The Experts below are selected from a list of 360 Experts worldwide ranked by ideXlab platform
Peter G. Gibson - One of the best experts on this subject based on the ideXlab platform.
-
Asthma self-management Education.
Chronic respiratory disease, 2006Co-Authors: Vanessa M. Mcdonald, Peter G. GibsonAbstract:Asthma self-management Education is a fundamental component of Asthma management guidelines. Self-management Education should include the provision of information, self-monitoring, regular medical review and the provision of a written Asthma management plan. Implementing this form of management can be challenging, this paper reviews the evidence supporting self-management Education, provides recommendations and tools for delivering Asthma Education and discusses the challenges and solutions to implementing these recommendations. We have discussed ways to improve communication, develop patient partnerships and tailor management to facilitate behavioural change, adherence and self-management. Health Professionals providing Education and guiding self-management require training to acquire and maintain the skills necessary to deliver this form of Education. Provision of this training is important and can be achieved through varied methods of achieving competence.
-
Asthma self management skills and the use of Asthma Education during pregnancy
European Respiratory Journal, 2005Co-Authors: Vanessa E Murphy, Peter G. Gibson, Philippa I Talbot, Carolyn G Kessell, Vicki L CliftonAbstract:During pregnancy, patients with Asthma are at risk of poor outcomes, particularly when Asthma is poorly controlled. The aim of this study was to determine the level of Asthma self-management skills and knowledge among pregnant subjects and describe the implementation of an Asthma Education programme delivered in an antenatal clinic setting. Pregnant subjects with Asthma were assessed by an Asthma educator at 20 (n = 211) and 33 weeks gestation (n = 149). Lung function, symptoms, medication use, adherence, knowledge and inhaler technique were assessed. They were asked whether they had a written Asthma action plan, or performed peak flow monitoring. Asthma was classified as mild, moderate or severe. At the first visit with the Asthma educator, 40% of females reported nonadherence to inhaled corticosteroids, inhaler technique was assessed as inadequate in 16% and 42% had inadequate medication knowledge. Peak flow monitoring was performed by 3% and 15% had a written action plan. There were significant improvements in all aspects of Asthma self-management following Education. In females with severe Asthma, night symptoms and reliever medication use significantly decreased after Education. In conclusion, during pregnancy, patients with Asthma have poor Asthma knowledge and skills, and may benefit from self-management Education as part of their obstetric care.
-
randomized controlled trial of a teacher led Asthma Education program
Pediatric Pulmonology, 2004Co-Authors: R L Henry, Peter G. Gibson, Graham V Vimpani, Lynn J Francis, Juliana HazellAbstract:Our objective was to determine whether an Asthma Education program in schools would have 1) a direct impact on student knowledge and attitudes to Asthma and quality of life of the students with Asthma, 2) an indirect impact on teacher knowledge and attitudes to Asthma and on school policies about Asthma, and 3) a sustainable program after the resources to implement the research were withdrawn. Seventeen intervention and 15 control schools participated in a controlled trial. Baseline knowledge and attitudes were measured in year 8 students (ages 13–14 years) and their teachers together with quality of life in the students with Asthma. A three-lesson package about Asthma was delivered by teachers as part of the Personal Development/Health/Physical Education (PD/H/PE) curriculum. Follow-up questionnaires were administered to students and staff. Efforts to change school policies were documented. Five years after the intervention, PD/H/PE teachers were contacted to determine whether the program was still operating. Main outcome measures included Asthma knowledge, attitudes, and quality of life. Questionnaires were returned by 4,161/4,475 of the year 8 students at baseline and by 3,443 at follow-up. In intervention schools, compared with control schools, students showed improved Asthma knowledge (P < 0.0001), improvement in tolerance to Asthma (P = 0.02), internal control (P = 0.03), and less tendency to believe in the role of chance in Asthma control (P = 0.04). Students from intervention but not control schools showed significant improvements in overall quality of life (P = 0.003 vs. P = 0.82, respectively). Teachers from intervention schools showed significant increases in knowledge compared to control schools (P < 0.0001). Intervention schools were more likely to seek further health Education about Asthma (P < 0.01). Five years after the 35 schools involved in the development of the materials or the trial had been offered the Living With Asthma package, 25 (71%) were still teaching the program to most or all of their students. Fifty-nine of the 61 (97%) high schools in the Hunter Region now have the program. Management and distribution of the Living With Asthma program have been taken over by the Asthma Foundation of New South Wales. The package has been updated and is being offered to all high schools throughout New South Wales as part of the National Asthma-Friendly Schools Project. In conclusion, a teacher-led Asthma Education program in secondary school had direct and indirect beneficial outcomes and was sustained at a high level for 5 years in most schools in the Hunter Region, despite minimal ongoing maintenance and support from health workers. © 2004 Wiley-Liss, Inc.
