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Meta‐analysis of the effects of psychoeducational care in adults with asthma
Author(s) -
Devine Elizabeth C.
Publication year - 1996
Publication title -
research in nursing and health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.836
H-Index - 85
eISSN - 1098-240X
pISSN - 0160-6891
DOI - 10.1002/(sici)1098-240x(199610)19:5<367::aid-nur1>3.0.co;2-o
Subject(s) - asthma , medicine , inhaler , psychomotor learning , psychological intervention , psychoeducation , physical therapy , cognitive behavioral therapy , cognition , randomized controlled trial , psychiatry
Meta‐analysis was conducted with 31 studies published between 1972 to 1993 on the effect of psychoeducational care (education, behavioral skill development, cognitive therapy, and/or nonbehavioral support/counseling) in adults with asthma. Fifty‐eight percent of studies had subjects that were randomly assigned to treatment condition. Statistically significant beneficial effects were obtained on the occurance of asthmatic attacks ( d + = .56, n = 11), dynamic respiratory volume ( d + = .34, n = 10), peak expiratory flow rate ( d + = .29, n = 6), functional status ( d + = .46, n = 4), adherence to treatment regime ( d + = .78, n = 7), utilization of health care ( d + = .29, n = 10), use of PRN medications ( d + = .62, n = 8), psychological well‐being ( d + = .53, n = 6), and psychomotor knowledge of inhaler use ( d + = 1.02, n = 4). Methodological weaknesses were identified that should be rectified in future research. Nonetheless, based on the best evidence available to date, both education and relaxation‐based behavioral interventions have been shown to improve important clinical outcomes in adults with asthma. © 1996 John Wiley & Sons, Inc.