Guided self management plans for asthma

doi:10.1136/bmj.322.7294.1121

BMJ 2001;322:1121 ( 5 May )

Letters

Guided self management plans for asthma

Advice should be simple and patient focused

Focus groups may not accurately reflect current attitudes

Focus on regular follow up and repeated education may be more productive

Partnership approach leads to effective self management

Authors' reply

Advice should be simple and patient focused

The first 150 words of the full text of this article appear below.

EDITOR $---$ The study of Jones et al on the views of health professionals and patients about guided self management plans for asthmamay be open to misinterpretation.¹ They conclude from exploratorywork with focus groups that attempts to introduce self guidedmanagement plans for asthma in primary care are unlikely to besuccessful $---$ a conclusion unsupported byevidence.

Patients are managing their own care but without help from healthcare professionals, a finding that is supported by recentinterviews undertaken by the National Asthma Campaign, which showedsignificant asthma morbidity and only 6% of patients recallingany kind of written advice on how to take asthma treatment.²An Australian study found greater use of self management plansin primary care.³

What the research of Jones et al tells us is the size of the problem involved in encouraging some asthma nurses and primarycare doctors to take on the challenge. . . . [Full text of this article]

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