Griffiths, C;
Bremner, S;
Islam, K;
Sohanpal, R;
Vidal, D-L;
Dawson, C;
Foster, G;
Ramsay, J;
Feder, G;
Taylor, S;
et al.
Griffiths, C; Bremner, S; Islam, K; Sohanpal, R; Vidal, D-L; Dawson, C; Foster, G; Ramsay, J; Feder, G; Taylor, S; Barnes, N; Choudhury, A; Packe, G; Bayliss, E; Trathen, D; Moss, P; Cook, V; Livingstone, AE; Eldridge, S
(2016)
Effect of an Education Programme for South Asians with Asthma and Their Clinicians: A Cluster Randomised Controlled Trial (OEDIPUS).
PLoS One, 11 (12).
e0158783.
ISSN 1932-6203
https://doi.org/10.1371/journal.pone.0158783
SGUL Authors: Moss, Philip Simon
Abstract
BACKGROUND: 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. METHODS: 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. FINDINGS: 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. CONCLUSIONS: 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.
Item Type: |
Article
|
Additional Information: |
Copyright: © 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/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
Keywords: |
Adult, Asian Continental Ancestry Group, Asthma, Child, Female, Health Education, Health Personnel, Humans, Male, Outcome Assessment, Health Care, Primary Health Care, Quality of Life, Young Adult, Humans, Asthma, Health Education, Quality of Life, Adult, Child, Health Personnel, Asian Continental Ancestry Group, Primary Health Care, Outcome Assessment (Health Care), Female, Male, Young Adult, MD Multidisciplinary, General Science & Technology |
SGUL Research Institute / Research Centre: |
Academic Structure > Institute of Medical & Biomedical Education (IMBE) Academic Structure > Institute of Medical & Biomedical Education (IMBE) > Centre for Clinical Education (INMECE ) |
Journal or Publication Title: |
PLoS One |
ISSN: |
1932-6203 |
Language: |
eng |
Dates: |
Date | Event |
---|
28 December 2016 | Published | 22 June 2016 | Accepted |
|
Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
|
PubMed ID: |
28030569 |
Web of Science ID: |
WOS:000391222000001 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/112511 |
Publisher's version: |
https://doi.org/10.1371/journal.pone.0158783 |
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