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Do Malaysian asthma patients use asthma action plan? a cross sectional study in Malaysian primary care setting


Salim, Hani Syahida and Lee, Ping Yein and Shariff Ghazali, Sazlina and Cheong, Ai Theng and Pinnock, Hilary and Harrun, Noor Harzana and Mohamed Isa, Salbiah and Aris, Junita and Seetharaman, Vengketeswara Rao and Nordin, Salmah and Mahmud, Maimunah and Lee, Yeow Siong (2018) Do Malaysian asthma patients use asthma action plan? a cross sectional study in Malaysian primary care setting. European Respiratory Journal, 52 (62 suppl.). ISSN 0903-1936; ESSN: 1399-3003


Background: Supported self-management, including provision of an asthma action plan (AAP) improves asthma control. However, the concept of self-management and use of AAP among Asian population is relatively new. Aims: To determine the prevalence of AAP ownership among asthma patients and their characteristics in Malaysia primary care. Methods: We randomly sampled 550 asthma patients from five primary care practices between Oct 2017-Jan 2018. The patients were interviewed with pre-tested questionnaires to assess their AAP ownership, socio-demographic and the Asthma Control Test (ACT). Descriptive statistics were used to analyse the data. Results: Asthma control was poor in 143(26%) patients, partially controlled in 137(24.9%) and well-controlled in 270(29.1%). Only 160(29.1%) owned an AAP. These AAP were primarily given by the doctors (95%, n=152) and 5% were given by the allied health (nurses and pharmacists). Among those who owned an AAP, 106(66.2%) were confident to use it. For those using AAP, the mean age was 45.6 years old, predominantly female (67%), of Malay ethnicity (48%), had at least secondary educational level (40%) and had well-controlled asthma (46%). Conclusion: Education, usage and confidence in using an AAP for asthma self-management is sub-optimal among asthma patients in Malaysian primary care. Supported asthma self-management in this population must be strengthened.

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Additional Metadata

Item Type: Article
Divisions: Faculty of Medicine and Health Science
DOI Number: https://doi.org/10.1183/13993003.congress-2018.PA4210
Publisher: European Respiratory Society
Keywords: Malaysian asthma patient; Asthma action plan; Asthma patient
Depositing User: Nurul Ainie Mokhtar
Date Deposited: 08 May 2020 01:32
Last Modified: 08 May 2020 01:32
Altmetrics: http://www.altmetric.com/details.php?domain=psasir.upm.edu.my&doi=10.1183/13993003.congress-2018.PA4210
URI: http://psasir.upm.edu.my/id/eprint/72323
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