Behavioural effect of self-treatment guidelines in a self-management program for adults with asthma

Jacobus Adrianus Maria van der Palen, Jakob J. Klein, E.R. Seydel, Gerhard A. Zielhuis, Cees L.A. van Herwaarden, J.J. Klein, J. van der Palen

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35 Citations (Scopus)


To assess the efficacy of self-management programs it is important to know what behavioural changes take place. This paper assesses whether including self-treatment guidelines (action plans) in a self-management program for adult asthmatics, leads to greater behavioural changes than a program without these guidelines. Patients were randomised into a self-treatment group (n=123) or an active control group (n=122). All subjects received self-management training. Discussed topics included the pathophysiology of asthma, medication and side-effects, triggers, symptoms, smoking, physical exercise, and compliance. The only difference was that the self-treatment group received instructions about self-treatment of exacerbations and the control group did not. At 1 year of follow-up asthma-specific self-efficacy expectancies, outcome expectancies, and asthma-specific knowledge improved significantly in all patients. Only self-treatment group patients demonstrated favourable changes in generalised self-efficacy, social support, and self-treatment and self-management behaviour, in case of a hypothetical scenario of a slow-onset exacerbation. We conclude that our self-management program is effective in changing the behavioural variables, and including self-treatment guidelines (action plans) has added benefit.
Original languageUndefined
Pages (from-to)161-169
Number of pages9
JournalPatient education and counseling
Issue number2
Publication statusPublished - 2001


  • IR-42415
  • METIS-201398

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