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Efficacy of an individualized written home-management plan in the control of moderate persistent asthma: a randomized, controlled trial
Agrawal SK, Singh M, Mathew JL, Malhi P
Acta Paediatrica 2005 Dec;94(12):1742-1746
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

BACKGROUND: The management of childhood asthma necessitates a comprehensive approach including pharmacological treatment as well as education about self-evaluation and home management of the condition. AIM: To evaluate the efficacy of adding an individualized written home-management plan in the control of moderate persistent asthma. METHODS: Children with moderate persistent asthma were randomized to receive either an individualized written home-management plan or no plan, in addition to standard asthma therapy including education. They were followed up with serial measurement of outcome variables. RESULTS: Children receiving an individualized written home-management plan had fewer acute asthma events, fewer lost school days, lower symptom score and less nocturnal awakening than those who did not receive a written plan. CONCLUSION: The addition of a written individualized home-management plan improves overall control in children with moderate persistent asthma.

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