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Health Education & Behavior, Vol. 14, No. 3, 345-355 (1987)
DOI: 10.1177/109019818701400308
© 1987 Society for Public Health Education

Promoting Self-Management in Adults with Asthma: An Overview of the UAB Program

William C. Bailey, MD

University of Alabama at Birmingham

James M. Richards, Jr, PhD

University of Alabama at Birmingham

Bryn A. Manzella, MPH

University of Alabama at Birmingham

Richard A. Windsor, PhD, MPH

University of Alabama at Birmingham

C. Michael Brooks, EdD

University of Alabama at Birmingham

Seng-Jaw Soong, PhD

University of Alabama at Birmingham

Most asthma self-management programs have focused on children, but the preva lence and impact, both personal and economic, of adult asthma is substantial. More over, failure to adhere to treatment regimens appears to be a significant problem in adult asthma. It appears important, therefore, to develop asthma self-management programs for adults. The UAB program is based on the Health Belief Model for health behavior and on the PRECEDE Model for patient education. A needs assessment and a review of existing educational materials were used to specify the content of a self- care workbook. This workbook seeks to increase cognitive skills, encourage daily self- assessment of asthma, demonstrate success in asthma self-management, and promote effective social support. The overall intervention integrates this workbook with sys tematic reinforcement of self-monitoring and self-management. A prospective con trolled study is comparing patients receiving this "special intervention" with "usual care" patients who receive only routinely available pamphlets providing information about asthma. Patients are randomly assigned to treatments by the closed envelope technique. Sample sizes were determined on the basis of statistical power. Outcomes in five areas are assessed: (1) health care utilization, (2) functional status, (3) knowl edge, (4) adherence, and (5) psychological reactions.


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