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The Need for a Well-Organized, Video-Assisted Asthma Education Program at Korean Primary Care Clinics

Tuberculosis & Respiratory Diseases / Tuberculosis & Respiratory Diseases,
2017, v.80 no.2, pp.169-178
김이형 (경희대학교)
유광하 (건국대학교)
유지홍 (경희대학교)
김태은 (건국대학교병원)
김덕겸 (서울대학교)
박용범 (한림대학교)
이진국 (가톨릭대학교)
김태형 (한양대학교)
김영삼 (연세대학교)
윤형규 (가톨릭대학교)
엄수정 (동아대학교)
박이내 (인제대학교부속서울백병원)
류연주 (이화여자대학교)
정재우 (중앙대학교)
황용일 (한림대학교)
이흥범 (전북대학교)
임성철 (전남대학교)
정성수 (충남대학교)
김은경 (차의과학대학교)
김우진 (강원대학교)
이성순 (인제대학교)
이재천 (제주대학교)
김기욱 (부산대학교)
김현국 (인제대학교 해운대백병원)
김상하 (연세대학교)
박주훈 (아주대학교)
신경철 (영남대학교)
최강현 (충북대학교)
염호기 (인제대학교)
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Abstract

Background: The purpose of this study was to assess the effect of our new video-assisted asthma education program on patients’ knowledge regarding asthma and asthma control. Methods: Adult asthmatics who were diagnosed by primary care physicians and followed for at least 1 year were educated via smart devices and pamphlets. The education sessions were carried out three times at 2-week intervals. Each education period lasted at most 5 minutes. The effectiveness was then evaluated using questionnaires and an asthma control test (ACT). Results: The study enrolled 144 patients (mean age, 56.7±16.7 years). Half of the patients had not been taught how to use their inhalers. After participating in the education program, the participants’ understanding of asthma improved significantly across all six items of a questionnaire assessing their general knowledge of asthma. The proportion of patients who made errors while manipulating their inhalers was reduced to less than 10%. The ACT score increased from 16.6±4.6 to 20.0±3.9 (p<0.001). The number of asthmatics whose ACT score was at least 20 increased from 45 (33.3%) to 93 (65.3%) (p<0.001). The magnitude of improvement in the ACT score did not differ between patients who received an education session at least three times within 1 year and those who had not. The majority of patients agreed to the need for an education program (95.8%) and showed a willingness to pay an additional cost for the education (81.9%). Conclusion: This study indicated that our newly developed education program would become an effective component of asthma management in primary care clinics.

keywords
Asthma, Education, Primary Health Care

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Tuberculosis & Respiratory Diseases