-
randomized controlled trial of a teacher led Asthma Education program
Pediatric Pulmonology, 2004Co-Authors: R L Henry, Peter G. Gibson, Graham V Vimpani, Lynn J Francis, Juliana HazellAbstract:Our objective was to determine whether an Asthma Education program in schools would have 1) a direct impact on student knowledge and attitudes to Asthma and quality of life of the students with Asthma, 2) an indirect impact on teacher knowledge and attitudes to Asthma and on school policies about Asthma, and 3) a sustainable program after the resources to implement the research were withdrawn. Seventeen intervention and 15 control schools participated in a controlled trial. Baseline knowledge and attitudes were measured in year 8 students (ages 13-14 years) and their teachers together with quality of life in the students with Asthma. A three-lesson package about Asthma was delivered by teachers as part of the Personal Development/Health/Physical Education (PD/H/PE) curriculum. Follow-up questionnaires were administered to students and staff. Efforts to change school policies were documented. Five years after the intervention, PD/H/PE teachers were contacted to determine whether the program was still operating. Main outcome measures included Asthma knowledge, attitudes, and quality of life. Questionnaires were returned by 4,161/4,475 of the year 8 students at baseline and by 3,443 at follow-up. In intervention schools, compared with control schools, students showed improved Asthma knowledge (P < 0.0001), improvement in tolerance to Asthma (P = 0.02), internal control (P = 0.03), and less tendency to believe in the role of chance in Asthma control (P = 0.04). Students from intervention but not control schools showed significant improvements in overall quality of life (P = 0.003 vs. P = 0.82, respectively). Teachers from intervention schools showed significant increases in knowledge compared to control schools (P < 0.0001). Intervention schools were more likely to seek further health Education about Asthma (P < 0.01). Five years after the 35 schools involved in the development of the materials or the trial had been offered the Living With Asthma package, 25 (71%) were still teaching the program to most or all of their students. Fifty-nine of the 61 (97%) high schools in the Hunter Region now have the program. Management and distribution of the Living With Asthma program have been taken over by the Asthma Foundation of New South Wales. The package has been updated and is being offered to all high schools throughout New South Wales as part of the National Asthma-Friendly Schools Project. In conclusion, a teacher-led Asthma Education program in secondary school had direct and indirect beneficial outcomes and was sustained at a high level for 5 years in most schools in the Hunter Region, despite minimal ongoing maintenance and support from health workers.
-
limited information only patient Education programs for adults with Asthma
Cochrane Database of Systematic Reviews, 2002Co-Authors: Peter G. Gibson, A Bauman, Michael J Abramson, Heather Powell, Amanda Wilson, M J Hensley, Haydn E Walters, Jennifer J L RobertsAbstract:Background A key component of many Asthma management guidelines is the recommendation for patient Education and regular medical review. A number of controlled trials have been conducted to measure the effectiveness of Asthma Education programmes. These programmes improve patient knowledge, but their impact on health outcomes is less well established. At its simplest level, Education is limited to the transfer of information about Asthma, its causes and its treatment. This review focused on the effects of limited Asthma Education. Objectives The objective of this review was to assess the effects of limited (i.e. information only) Asthma Education on health outcomes in adults with Asthma. Search methods We searched the Cochrane Airways Group trials register and reference lists of articles. Selection criteria Randomised and controlled trials of individual Asthma Education involving information transfer only in adults over 16 years of age. Data collection and analysis Trial quality was assessed and two reviewers extracted data independently. Study authors were contacted for missing information. Main results Twelve trials were included. They were of variable quality. Limited Asthma Education did not reduce hospitalisation for Asthma (weighted mean difference -0.03 average hospitalisations per person per year, 95% confidence interval -0.09 to 0.03). There was no significant effect on doctor visits, lung function and medication use. The effects on Asthma symptoms were variable. There was no reduction in days lost from normal activity, but in two studies, perceived Asthma symptoms did improve after limited Asthma Education (odds ratio 0.44, 95% confidence interval 0.26 to 0.74). In one study, limited Asthma Education was associated with reduced emergency department visits (reduction of -2.76 average visits per person per year, 95% confidence interval -4.34 to 1.18). Authors' conclusions Use of limited Asthma Education as it has been practiced does not appear to improve health outcomes in adults with Asthma although perceived symptoms may improve. Provision of information in the emergency department may be effective, but this needs to be confirmed.
