|dc.description.abstract||The aims of this thesis were to estimate the effectiveness of a computerized asthma education
program designed to suit young people (I), to analyze whether quality of life changed over a
five year period and whether young adults with asthma had impaired quality of life compared
with a control group of the same age (II), to explore the association between current asthma,
current rhinitis, current eczema and final grade for adolescents in comprehensive school (III),
and to compare men and women with asthma with special emphasis on reported adherence,
anxiety, and quality of sleep (IV).
A hundred adolescents (17-18 years) from an asthma outpatient clinic for young adults were
randomly assigned to either active education (intervention group) or normal care (control
group). The intervention group completed an interactive computer program of 30 minutes’
duration providing information about asthma, mechanisms, trigger factors, allergies, and
medication use, which was followed by a discussion with a specialized asthma nurse (I). A
follow-up study was conducted among the cohort of young adults with asthma (n=64) and
248 general population controls, using a respiratory questionnaire and quality of life
questionnaires (II). In the autumn of 2000, 10 837 schoolchildren aged 15 in Västra
Götalandsregionen were investigated with a respiratory questionnaire (III). The second
European Community Respiratory Health Survey (ECRHS II) was a follow-up study,
performed between 1999 and 2002, among the participants in the second stage of ECRHS I.
From among the ECRHS II participants living in the Nordic countries, 470 individual with
current asthma were investigated with a structured clinical interview, including questions on
the presence of respiratory symptoms and therapy. They were also asked to fill in the selfreported
Hospital Anxiety Depression scale and the Basic Nordic Sleep Questionnaire (IV).
Limited asthma education had no effect on asthma symptoms, asthma knowledge, or quality
of life parameters among young adults with asthma. The prevalence of respiratory symptoms
decreased in both the intervention group, and in the control group, and quality of life and
knowledge about asthma increased in both groups. However, the educational program did
appear to be associated with a significant improvement in FEV1. Young women with asthma
seemed to have lower quality of life compared to young men with asthma, in spite of no
difference in age of onset or severity of the disease. Adolescents with nasal symptoms severe
enough to affect daily activity were at risk for low grades. Women with asthma had a more
positive attitude towards their medication, had a higher reported adherence and used inhaled
corticosteroids more often than men with asthma. At the same time women had more
problems with anxiety and insomnia than men.
Computerized education program did not show an effect on asthma symptoms, asthma
knowledge or quality of life in specialist care. Young women with asthma seemed to have
lower quality of life compared with young men with asthma. Nasal symptoms severe enough
to affect daily activity were associated with low grades. Women with asthma had a more
positive attitude towards their medication, have a higher reported adherence, and use inhaled
corticosteroids more often than men. At the same time women report more often anxiety and
insomnia than men.||en
|dc.relation.haspart||Sundberg R, Tunsäter A, Palmqvist M, Ellbjär S, Löwhagen O, Torén K.
A randomized controlled study of a computerized limited education program
among young adults with asthma
Respir Med 2005;99:321-328.::DOI::10.1016/j.rmed.2004.08.006||en
|dc.relation.haspart||Sundberg R, Palmqvist M, Tunsäter A, Torén K.
Health-related quality of life in young adults with asthma
Respir Med. 2009;103:1580-1585::DOI::10.1016/j.rmed.2009.04.023||en
|dc.relation.haspart||Sundberg R, Torén K, Höglund D, Åberg N, Brisman J.
Nasal symptoms are associated with school performance in adolescents.
Journal of Adolescent Health 2007;40:581-583::DOI::10.1016/j.jadohealth.2007.01.003||en
|dc.relation.haspart||Sundberg R, Torén K, Franklin KA, Gislasson T, Omenaas E, Svanes C, Janson
C. Asthma in men and women: treatment adherence, anxiety and quality of
|dc.subject||quality of life||en
|dc.title||Quality of life, school performance, treatment adherence and gender differences in asthma.||en
|dc.type.degree||Doctor of Philosophy (Medicine)||en
|dc.gup.admin||Key words: Asthma, quality of life, females, young adults, adolescents, patient education,
allergy, school performance, asthma control, adherence, insomnia, anxiety, depression||en
|dc.gup.origin||University of Gothenburg. Sahlgrenska Academy||en
|dc.gup.department||Institute of Medicine. Department of Internal Medicine||en
|dc.gup.defenceplace||Fredagen den 6 november 2009, kl. 9.00, Hörsal Arvid Carlsson, Academicum, Medicinaregatan 3.||en