The effects of different follow-up management on asthma control: a prospective cohort study
Abstract Background Asthma is a chronic inflammatory disease of the airways. Proper use of inhaled medications and long-term standardized management are crucial for controlling asthma. In China, the morbidity of asthma among adults aged 20 and above is 4.2%, of which only 28.5% has been controlled....
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BMC
2025-07-01
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| Series: | BMC Pulmonary Medicine |
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| Online Access: | https://doi.org/10.1186/s12890-025-03771-1 |
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| author | Zhi Lu Hongzhong Yang Muyun Yan Jun Liu Lu Yang Caixia Zhang Da Liu |
| author_facet | Zhi Lu Hongzhong Yang Muyun Yan Jun Liu Lu Yang Caixia Zhang Da Liu |
| author_sort | Zhi Lu |
| collection | DOAJ |
| description | Abstract Background Asthma is a chronic inflammatory disease of the airways. Proper use of inhaled medications and long-term standardized management are crucial for controlling asthma. In China, the morbidity of asthma among adults aged 20 and above is 4.2%, of which only 28.5% has been controlled. Objective This study aims to find the best model for long-term standardized asthma management by analyzing the effects of three follow-up methods: respiratory outpatient clinics follow-up, telephone follow-up, and WeChat follow-up on overall asthma control and patient medication compliance. Methods According to different follow-up methods, asthma patients were divided into a WeChat follow-up group (N = 140), a telephone follow-up group (N = 140), and an respiratory outpatient clinics follow-up group (N = 140), the three groups of patients underwent 12 months follow-up management. Outcomes were measured at baseline and after 1, 6, and 12 months of the intervention. The results of the assessment included the Medication Adherence Report Scale for Asthma (MARS-A), the Asthma Quality of Life Questionnaire (AQLQ), the Asthma Control Test Questionnaire (ACT), the satisfaction scale, the Beck Depression Inventory-II (BDI-II), the Global evaluation of treatment effectiveness (GETE), hospitalization, and emergency visits. Results Repeated measures analysis of variance showed that there were group effects and time effects on total MARS-A, ACT, BDI-II, GETE, and AQLQ in three groups (P < 0.001). Comparing the scores at the different times among the three groups, the results showed that the MARS-A, ACT, and AQLQ scores of the WeChat follow-up group were higher than those of the telephone follow-up group and the respiratory outpatient clinic follow-up group at 6 and 12 months after follow-up. In comparison, the BDI-II and GETE scores were lower than those of the telephone follow-up group and the respiratory outpatient clinic follow-up group (P < 0.05). Conclusion Our results demonstrate that all three follow-up methods improved asthma control, alleviate depression, and improve patient medication compliance, satisfaction, treatment effectiveness, and quality of life. However, the effect of the WeChat follow-up group is better than telephone follow-up and respiratory outpatient follow-up groups. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-22d0830049f14faa97a8bcf3c358ea7f |
| institution | DOAJ |
| issn | 1471-2466 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pulmonary Medicine |
| spelling | doaj-art-22d0830049f14faa97a8bcf3c358ea7f2025-08-20T03:03:23ZengBMCBMC Pulmonary Medicine1471-24662025-07-0125111110.1186/s12890-025-03771-1The effects of different follow-up management on asthma control: a prospective cohort studyZhi Lu0Hongzhong Yang1Muyun Yan2Jun Liu3Lu Yang4Caixia Zhang5Da Liu6Department of Pulmonary and Critical Care Medicine, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South ChinaDepartment of Pulmonary and Critical Care Medicine, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South ChinaDepartment of Pulmonary and Critical Care Medicine, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South ChinaDepartment of Pulmonary and Critical Care Medicine, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South ChinaDepartment of Pulmonary and Critical Care Medicine, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South ChinaDepartment of Pulmonary and Critical Care Medicine, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South ChinaDepartment of Pulmonary and Critical Care Medicine, Hengyang Medical School, The Affiliated Changsha Central Hospital, University of South ChinaAbstract Background Asthma is a chronic inflammatory disease of the airways. Proper use of inhaled medications and long-term standardized management are crucial for controlling asthma. In China, the morbidity of asthma among adults aged 20 and above is 4.2%, of which only 28.5% has been controlled. Objective This study aims to find the best model for long-term standardized asthma management by analyzing the effects of three follow-up methods: respiratory outpatient clinics follow-up, telephone follow-up, and WeChat follow-up on overall asthma control and patient medication compliance. Methods According to different follow-up methods, asthma patients were divided into a WeChat follow-up group (N = 140), a telephone follow-up group (N = 140), and an respiratory outpatient clinics follow-up group (N = 140), the three groups of patients underwent 12 months follow-up management. Outcomes were measured at baseline and after 1, 6, and 12 months of the intervention. The results of the assessment included the Medication Adherence Report Scale for Asthma (MARS-A), the Asthma Quality of Life Questionnaire (AQLQ), the Asthma Control Test Questionnaire (ACT), the satisfaction scale, the Beck Depression Inventory-II (BDI-II), the Global evaluation of treatment effectiveness (GETE), hospitalization, and emergency visits. Results Repeated measures analysis of variance showed that there were group effects and time effects on total MARS-A, ACT, BDI-II, GETE, and AQLQ in three groups (P < 0.001). Comparing the scores at the different times among the three groups, the results showed that the MARS-A, ACT, and AQLQ scores of the WeChat follow-up group were higher than those of the telephone follow-up group and the respiratory outpatient clinic follow-up group at 6 and 12 months after follow-up. In comparison, the BDI-II and GETE scores were lower than those of the telephone follow-up group and the respiratory outpatient clinic follow-up group (P < 0.05). Conclusion Our results demonstrate that all three follow-up methods improved asthma control, alleviate depression, and improve patient medication compliance, satisfaction, treatment effectiveness, and quality of life. However, the effect of the WeChat follow-up group is better than telephone follow-up and respiratory outpatient follow-up groups. Clinical trial number Not applicable.https://doi.org/10.1186/s12890-025-03771-1AsthmaAdultsFollow-up managementTelemedicineQuality of lifeMedication compliance |
| spellingShingle | Zhi Lu Hongzhong Yang Muyun Yan Jun Liu Lu Yang Caixia Zhang Da Liu The effects of different follow-up management on asthma control: a prospective cohort study BMC Pulmonary Medicine Asthma Adults Follow-up management Telemedicine Quality of life Medication compliance |
| title | The effects of different follow-up management on asthma control: a prospective cohort study |
| title_full | The effects of different follow-up management on asthma control: a prospective cohort study |
| title_fullStr | The effects of different follow-up management on asthma control: a prospective cohort study |
| title_full_unstemmed | The effects of different follow-up management on asthma control: a prospective cohort study |
| title_short | The effects of different follow-up management on asthma control: a prospective cohort study |
| title_sort | effects of different follow up management on asthma control a prospective cohort study |
| topic | Asthma Adults Follow-up management Telemedicine Quality of life Medication compliance |
| url | https://doi.org/10.1186/s12890-025-03771-1 |
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