Published online June 1, 2006
PEDIATRICS Vol. 117 No. 6 June 2006, pp. 2149-2157 (doi:10.1542/peds.2005-1055)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow P3Rs: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when P3Rs are posted
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow E-mail this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My File Cabinet
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via CrossRef
Right arrow Citing Articles via ISI Web of Science (15)
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Cabana, M. D.
Right arrow Articles by Clark, N. M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Cabana, M. D.
Right arrow Articles by Clark, N. M.
Related Collections
Right arrow Asthma

Impact of Physician Asthma Care Education on Patient Outcomes

Michael D. Cabana, MD, MPHa,b, Kathryn K. Slish, MAc, David Evans, PhDd, Robert B. Mellins, MDd, Randall W. Brown, MD, MPHa, Xihong Lin, PhDc, Niko Kaciroti, PhDa and Noreen M. Clark, PhDa,b

a Department of Pediatrics, University of Michigan Health System, Ann Arbor, Michigan
b Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, Michigan
c Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, Michigan
d Department of Pediatrics, College of Physicians and Surgeons, Columbia University, New York, New York

OBJECTIVE. We evaluated the effectiveness of a continuing medical education program, Physician Asthma Care Education, in improving pediatricians’ asthma therapeutic and communication skills and patients’ health care utilization for asthma.

METHODS. We conducted a randomized trial in 10 regions in the United States. Primary care providers were recruited and randomly assigned by site to receive the program provided by local faculty. The program included 2 interactive seminar sessions (2.5 hours each) that reviewed national asthma guidelines, communication skills, and key educational messages. Format included short lectures, case discussions, and a video modeling communication techniques. We collected information on parent perceptions of physicians’ communication, the child’s asthma symptoms, and patients’ asthma health care utilization. We used multivariate regression models to determine differences between control and intervention groups.

RESULTS. A total of 101 primary care providers and a random sample of 870 of their asthma patients participated. After 1 year, we completed follow-up telephone interviews with the parents of 731 of the 870 patients. Compared to control subjects, parents reported that physicians in the intervention group were more likely to inquire about patients’ concerns about asthma, encourage patients to be physically active, and set goals for successful treatment. Patients of physicians that attended the program had a greater decrease in days limited by asthma symptoms (8.5 vs 15.6 days), as well as decreased emergency department asthma visits (0.30 vs 0.55 visits per year).

CONCLUSIONS. The Physician Asthma Care Education program was used in a range of locations and was effective in improving parent-reported provider communication skills, the number of days affected by asthma symptoms, and asthma health care use. Patients with more frequent asthma symptoms and higher health care utilization at baseline were more likely to benefit from their physician’s participation in the program.

Key Words: asthma knowledge • pediatric providers • educational intervention

Abbreviations: CME—continuing medication education • ED—emergency department • PACE—Physician Asthma Care Education • IQR—interquartile range • OR—odds ratio • CI—confidence interval

Accepted Nov 15, 2005.




This article has been cited by other articles:


Home page
 PediatricsHome page
M. D. Cabana, D. C. Chaffin, L. G. Jarlsberg, S. M. Thyne, and N. M. Clark
Selective Provision of Asthma Self-Management Tools to Families
Pediatrics, April 1, 2008; 121(4): e900 - e905.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
N. M. Clark, M. D. Cabana, B. Nan, Z. M. Gong, K. K. Slish, N. A. Birk, and N. Kaciroti
The Clinician-Patient Partnership Paradigm: Outcomes Associated With Physician Communication Behavior
Clinical Pediatrics, February 1, 2008; 47(1): 49 - 57.
[Abstract] [PDF]

Home page
 Eur Respir JHome page
E. D. Bateman, S. S. Hurd, P. J. Barnes, J. Bousquet, J. M. Drazen, M. FitzGerald, P. Gibson, K. Ohta, P. O'Byrne, S. E. Pedersen, et al.
Global strategy for asthma management and prevention: GINA executive summary
Eur. Respir. J., January 1, 2008; 31(1): 143 - 178.
[Abstract] [Full Text] [PDF]

Home page
 CLIN PEDIATRHome page
M. D. Cabana, H. Abu-Isa, S. M. Thyne, and B. Yawn
Specialty Differences in Prescribing Inhaled Corticosteroids for Children
Clinical Pediatrics, October 1, 2007; 46(8): 698 - 705.
[Abstract] [PDF]

Home page
 PediatricsHome page
K. M. Conn, J. S. Halterman, K. Lynch, and M. D. Cabana
The Impact of Parents' Medication Beliefs on Asthma Management
Pediatrics, September 1, 2007; 120(3): e521 - e526.
[Abstract] [Full Text] [PDF]

Home page
 The Annals of PharmacotherapyHome page
R. Rouleau, M.-F. Beauchesne, and C. Laurier
Impact of a Continuing Education Program on Community Pharmacists' Interventions and Asthma Medication Use: A Pilot Study
Ann. Pharmacother., April 1, 2007; 41(4): 574 - 580.
[Abstract] [Full Text] [PDF]

Home page
 JWatch PediatricsHome page
Improving Asthma Care in Children
Journal Watch Pediatrics and Adolescent Medicine, June 29, 2006; 2006(629): 3 - 3.
[Full Text]

Home page
 JWatch GeneralHome page
Improving Asthma Care in Children
Journal Watch (General), June 16, 2006; 2006(616): 6 - 6.
[Full Text]