Harmesh Moudgil
Asthma education and quality of life in the community: a randomised controlled study to evaluate the impact on white European and Indian subcontinent ethnic groups from socioeconomically deprived areas in Birmingham, UK
Princess Royal Hospital
whether asthma morbidity minority groups reduced preventative health care measures delivered relevant ethnic dialects requires evaluation study reports clinical outcomes quality life community based project investigating white european indian subcontinent isc ethnic groups asthma living deprived inner city areas birmingham uksix hundred eighty nine asthmatic subjects 345 344 isc mean sd age 345 15 years range 1159 mean forced expiratory volume one second fev1 80 predicted interviewed english punjabi hindi urdu subjects randomised active limb prospective open randomised controlled parallel group 12 month follow study underwent individually based asthma education optimisation drug therapy four monthly follow active intervention control groups seen beginning end study urgent emergency interactions primary secondary health care clinical outcomes cross sectional longitudinal data asthma quality life questionnaire aqlq analysedclinical outcomes available 593 subjects fewer active intervention group consulted gp 418 versus 578 odds ratio 052 95 ci 037 074 prescribed antibiotics 349 versus 512 051 95 ci 036 072 ethnicity statistically significant changes occurred group fewer also attending ae departments requiring urgent home visits active intervention reduced number hospital admissions 10 versus 30 gp consultations 341 versus 476 prescriptions rescue oral steroids 92 versus 177 antibiotics 220 versus 340 significant improvements ethnicity occurred active group aqlq scores negatively skewed higher values regression analysis showed lower values associated isc ethnicity longitudinal changes 522 subjects mean aqlq scores small statistically significant ethnic groups scores improving active worsening control groupsactive intervention improved clinical outcomes group aqlq scores although lower isc group improved active intervention ethnic groups