Long-term (3-year) economic evaluation of intensive patient education for self-management during the first year in new asthmatics

Patient education and self-management programmes have proved effective in many studies with short follow-up periods. We studied the 3-year cost-effectiveness of an intensive programme of patient education and supervision for self-management. The study consisted of 162 consecutive newly diagnosed ast...

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Veröffentlicht in:Respiratory medicine 1999-04, Vol.93 (4), p.283-289
Hauptverfasser: Kauppinen, R., Sintonen, H., Vilkka, V., Tukiainen, H.
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Sprache:eng
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Zusammenfassung:Patient education and self-management programmes have proved effective in many studies with short follow-up periods. We studied the 3-year cost-effectiveness of an intensive programme of patient education and supervision for self-management. The study consisted of 162 consecutive newly diagnosed asthmatics who were randomized either into an intervention group (IG) receiving intensive patient education and supervision for self-management at an outpatient clinic during the first year, or a control group (CG) receiving conventional education at the baseline visits only. Both groups had 2 additional years of follow-up. Lung functions and health-related quality of life (HRQOL) were measured. Extra direct and indirect costs were recorded. At 3 years the differences in forced expiratory volume in 1 s (FEV 1) and in peak expiratory flow (PEF) were significantly better in the IG being in (% predicted) respectively 5·3 (95% CI 0·6–10·0) and 4·4 (95% CI 0·1–8·7), ( P
ISSN:0954-6111
1532-3064
DOI:10.1016/S0954-6111(99)90026-4