Asthma action plans and patient satisfaction among women with asthma.
Chest. 2012 Feb 16 Patel MR, Valerio MA, Sanders G, Thomas LJ, Clark NM. Center for Managing Chronic Disease, University of Michigan, University of Michigan School of Public Health, Department of Health Behavior and Health Education.
BACKGROUND: Asthma action plans (AAP) are a priority recommendation of the National Asthma Education and Prevention Program, and have been shown to positively affect health outcomes. Patient satisfaction is an important clinical outcome, yet little is known about its association with receiving an AAP. This study examined the association between having an AAP, behaviors to keep asthma in control, and patient satisfaction with care.
METHODS: Cross-sectional analysis of baseline data from a randomized trial evaluating a self-management program among 808 women with asthma. Participants reported demographic information, interactions with clinicians, whether they had an AAP and peak flow meter, self-management behaviors, and symptoms.
RESULTS: The mean age of the participants was 48 years (SD=13.6), 84% (n=670) were satisfied with their asthma care, and 48% (n=383) had a written AAP from their doctor. Women differed, with those not having an AAP less likely to take asthma medication as prescribed (X(2)(1)=13.68, p<0.001), initiate discussion about asthma with their physicians (X(2)(1)=26.35, p<0.001), and own a peak flow meter (X(2)(1)=77.84, p<0.001). Adjusting for asthma control, income, and medical specialty, women who did not have an AAP were more likely to report dissatisfaction with their asthma care (OR= 2.07, 95% CI: 1.35 to 3.17, p<0.001).
CONCLUSION: Women without an AAP were less likely to initiate discussions with their clinician, take medication as prescribed, and own a peak flow meter to monitor asthma; all considered important self-management behaviors. They were also less satisfied with their care. Not having an AAP may affect interactions between patient and clinician, and clinical outcomes.