The effect of easy breathing on asthma management and knowledge

Michelle M. Cloutier, Dorothy B. Wakefield, Penelope S. Carlisle, Howard L. Bailit, Charles B. Hall

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective: To determine whether Easy Breathing, an asthma management program, improves adherence to national asthma guidelines. Design: Before and after intervention trial. Setting: Six urban primary care clinics in Hartford, Conn. Participants: Thirty-four primary care physicians, 37 midlevel practitioners, 32 nurses, and 69 pediatric and family practice residents and medical students. Interventions: Knowledge was assessed before (pretest) and after (posttest) a training program and 12 to 18 months after (follow-up) implementing Easy Breathing. Questions were divided into factual, guideline recommendation, and guideline application. Main Outcome Measures: The percentage of correct responses on the pretest, posttest, and follow-up tests; clinician adherence to national guidelines; and clinician attitudes. Results: The percentage of correct responses on the pretest was higher for physicians (mean, 61%; 95% confidence interval [CI], 57%-65%) than for midlevel practitioners (mean, 54%; 95% CI, 50%-59%) (P=.01). Correct responses increased significantly on the posttest for physicians (mean, 77%; 95% CI, 74%-81%) in all 3 subgroups of questions (P<.001) and for midlevel practitioners (mean, 69%; 95% CI, 63%-75%) overall and for factual and guideline questions. On the follow-up test, improvements in factual and guideline responses disappeared for all clinicians but were sustained for applied questions (mean, 78% [95% CI, 63%-94%] for physicians and 65% [95% CI, 51%-78%] for midlevel practitioners). Adherence to prescribing guidelines after implementing Easy Breathing was 93% to 99% and was associated with a 3-fold increase in inhaled corticosteroid prescriptions. Physicians reported that they had integrated Easy Breathing into practice but did not think this represented a substantial change. Conclusions: Easy Breathing increases clinicians' knowledge and use of national guidelines. Primary care physicians believe they are adhering to guidelines even when they are not.

Original languageEnglish (US)
Pages (from-to)1045-1051
Number of pages7
JournalArchives of Pediatrics and Adolescent Medicine
Volume156
Issue number10
StatePublished - Oct 1 2002

Fingerprint

Knowledge Management
Respiration
Asthma
Guidelines
Confidence Intervals
Physicians
Primary Care Physicians
Nurse Practitioners
Family Practice
Medical Students
Prescriptions
Primary Health Care
Adrenal Cortex Hormones
Outcome Assessment (Health Care)
Education

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Cloutier, M. M., Wakefield, D. B., Carlisle, P. S., Bailit, H. L., & Hall, C. B. (2002). The effect of easy breathing on asthma management and knowledge. Archives of Pediatrics and Adolescent Medicine, 156(10), 1045-1051.

The effect of easy breathing on asthma management and knowledge. / Cloutier, Michelle M.; Wakefield, Dorothy B.; Carlisle, Penelope S.; Bailit, Howard L.; Hall, Charles B.

In: Archives of Pediatrics and Adolescent Medicine, Vol. 156, No. 10, 01.10.2002, p. 1045-1051.

Research output: Contribution to journalArticle

Cloutier, MM, Wakefield, DB, Carlisle, PS, Bailit, HL & Hall, CB 2002, 'The effect of easy breathing on asthma management and knowledge', Archives of Pediatrics and Adolescent Medicine, vol. 156, no. 10, pp. 1045-1051.
Cloutier MM, Wakefield DB, Carlisle PS, Bailit HL, Hall CB. The effect of easy breathing on asthma management and knowledge. Archives of Pediatrics and Adolescent Medicine. 2002 Oct 1;156(10):1045-1051.
Cloutier, Michelle M. ; Wakefield, Dorothy B. ; Carlisle, Penelope S. ; Bailit, Howard L. ; Hall, Charles B. / The effect of easy breathing on asthma management and knowledge. In: Archives of Pediatrics and Adolescent Medicine. 2002 ; Vol. 156, No. 10. pp. 1045-1051.
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