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Q In older adults with moderate-to-severe asthma, is symptom monitoring plus peak flow monitoring (PFM) (used as part of a comprehensive management plan) better than symptom monitoring alone for healthcare use, quality of life, and lung function?
METHODS
Design:
randomised controlled trial.
Allocation:
{concealed}*.†
Blinding:
blinded (data collectors and {healthcare providers}*).†
Follow up period:
up to 2 years.
Setting:
a large managed care organisation in Oregon, USA.
Patients:
296 adults 50–92 years of age (mean age 66 y, 52% women) who had physician diagnosed asthma, medication use suggestive of moderate-to-severe asthma, bronchodilator reversibility (>8% of baseline FEV1), and demonstrated ability to keep a daily symptom diary.
Intervention:
symptom monitoring plus PFM (n = 149) or symptom monitoring only (n = 147). All patients attended four 90 minute small group sessions that included development of personalised action plans and review of asthma diaries. Patients were instructed in …
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