C., Zghebi, S.S., Pinnock, H., & Kontopantelis, E. (2023). Self-management interventions to reduce healthcare use and improve quality of life among patients with asthma: systematic review and network meta-analysis. BMJ, 382, 1743.

Murray, B., & O'Neill, M. (2018). Supporting self-management of asthma through patient education. Br. J. Nurs., 27(7), 396-401. DOI: https://doi.org/10.12968/bjon.2018.27.7.396

Pegoraro, F., Masini, M., Giovannini, M., Barni, S., Mori, F., du Toit, G., … & Lombardi, E. (2022). Asthma Action Plans: An International Review Focused on the Pediatric Population. Front. Pediatr., 10, 874935. DOI: https://doi.org/10.3389/fped.2022.874935

Kouri, A., Boulet, L.P., Kaplan, A., & Gupta, S. (2017). An evidence–based, point-of-care tool to guide completion of asthma action plans in practice. Eur. Respir. J., 49, 1602238. DOI: https://doi.org/10.1183/13993003.02238-2016

Gupta, S., Wan, F.T., Hall, S.E., & Straus, S.E. (2013). An asthma action plan created by physician, educator and patient online collaboration with usability and visual design optimization. Respiration, 84, 406-415. DOI: https://doi.org/10.1159/000338112

Djandji, F., Lamontagne, A.J., Blais, L., Bacon, S.L., Ernst, P., Grad, R., … & Ducharme, F.M. (2017). Enablers and determinants of the provision of written action plans to patients with asthma: a stratified survey of Canadian physicians. NPJ Prim. Care Respir. Med., 27(1), 21. DOI: https://doi.org/10.1038/s41533-017-0012-3

Kouri, A., Kaplan, A., & Gupta, S. (2019). Quadrupling inhaled corticosteroid doses. Can. Fam. Physician., 65(7), 456-457.

Gupta, S., & Kaplan, A. (2018). Solving the mystery of the yellow zone of the asthma action plan. NPJ Prim. Care Respir. Med., 28(1), 1. DOI: https://doi.org/10.1038/s41533-017-0067-1

Unni, E., Gabriel, S., & Ariely, R. (2018). A review of the use and effectiveness of digital health technologies in patients with asthma. Ann. Allergy Asthma Immunol., 121(6), 680-691. DOI: https://doi.org/10.1016/j.anai.2018.10.016

Sulaiman, I., Greene, G., & MacHale, E. (2018). A randomised clinical trial of feedback on inhaler adherence and technique in patients with severe uncontrolled asthma. Eur. Respir. J., 51(1), 1701126. DOI: https://doi.org/10.1183/13993003.01126-2017

Alvarez-Perea, A., Dimov, V., Popescu, F.D, & Zubeldia, J.M. (2021). The applications of eHealth technologies in the management of asthma and allergic diseases. Clin. Transl. Allergy, 11(7), 12061. DOI: https://doi.org/10.1002/clt2.12061

Bonini, M., & Usmani, O. (2018). Novel methods for device and adherence monitoring in asthma. Curr. Opin. Pulm. Med., 24(1), 63-69. DOI: https://doi.org/10.1097/MCP.0000000000000439

Hanlon, P., Daines, L., Campbell, C., McKinstry, B., Weller, D., & Pinnock, H. (2017). Telehealth Interventions to Support Self-Management of Long-Term Conditions: A Systematic Metareview of Diabetes, Heart Failure, Asthma, Chronic Obstructive Pulmonary Disease, and Cancer. J. Med. Internet Res., 19(5), 172. DOI: https://doi.org/10.2196/jmir.6688

Ghozali, M.T., & Urrohmah, U.A. (2023). Determining the relationship between the knowledge on self-management and levels of asthma control among adult asthmatic patients: a cross-sectional study. J. Med. Life, 16(3), 442-446. DOI: https://doi.org/10.25122/jml-2022-0333

Poowuttikul, P., & Seth, D. (2020). New Concepts and Technological Resources in Patient Education and Asthma Self-Management. Clin. Rev. Allergy Immunol., 59(1), 19-37. DOI: https://doi.org/10.1007/s12016-020-08782-w

