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Clinical Nursing Research
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An Evaluation of a Self-Management Program for Adults with Asthma

Jill Berg

California State University, Long Beach

Jacqueline Dunbar-Jacob

University of Pittsburgh

Susan M. Sereika

University of Pittsburgh

The purpose of this study was to evaluate the impact of a self-management program for adults with moderate to severe asthma on compliance with inhaled, prescribed, nonemergency medications; asthma symptoms; and airway obstruction. In this controlled experimental study, 55 subjects from a rural community were randomized to one of two groups. Self-efficacy theory served as the framework for this study. Primary measures included the Metered Dose Inhaler (MDI) Chronolog, a journal of daily asthma concerns, and a peak-flow meter to appraise airway obstruction. Secondary measures included the Asthma Self-Management Assessment Tool (ASMAT) and the Self-Efficacy for Asthma Management Scale (SEAMS). These measures were completed pre- and post-intervention. Data analysis using descriptive and inferential statistics revealed that subjects receiving the self-management program increased compliance with inhaled medications (U = 271, p =.043).

Clinical Nursing Research, Vol. 6, No. 3, 225-238 (1997)
DOI: 10.1177/105477389700600304
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