Edward H Yelin - One of the best experts on this subject based on the ideXlab platform.
-
do school based Asthma Education programs improve self management and health outcomes
Pediatrics, 2009Co-Authors: Janet M. Coffman, Edward H YelinAbstract:CONTEXT: Asthma self-management Education is critical for high-quality Asthma care for children. A number of studies have assessed the effectiveness of providing Asthma Education in schools to augment Education provided by primary care providers. OBJECTIVE: To conduct a systematic review of the literature on school-based Asthma Education programs. METHODS: As our data sources, we used 3 databases that index peer-reviewed literature: MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cumulative Index to Nursing and Allied Health Literature. Inclusion criteria included publication in English and enrollment of children aged 4 to 17 years with a clinical diagnosis of Asthma or symptoms consistent with Asthma. RESULTS: Twenty-five articles met the inclusion criteria. Synthesizing findings across studies was difficult because the characteristics of interventions and target populations varied widely, as did the outcomes assessed. In addition, some studies had major methodologic weaknesses. Most studies that compared Asthma Education to usual care found that school-based Asthma Education improved knowledge of Asthma (7 of 10 studies), self-efficacy (6 of 8 studies), and self-management behaviors (7 of 8 studies). Fewer studies reported favorable effects on quality of life (4 of 8 studies), days of symptoms (5 of 11 studies), nights with symptoms (2 of 4 studies), and school absences (5 of 17 studies). CONCLUSIONS: Although findings regarding effects of school-based Asthma Education programs on quality of life, school absences, and days and nights with symptoms were not consistent, our analyses suggest that school-based Asthma Education improves knowledge of Asthma, self-efficacy, and self-management behaviors.
-
effects of Asthma Education on children s use of acute care services a meta analysis
Pediatrics, 2008Co-Authors: Janet M. Coffman, Michael D. Cabana, Edward H Yelin, Helen Ann HalpinAbstract:OBJECTIVE. National Heart, Lung, and Blood Institute clinical practice guidelines strongly recommend that health professionals educate children with Asthma and their caregivers about self-management. We conducted a meta-analysis to estimate the effects of pediatric Asthma Education on hospitalizations, emergency department visits, and urgent physician visits for Asthma. PATIENTS AND METHODS. Inclusion criteria included enrollment of children aged 2 to 17 years with a clinical diagnosis of Asthma who resided in the United States. Pooled standardized mean differences and pooled odds ratios were calculated. Random-effects models were estimated for all outcomes assessed. RESULTS. Of the 208 studies identified and screened, 37 met the inclusion criteria. Twenty-seven compared Educational interventions to usual care, and 10 compared different interventions. Among studies that compared Asthma Education to usual care, Education was associated with statistically significant decreases in mean hospitalizations and mean emergency department visits and a trend toward lower odds of an emergency department visit. Education did not affect the odds of hospitalization or the mean number of urgent physician visits. Findings from studies that compared different types of Asthma Education interventions suggest that providing more sessions and more opportunities for interactive learning may produce better outcomes. CONCLUSIONS. Providing pediatric Asthma Education reduces mean number of hospitalizations and emergency department visits and the odds of an emergency department visit for Asthma, but not the odds of hospitalization or mean number of urgent physician visits. Health plans should invest in pediatric Asthma Education or provide health professionals with incentives to furnish such Education. Additional research is needed to determine the most important components of interventions and compare the cost-effectiveness of different interventions.
Sandra R Wilson - One of the best experts on this subject based on the ideXlab platform.
