A systematic review of randomized control trials evaluating the effectiveness of interactive computerized asthma patient education programs.

BACKGROUND: Educating patients with asthma about the pathophysiology and treatment of their disease is recommended. In recent years, several computer programs have been developed to provide this education. These programs take advantage of the population's increasing skill with computers and the grow...

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Publicado en:Annals of Allergy, Asthma & Immunology Vol. 98; no. 6; pp. 507 - 518
Autores principales: Bussey-Smith KL, Rossen RD
Formato: research systematic review Journal Article
Publicado: Elsevier B.V. Jun2007
Acceso en línea:Ver este registro en EBSCOhost
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        atl: A systematic review of randomized control trials evaluating the effectiveness of interactive computerized asthma patient education programs.
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          Bussey-Smith KL
          Rossen RD
      sug:
        subj:
          Asthma Prevention and Control
          Computer-Assisted Instruction
          Patient Education Methods
          Adolescence
          Adult
          Aged
          Asthma Physiopathology
          Child
          Child, Preschool
          Clinical Trials
          Computers and Computerization
          Female
          Male
          Middle Age
          Software
          Human
          Adolescent: 13-18 years
          Adult: 19-44 years
          Aged: 65+ years
          Child: 6-12 years
          Child, Preschool: 2-5 years
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND: Educating patients with asthma about the pathophysiology and treatment of their disease is recommended. In recent years, several computer programs have been developed to provide this education. These programs take advantage of the population's increasing skill with computers and the growth of the Internet as a source of health care information. OBJECTIVE: To evaluate the effectiveness of published interactive computerized asthma patient education programs (CAPEPs) that have been subjected to randomized controlled trials (RCTs). DATA SOURCES: The PubMed, ERIC, CINAHL, Psychinfo, and Clinicaltrials.gov databases were searched (through October 3, 2005) using the following terms: asthma, patient, education, interactive, and computer. Study Selection: RCTs in English that evaluated the effect of an interactive CAPEP on the following primary end points were included in the study: hospitalizations, acute care visits, rescue inhaler use, or lung function. Secondary end points included asthma knowledge and symptoms. Trials were screened by title and abstract before full text review. Two independent investigators used a standardized data extraction form to identify the articles chosen for full review. RESULTS: Nine of 406 citations met inclusion criteria. Four CAPEPs were computer games, 7 only studied children, and 4 focused on urban populations. One study each showed that the intervention reduced the number of hospitalizations, acute care visits, or rescue inhaler use. Two studies reported lung function improvements. Four studies showed improvement in asthma knowledge, and 5 studies reported improvements in symptoms. CONCLUSIONS: Although interactive CAPEPs may improve patient asthma knowledge and symptoms, their effect on objective clinical outcomes is less consistent.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        Journal Article
      ougenre: Article
    language: English
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