[Convenience and utility of the easy asthma program questionnaire for long-term management of bronchial asthma]. 2007

Shintaro Suzukil, and Yoichi Nakamura, and Mitsuru Adachil
Medical Center for Allergic and Immune Diseases, Yokohama City Minato Red Cross Hospital.

The Asthma Prevention and Management Guidelines suggest that physicians should monitor peak expiratory flow (PEF) for long-term management of bronchial asthma. However, PEF monitoring is not widespread throughout Japan, except for specialists in respirology and allergology clinics. In 2002, a convenient new questionnaire, the Easy Asthma Program (EAP), was developed to allow precise management of asthma patients even outside specialized institutions. We examined whether this questionnaire was useful for the evaluation of the severity and management of asthmatic patients. The EAP questionnaire consists of four questions about asthmatic events during the interval between visits to the hospital. Before the medical interview, we distributed the EAP questionnaire to patients to complete by themselves. We received 595 effective answers from 105 asthmatic patients and assessed the disease severity based on the EAP questionnaire, which we called the EAP step. The result of the EAP step correlated strongly with the severity of asthma, as determined by doctors following physical examinations (p<0.0001, r= 0.7). Our study also revealed that the EAP step tended to correlate negatively with the predicted PEF values. Thus, the accurate evaluation of the disease severity of asthma based on the Asthma Prevention and Management Guidelines could be provided by the EAP questionnaire, which could be performed in only a few minutes. The EAP questionnaire could be a useful tool for the management of asthma by non-specialists especially in primary care facilities.

UI MeSH Term Description Entries
D008134 Long-Term Care Care over an extended period, usually for a chronic condition or disability, requiring periodic, intermittent, or continuous care. Care, Long-Term,Long Term Care
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001249 Asthma A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL). Asthma, Bronchial,Bronchial Asthma,Asthmas
D012720 Severity of Illness Index Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder. Illness Index Severities,Illness Index Severity
D015397 Program Evaluation Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact. Evaluation, Program,Family Planning Program Evaluation,Program Appropriateness,Program Effectiveness,Program Sustainability,Appropriateness, Program,Effectiveness, Program,Evaluations, Program,Program Evaluations,Program Sustainabilities,Sustainabilities, Program,Sustainability, Program

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