Genberg, E.M., Viitanen, H.T., Mäkelä, M.J., Kautiainen, H.J., & Kauppi, P.M. (2023). Impact of a digital web-based asthma platform, a real-life study. BMC Pulm. Med., 23(1), 165. DOI: https://doi.org/10.1186/s12890-023-02467-8

Farzandipour, M., Nabovati, E., Sharif, R., Arani, M.H., & Anvari, S. (2017). Patient Self-Management of Asthma Using Mobile Health Applications: A Systematic Review of the Functionalities and Effects. Appl. Clin. Inform., 8(4), 1068-1081. DOI: https://doi.org/10.4338/ACI-2017-07-R-0116

Cook, K.A., Modena, B.D., & Simon, R.A. (2016). Improvement in Asthma Control Using a Minimally Burdensome and Proactive Smartphone Application. J. Allergy Clin. Immunol. Pract., 4, 730-737. DOI: https://doi.org/10.1016/j.jaip.2016.03.005

Bosnic-Anticevich, S., Bakerly, N.D., Chrystyn, H., Hew, M., & Palen, J. (2023). Advancing Digital Solutions to Overcome Longstanding Barriers in Asthma and COPD Management. Patient Prefer Adherence, 17, 259-272. DOI: https://doi.org/10.2147/PPA.S385857

Chan, A., De Simoni, A., & Wileman, V. (2022). Digital interventions to improve adherence to maintenance medication in asthma. Cochrane Database Sys. Rev., 6, 013030. DOI: https://doi.org/10.1002/14651858.CD013030.pub2

Chan, A.H.Y., Pleasants, R.A., & Dhand, R. (2021). Digital inhalers for asthma or chronic obstructive pulmonary disease: a scientific perspective. Pulm. Ther., 7(2), 345-376. DOI: https://doi.org/10.1007/s41030-021-00167-4

Chrystyn, H., Saralaya, D., & Shenoy., A. (2022). Investigating the accuracy of the Digihaler, a new electronic multidose dry-powder inhaler, in measuring inhalation parameters. J. Aerosol Med. Pulm. Drug Deliv., 35(3), 166-177. DOI: https://doi.org/10.1089/jamp.2021.0031

Chrystyn, H., Audibert, R., Keller, M., Quaglia, B., Vecellio, L., & Roche, N. (2019). Real-life inhaler adherence and technique: time to get smarter. Respir. Med., 158, 24-32. DOI: https://doi.org/10.1016/j.rmed.2019.09.008

Merchant, R., Szefler, S.J., Bender, B.G., Tuffli, M., Barrett, M.A., Gondalia, R., … & Stempe, D.A. (2018). Impact of a digital health intervention on asthma resource utilization. World Allergy Organ J., 11(1), 28. DOI: https://doi.org/10.1186/s40413-018-0209-0

Morrison, D., Wyke, S., Agur, K., Cameron, E.J., Docking, R.I., Mackenzie, A.M., … & Mair, F.S. (2014). Digital asthma self-management interventions: a systematic review. J. Med. Internet Res., 16(2), 51. DOI: https://doi.org/10.2196/jmir.2814

Taylor, S.J.C., Pinnock, H., Epiphaniou, E., Pearce, G., Parke, H.L., Schwappach, A., … & Sheikh, A. (2014). A rapid synthesis of the evidence on interventions supporting self-management for people with long-term conditions: PRISMS – Practical systematic Review of Self-Management Support for long-term conditions. Health Serv. Deliv. Res., 2(53), 1-662. DOI: https://doi.org/10.3310/hsdr02530

Ring, N., Booth, H., & Wilson, C. (2015). The ‘vicious cycle’ of personalised asthma action plan implementation in primary care: a qualitative study of patients and health professionals’ views. BMC Fam. Pract., 16(145), 1-12. DOI: https://doi.org/10.1186/s12875-015-0352-4

Published

2024-03-28

How to Cite

Melnychaiko, I. Y., Andreychyn, S. M., & Levchuk, R. D. (2024). SELF-MANAGEMENT AS AN IMPORTANT COMPONENT OF BRONCHIAL ASTHMA THERAPY. Achievements of Clinical and Experimental Medicine, (1), 27–32. https://doi.org/10.11603/1811-2471.2024.v.i1.14524

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Section

Огляд літератури