Asthma Affects; Mount Sinai was part of the largest clinical trial for asthma self management support in older patients, which resulted in improved control and quality of life, and fewer emergency department visits. Asthma affects 7% of Americans older than 65 and causes more symptoms and hospitalizations in this age group than in younger patients with asthma.
While experts have called for interventions specifically targeting this population, few relevant studies have been reported. Mount Sinai and other institutions test the effect of a comprehensive; so patient-tailor asthma self-management support intervention for older adults on clinical and self-management outcomes.
Adults with asthma
This is the largest study ever conduct for an intervention to improve outcomes in older adults with asthma. It is also the first study to screen patients for barriers to control of their asthma, including social determinants of health, and target only the identify barriers for intervention.
The intervention resulted in improve asthma control and quality of life; also led to fewer emergency department visits. Additionally, very few studies involve systematic evaluation of social determinants of health; so with actions link to the data that are collected. In this randomize trial that include 391 adults, intervention patients had significantly better asthma control, quality of life, medication adherence, and inhaler technique than control patients.
The proportion of intervention patients with an emergency department visit for asthma was 6% vs. 12%, a significant difference. Older adults receiving a patient tailor self management support intervention for asthma, whether in the home or clinic, achieve meaningful improvements in asthma control and quality of life, self-management behaviors, and reductions in ED visits compare to patients in usual care.
Determinants of health
By specifically targeting social determinants of health and other drivers of health relate behaviors; so the intervention is a promising model of self-management support; also disease control for older adults with asthma, and possibly other chronic diseases. Alex D. Federman, MD, MPH, Professor of Medicine (General Internal Medicine), Icahn School of Medicine at Mount Sinai, said.
Health systems, insurers, and policymakers are increasingly recognizing the powerful influence of social factors on health and outcomes of health like hospitalizations and health care spending. Despite gaining more attention, few studies have test ways of providing health care that address these social determinants of health.
This newly developed approach is helping people with complex health problems; so in this case older adults with asthma. By screening patients for barriers to controlling their asthma; also addressing the barriers that were identified, the new program helped these older adults take their medications regularly; so improve their control of asthma, and reduce their visits to emergency departments by more than 50%.