ArticleEuropean clinical respiratory journal2025
Autonomy preferences and behaviors towards asthma medication in online asthma education: a secondary analysis of a cluster randomized controlled trial in adults with asthma.
Article in European clinical respiratory journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objective: Education programs are essential to involve individuals with asthma in disease management and improve outcomes. We aimed to investigate the effects of a pilot-tested online asthma education program (eAEP) on autonomy preferences and medication behavior in adults with asthma in general practices. Methods: We performed a pre-planned secondary analysis of a cluster randomized trial comparing the eAEP with usual care (UC) in terms of Asthma Knowledge Test (AKT) scores. The Autonomy Preference Index (API) was used to assess patients' preferences for information (information preference) and involvement in medical decisions (participation preference). Participants evaluated eight statements regarding medication behavior. Outcomes were analyzed at baseline and six months. Results: A total of 108 asthma patients (mean age: 47 years, 59% female) were analyzed. Increases in AKT scores were substantially larger in intervention groups (7.9 (95% CI 4.9-10.8), Conclusions: The eAEP did not result in larger increases in autonomy preferences compared to UC, but indicated beneficial effects on some forms of medication behavior. Larger studies are required for further insights.
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