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Type: Journal article
Title: Participatory decision making, asthma action plans, and use of asthma medication: A population survey
Author: Adams, R.
Appleton, S.
Wilson, D.
Ruffin, R.
Citation: Journal of Asthma, 2005; 42(8):673-678
Publisher: Marcel Dekker Inc
Issue Date: 2005
ISSN: 0277-0903
Statement of
Robert J. Adams, Sarah Appleton, David H. Wilson and Richard E. Ruffin
Abstract: Use of controller asthma medication and possession of asthma action plans remains suboptimal. Our aim was to investigate the association of the propensity of physicians to involve patients in their care (participatory decision-making style) and their asthma management in a representative population sample of 3015 adults. Current doctor-diagnosed asthma was reported by 393 (13.0%). People who rated their doctors as more participatory were significantly more likely to report more regular use of controller medications and possession of a written asthma action plan, but not less asthma morbidity. Possession of a written action plan was associated with more participatory interactions (OR 2.3; 95% CI 1.1– 4.7, for upper tertile scores compared to lowest tertile); more severe symptoms (OR 4.8; 95% CI 1.7–13.0), being female (OR 2.2; 95% CI 1.2– 4.3), those with higher education, and residence outside the metropolitan area (OR 2.1; 95% CI 1.1– 4.0). Increasing patient participation in their own care is associated with better asthma management, independent of asthma symptoms. Longitudinal studies are needed to examine if increasing participation in decisions can also improve asthma outcomes.
Keywords: Asthma; population study; patient participation; Asthma outcomes
Description: This is an electronic version of an article published in Journal of Asthma, 2005; 42 (8):673-678. Journal of Asthma is available online at:
Rights: © Taylor & Francis
RMID: 0020051215
DOI: 10.1080/02770900500265041
Published version:
Appears in Collections:Medicine publications

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