-
behavioral weight loss and physical activity intervention in obese adults with Asthma a randomized trial
Annals of the American Thoracic Society, 2015Co-Authors: Peg Strub, Sonia A Buist, Philip W Lavori, Sandra R Wilson, Carlos A Camargo, Lan Xiao, Christopher D Gardner, William L HaskellAbstract:Rationale: The effect of weight loss on Asthma in obese adults warrants rigorous investigation.Objectives: To examine an evidence-based, practical, and comprehensive lifestyle intervention targeting modest weight loss and increased physical activity for Asthma control.Methods: The trial randomized 330 obese adults with uncontrolled Asthma to receive usual care enhanced with a pedometer, a weight scale, information about existing weight management services at the participating clinics, and an Asthma Education DVD, or with these tools plus the 12-month intervention.Measurements and Main Results: The primary outcome was change in Asthma Control Questionnaire (ACQ) scores from baseline to 12 months. Participants (mean [SD] age, 47.6 [12.4] yr) were 70.6% women, 20.0% non-Hispanic black, 20.3% Hispanic/Latino, and 8.2% Asian/Pacific Islander. At baseline, they were obese (mean [SD] body mass index, 37.5 [5.9] kg/m2) and had uncontrolled Asthma (Asthma Control Test score, 15.1 [3.8]). Compared with control subj...
-
shared treatment decision making improves adherence and outcomes in poorly controlled Asthma
American Journal of Respiratory and Critical Care Medicine, 2010Co-Authors: Sandra R Wilson, Sarah B Knowles, Jodi Lapidus, Peg Strub, Sonia A Buist, Philip W Lavori, William M.2 William.vollmer@kpchr.org VollmerAbstract:Rationale: Poor adherence to Asthma controller medications results in poor treatment outcomes.Objectives: To compare controller medication adherence and clinical outcomes in 612 adults with poorly controlled Asthma randomized to one of two different treatment decision-making models or to usual care.Methods: In shared decision making (SDM), nonphysician clinicians and patients negotiated a treatment regimen that accommodated patient goals and preferences. In clinician decision making, treatment was prescribed without specifically eliciting patient goals/preferences. The otherwise identical intervention protocols both provided Asthma Education and involved two in-person and three brief phone encounters.Measurements and Main Results: Refill adherence was measured using continuous medication acquisition (CMA) indices—the total days' supply acquired per year divided by 365 days. Cumulative controller medication dose was measured in beclomethasone canister equivalents. In follow-up Year 1, compared with usual c...
-
Education of parents of infants and very young children with Asthma a developmental evaluation of the wee wheezers program
Journal of Asthma, 1996Co-Authors: Sandra R Wilson, David M Latini, Norma J Starr, Lloyd Fish, Linda M Loes, Arthur Page, Paul KubicAbstract:A randomized control trial of the Wee Wheezers Asthma Education program was conducted with 76 children <7 years of age, 31 % of whom were on a medication regimen consistent with mild, 51% with moderate, and 18% with moderately severe/severe Asthma. Treatment children showed improved morbidity at 3-month follow-up relative to the changes in the controls: increased symptom-free days in the preceding 2 weeks (mean change of+2.2 vs. -2.6 in the controls; p = .004) and month (+2.0 vs. -3.8; p < .02), fewer nights of parental sleep interruption in a typical week (+0.7 vs. +1.8; p ≤ .05), and a trend toward fewer Asthma sick days (-0.2 vs +0.7; p = ns). These improvements were accompanied by significantly better parental Asthma management compared with controls vention, p ≤ .05) and trends toward more restrictions on smoking in the home (p < .07) and decreased parental confusion about Asthma treatment (p < .11). This study provides evidence that a multisession program of Asthma Education for parents can improve ...
