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Thorax 59:94-99 doi:10.1136/thorax.2003.011858
  • Asthma

Written action plans for asthma: an evidence-based review of the key components

Table 3

Action plan variations: summary of results

Action plan variation Result
WAP =  written action plan; PEF = peak expiratory flow; ICS = inhaled corticosteroid; OCS = oral corticosteroid.
Action points
Symptoms v PEF triggered Equivalent
Standard written instruction Consistently beneficial
Traffic light configuration Not clearly better than standard instruction
2–3 action points Consistently beneficial
4 action points Not clearly better than <4 points
PEF based on personal best PEF Consistently beneficial
PEF based on % predicted PEF Not consistently better than usual care
Treatment instruction
Individualised WAP using ICS and OCS Consistently beneficial
Individualised WAP using OCS only Insufficient data to evaluate
Individualised WAP using ICS only Insufficient data to evaluate

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