This study compared an in-home asthma management program provided by nurses or respiratory
therapists to see if those receiving program had fewer hospitalizations, clinic and
emergency room visits and higher levels of satisfaction and health related quality of life.
Background: Disease management may improve outcomes and reduce cost. We compared an
in-home asthma management program (AMP) delivered by respiratory therapists (RTs) or nurses
(RNs) to standard care (SC) in 159 adults with moderate to severe asthma to determine the
effect on health care utilization (HCU), patient satisfaction (PS) and health related
quality of life (HRQOL).
Methods: This single center, prospective trial randomized subjects, age 18-64, to three
groups: SC, AMP-RT or AMP-RN. Outcomes at six-months were HCU, cost, pulmonary function,
symptoms, environmental assessment, asthma self-management, HRQOL (SF-36; St. Georges
Respiratory Questionnaire [SGRQ]) and PS. Frequencies were compared using chi 2; all other
variables were compared using ANOVA with a post-hoc test.
- Adult patients (age 18-64 years) treated in the ED or hospitalized for an acute
exacerbation of asthma at the university teaching hospital were invited to
- Included other pulmonary disorders or diagnosis of co-morbid disease which was
disabling in nature.