-
a controlled trial of two forms of self management Education for adults with Asthma
The American Journal of Medicine, 1993Co-Authors: Sandra R Wilson, Peter Scamagas, Donald F German, Gary W Hughes, Sulochina Lulla, Stamatiki Coss, Luis Chardon, Ronald G Thomas, Norma Starrschneidkraut, Frances B StancavageAbstract:Abstract purpose: Excess morbidity and mortality due to Asthma, aggravated by demonstrably poor patient self-management practices, suggest the need for formal patient Education programs. Individual and group Asthma Education programs were developed and evaluated to determine their cognitive, behavioral, and clinical effects. patients and methods: We compared changes in Asthma symptoms, utilization of medical services, knowledge about Asthma, metered-dose inhaler (MDI) technique, and self-management behaviors for 323 adult Kaiser Permanente patients with moderate to severe Asthma who were randomly assigned to small-group Education, individual teaching, or 1 of 2 control conditions—an information (workbook) control or usual control (no formal Asthma Education). Data were collected from patients by questionnaire, diary, and physical examination at enrollment and at 5 months and 1 year after intervention. Medical record data on these patients were abstracted for a total 3-year period, from 1 year before to 2 years after enrollment. results: Compared with the usual control, the self-management Education programs were associated with significant improvements in control of Asthma symptoms (reduced "bother" due to Asthma and increased symptom- free days), MDI technique, and environmental control practices. Small-group Education also was associated with significant improvements in physician evaluation of the patients' Asthma status and in patients' level of physical activity. For both group and individual Education recipients, improvement in MDI technique was positively correlated with improved control of symptoms; however, the degree of improvement in symptoms was greater than that which could be accounted for on the basis of improvement in MDI technique alone. The time course over which changes occurred in the various outcome measures suggests the mechanism by which Education resulted in improvement in the patient's status. Significant improvements in MDI technique and environmental control practices were manifest immediately following Education (5-month follow-up) and at the 1-year follow-up. Significant improvements in symptom measures were not apparent until the 1-year follow-up. The rate of utilization of medical care for acute exacerbations decreased between baseline and the 2-year follow-up period, but this decrease did not differ significantly among treatment conditions. However, there was a trend toward greater reduction in patients receiving small-group Education. An ad hoc finding of a significant difference favoring small-group Education between the baseline and the second follow-up year acute visit rates was observed. This result must be regarded as tentative, since it is not clear that unambiguous statistical significance is attained in the light of multiplicity issues. However, this trend is consistent with the antecedent benefits of the small-group Education, and appears to warrant further investigation. conclusions: Carefully designed Asthma Education programs for adults can improve patients' understanding of their condition and its treatment and increase their motivation and confidence that the condition can be controlled, thereby increasing their adherence to the treatment regimen and management of symptoms, and, in turn, improving control of symptoms. Both small-group Education and individual Education were associated with significant benefits, but the group program was simpler to administer, better received by patients and educators, and more cost-effective. The results show promise for improving clinical outcomes, through well-designed Educational programs, for patients with Asthma and other chronic health problems.
-
a controlled trial of two forms of self management Education for adults with Asthma
The American Journal of Medicine, 1993Co-Authors: Sandra R Wilson, Peter Scamagas, Donald F German, Gary W Hughes, Sulochina Lulla, Stamatiki Coss, Luis Chardon, Ronald G Thomas, Norma Starrschneidkraut, Frances B StancavageAbstract:Abstract purpose: Excess morbidity and mortality due to Asthma, aggravated by demonstrably poor patient self-management practices, suggest the need for formal patient Education programs. Individual and group Asthma Education programs were developed and evaluated to determine their cognitive, behavioral, and clinical effects. patients and methods: We compared changes in Asthma symptoms, utilization of medical services, knowledge about Asthma, metered-dose inhaler (MDI) technique, and self-management behaviors for 323 adult Kaiser Permanente patients with moderate to severe Asthma who were randomly assigned to small-group Education, individual teaching, or 1 of 2 control conditions—an information (workbook) control or usual control (no formal Asthma Education). Data were collected from patients by questionnaire, diary, and physical examination at enrollment and at 5 months and 1 year after intervention. Medical record data on these patients were abstracted for a total 3-year period, from 1 year before to 2 years after enrollment. results: Compared with the usual control, the self-management Education programs were associated with significant improvements in control of Asthma symptoms (reduced "bother" due to Asthma and increased symptom- free days), MDI technique, and environmental control practices. Small-group Education also was associated with significant improvements in physician evaluation of the patients' Asthma status and in patients' level of physical activity. For both group and individual Education recipients, improvement in MDI technique was positively correlated with improved control of symptoms; however, the degree of improvement in symptoms was greater than that which could be accounted for on the basis of improvement in MDI technique alone. The time course over which changes occurred in the various outcome measures suggests the mechanism by which Education resulted in improvement in the patient's status. Significant improvements in MDI technique and environmental control practices were manifest immediately following Education (5-month follow-up) and at the 1-year follow-up. Significant improvements in symptom measures were not apparent until the 1-year follow-up. The rate of utilization of medical care for acute exacerbations decreased between baseline and the 2-year follow-up period, but this decrease did not differ significantly among treatment conditions. However, there was a trend toward greater reduction in patients receiving small-group Education. An ad hoc finding of a significant difference favoring small-group Education between the baseline and the second follow-up year acute visit rates was observed. This result must be regarded as tentative, since it is not clear that unambiguous statistical significance is attained in the light of multiplicity issues. However, this trend is consistent with the antecedent benefits of the small-group Education, and appears to warrant further investigation. conclusions: Carefully designed Asthma Education programs for adults can improve patients' understanding of their condition and its treatment and increase their motivation and confidence that the condition can be controlled, thereby increasing their adherence to the treatment regimen and management of symptoms, and, in turn, improving control of symptoms. Both small-group Education and individual Education were associated with significant benefits, but the group program was simpler to administer, better received by patients and educators, and more cost-effective. The results show promise for improving clinical outcomes, through well-designed Educational programs, for patients with Asthma and other chronic health problems.
