Airwaves
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Lay educators in asthma
As Partridge and colleagues remind us in the introduction to their paper in this month’s Thorax, national and international guidelines stress the importance of self-management education for patients with asthma. However, self-management is poorly implemented and alternative methods of education need to be explored. This study describes a randomised trial of well-trained lay educators compared to practice-based primary care nurses delivering self-management education. Similar outcomes—such as unscheduled need for healthcare, patient satisfaction and need for courses of oral corticosteroids—were found in both groups. This study shows it is possible to recruit and train lay educators to deliver asthma self-management education. See page 778
GOLD stage 1 and respiratory symptoms in COPD
The GOLD (Global Initiative for Chronic Obstructive Lung Disease) classification is now widely used for staging chronic obstructive pulmonary disease (COPD) but there has been relatively little systematic study of GOLD stage 1 patients. In this issue, Bridevaux and co-authors report from the Swiss SAPALDIA study
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