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Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120.

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Presentation on theme: "Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120."— Presentation transcript:

1 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Algorithm based on consecutive ACQ scores to adjust medical treatment.* ACQ = Asthma Control Questionnaire. At entry of the algorithm, the evaluation period is bypassed. The evaluation period starts after treatment was stepped up. † The optimal control period starts after 1 ACQ score ≤0.5 and ends after 1 ACQ score >0.5. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

2 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Screen shot of daily lung function and symptom monitoring. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

3 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Screen shot of feedback on daily lung function and symptom monitoring. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

4 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Screen shot of weekly Asthma Control Questionnaire monitoring. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

5 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Screen shot of feedback on Asthma Control Questionnaire, treatment advice according to personalized treatment plan, and results of past 6 months. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

6 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Study flow diagram. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

7 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Changes in mean Asthma Quality of Life Questionnaire score (A), Asthma Control Questionnaire score (B), FEV 1 (C), and daily inhaled corticosteroid dose (D) during 1-year follow-up for the Internet and usual care groups.The minimal important difference for the Asthma Quality of Life Questionnaire is 0.5, with higher scores indicating better quality of life. The minimal important difference for the Asthma Control Questionnaire is 0.5, with lower scores indicating better asthma control. Plotted values are based on complete cases. Error bars indicate 95% CIs. P values are shown for between-group differences in change in scores at 12 months and are from linear mixed-effects models. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

8 Date of download: 6/2/2016 From: Internet-Based Self-management Plus Education Compared With Usual Care in Asthma: A Randomized Trial Ann Intern Med. 2009;151(2):110-120. doi:10.7326/0003-4819-151-2-200907210-00008 Distribution of change in scores for Asthma Quality of Life Questionnaire (top) and Asthma Control Questionnaire (bottom).δ = 12-month score minus baseline score. The minimal important difference for the Asthma Quality of Life Questionnaire is 0.5, with higher scores indicating better quality of life. The minimal important difference for the Asthma Control Questionnaire is 0.5, with lower scores indicating better asthma control. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

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