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Compliance With Peak Expiratory Flow Monitoring in Home ...

Compliance With Peak Expiratory Flow Monitoring in Home ...

Compliance With Peak Expiratory Flow Monitoring in Home

Compliance With Peak Expiratory Flow Monitoring in Home Management of Asthma* Johanne Cote, MD; Andre Cartier, MD; Jean-Luc Malo, MD; Michel Rouleau, MD; and Louis-Philippe Boulet, MD, FCCP Background: The recent consensus reports on asthma management emphasize the importance of using peak flowmeters to accurately assess the degree of airflow obstruction. However, the optimal way to use those devices has not yet been determined. Objectives: To assess compliance with peak expiratory flow (PEF) measurements in the long-term management of asthma, and identify the characteristics of patients with poor compliance. Setting: Asthma clinics from three tertiary-care hospitals. Design: A descriptive and prospective study of 1-year duration. Patients: Twenty-six patients with moderate to severe asthma taking part in an asthma education program. Main outcome measures: Patients were asked to measure morning and evening PEF using electronic peak flowmeter with an a 3-month memory; they were unaware that PEF values were being recorded by this device. Results: Compliance with PEF measurements was relatively good during the first month (63% of the measurements done) but even with regular reinforcement, fell to 50% at 6 months and to 33% at 12 months. Right from the beginning, 8 of 26 subjects (30%) never or almost never (

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