Impact of online therapeutic education on asthma control in youth: an emergency department study

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Published Jul 10, 2023
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Vol. 101 No. 2 (2023): Issue Feb 2023

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Fatma Hebaieb
Service d’Urgence, Hôpital Mahmoud El Matri Ariana / Faculté de Médecine de Tunis, Université Tunis El Manar
Rayène Arfaoui
Service d’Urgence, Hôpital Mahmoud El Matri Ariana / Faculté de Médecine de Tunis, Université Tunis El Manar
Rania Hmaïssi
Service d’Urgence, Hôpital Mahmoud El Matri Ariana / Faculté de Médecine de Tunis, Université Tunis El Manar
Sofiène Gzara
Service d’Urgence, Hôpital Mahmoud El Matri Ariana / Faculté de Médecine de Tunis, Université Tunis El Manar
Sonia Aissa
Service d’Urgence, Hôpital Mahmoud El Matri Ariana / Faculté de Médecine de Tunis, Université Tunis El Manar

Abstract

Background: Asthma is a widespread chronic respiratory disease. It affects all age groups, mainly youth. Its management aims to prevent
exacerbations and ensure normal daily-life activity. Current international recommendations attach particular importance to the therapeutic
education to improve asthma control and reduce emergency room visits.
Aim: To assess the impact of online therapeutic education for youth asthmatics initiated in the emergency department on the level of
asthma’s control.
Methods: Descriptive-evaluative study conducted over six months including asthmatics aged 14 to 35 years old living in Ariana. Asthma
control was evaluated according to the 2019 Global Initiative for Asthma recommendations with a reassessment at three months after
online therapeutic education.
Results: N=75; 18% of patients were adolescents, sex-ratio = 0.56. University education was noted in 73% of cases and high socioeconomic status in 48% of subjects. 55% of participants had no basic knowledge of the asthma’s pathophysiology. Moderate classification
of the last exacerbation was noted in 71% of patients and humidity was the most common exacerbation trigger (76%).
A significant improvement in asthma control was observed after therapeutic education (p<0.001) with a positive correlation with female
gender (p=0.048), basic knowledge of asthma’s pathophysiology (p=0.001) and mild classification of the last exacerbation (p=0.039). Male
gender and humidity as exacerbation trigger were independent factors negatively influencing control outcome after therapeutic education.
Conclusion: The emergency department is the referral unit of the management of asthmatics with acute events. This represents an
important opportunity to share educational messages that have proven effective using an online model.

Keywords:

Asthma, Education, Adolescent, Young adult, emergency

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