Use of a Wallet Written Asthma Action Plan Compared to a Full-Page Plan

Written asthma action plans (WAAPs) are recommended by national guidelines and health care accrediting bodies to help patients in early detection and treatment of asthma exacerbations. Furthermore, they provide a prescription for daily self-management. The objective of this study was to evaluate caregivers’ perception of the value and practical usage of a color-coded wallet WAAP compared to a full-page, black/white plan. Both WAAPs are given at every appointment with education for use. A survey regarding both WAAPs was completed by caregivers of children seen in a pediatric asthma clinic. Surveys included twenty-three multiple choice and two open-ended questions. A total of 32 surveys were completed. Ninety-seven percent and 90% of parents reported the full-page and wallet WAAP as extremely or somewhat useful, respectively. Despite instruction, only 19% of caregivers reported showing a WAAP to their pharmacy, even with 90% reporting they carried the wallet WAAP in their purse/wallet. Of those who use the WAAPs, both are used primarily when their child is sick (93% wallet card; 67% full-page) with a greater number using the wallet WAAP in the emergency department/urgent care/hospital. The full-page WAAP was used more often on a daily basis when taking green zone medications. Participants recognized the full-page plan to be more complete; however, the wallet WAAP was reported as easier to use. Based on this survey, caregivers value both formats. The next direction is to improve understanding of the wallet WAAP utility at the pharmacy, which may decrease medication refill errors and help improve asthma outcomes.