Asthma education programme in Russia: educating XXXX .

@entity1 @entity565
To address the recent rise in @entity565 morbidity and mortality in Russia, an intervention study was conducted to improve @entity565 diagnosis, treatment and prevention. US recommendations for @entity565 management were adapted for use in educating Moscow families with @entity1 with @entity565 . Two hundred and fifty-two @entity1 with @entity565 aged 4-14 years receiving health care in eight Moscow public health clinics together with their parents were enrolled in the study to see whether US teaching manuals for @entity565 management would be acceptable and effective in Russia. @entity1 at four of the clinics with recent @entity565 attacks were randomly assigned to either the education or control group to test if @entity1 education and guided @entity565 care would improve outcomes for @entity1 . Modern medications were made available to both groups to see if training in the US guidelines was necessary to get physicians to use the medications. @entity1 with recent @entity565 attacks at the other four clinics were defined as comparison group 1 to control for the possible effect of medication availability. All @entity1 at the eight clinics who had no @entity565 attacks composed comparison group 2 to see if the outcomes for these @entity1 would change over time. One-year follow-up results showed significant improvement in @entity565 self-management skills of @entity1 and parents, in terms of @entity565 treatment, only among those in the education group. Significant increases were observed in the subgroup of @entity1 in the education group using anti-inflammatory drugs for @entity565 control. @entity1 in the education group had markedly increased peak flow rates and reduced daily peak flow variability as compared to control and comparison groups. There was a significantly greater reduction in doctor visits by the education group of @entity1 compared to control. Presumably, changes in parents' and @entity1 's behaviour in terms of @entity565 treatment and prevention skills, proper treatment of the disease and access to medications could be responsible for reducing @entity565 morbidity in @entity1 .