E H Walters - One of the best experts on this subject based on the ideXlab platform.
-
evaluation of a randomised controlled trial of adult Asthma Education in a hospital setting
Thorax, 1999Co-Authors: O Abdulwadud, Michael J Abramson, Andrew Forbes, Alan James, E H WaltersAbstract:Background—Although patient Education is a key step in the Australian Asthma Management Plan, its impact has not been assessed in a hospital outpatient Asthma clinic. Methods—A controlled trial was undertaken in 125 adults with Asthma recruited from the Alfred Hospital Asthma and Allergy Clinic and randomly allocated to an intervention (n = 64) or control (n = 61) group. Subjects in the intervention group attended three Education sessions, each of 90 minutes duration, spread over three successive weeks. Asthma knowledge, quality of life, self-management skills, and attitudes and beliefs about Asthma were assessed by questionnaires at baseline and after six months. The intervention group was also assessed immediately after the three Education sessions. The control group was evaluated after six months of usual care. Results—Asthma knowledge improved significantly in the intervention group after three Education sessions (p = 0.0001) and this was retained six months later (p = 0.03). The impact of Asthma on quality of life decreased significantly immediately after intervention (p = 0.03) but this was not maintained six months later (p = 0.35). On the other hand, the intervention had little impact on self-management skills or attitudes and beliefs about Asthma. However, the control group had also improved their knowledge, quality of life and self-management skills after six months of usual care. The diVerence in mean change in knowledge score at six months between the intervention and control groups was not significant (p = 0.51). Conclusions—In contrast to some other studies, a limited Asthma Education programme in a hospital outpatient setting had a positive impact on patients’ knowledge of Asthma, but not on their quality of life, self-management skills, or attitudes and beliefs about Asthma.
-
attendance at an Asthma Educational intervention characteristics of participants and non participants
Respiratory Medicine, 1997Co-Authors: Omar Ahmed Abdulwadud, Michael J Abramson, Andrew Forbes, A James, L Light, Francis Thien, E H WaltersAbstract:As part of an evaluation of the patient Education component of the Australian Asthma Management plan, a randomized, controlled trial of Asthma Education was conducted in 1994/95 at the outpatient Asthma and allergy clinic of The Alfred Hospital, a tertiary referral hospital in Melbourne, Australia. The objective of the study was to investigate which demographic and clinical characteristics were associated with attendance at Asthma Educational session. A total of 125 Asthmatics aged over 16 years agreed to participate in the programme, and full compliance with the programme was 43.2%. Allocation to immediate, rather than delayed, Education and age were the only significant predictors of attendance. Subjects randomized to the intervention were approximately three times more likely to attend than control subjects (OR = 3.3, 95% CI 1.5-7.3). Asthmatics over 60 years old were approximately six times more likely to attend (OR = 6.6, 95% CI 2.2-19.8) than the age group 16-30 years. The increasing trend in attendance across age categories was highly significant (P < 0.001). There was no relationship between attendance and gender, medication, atopy, smoking status or the physical accessibility of the hospital. Despite offering incentives and conducting the Education sessions at subjects' preferred times, their compliance in attending sessions was poor. Over half of the Asthmatics, who had expressed interest, failed to attend for their Educational sessions. An alternative strategy is required to improve participation by young and employed Asthmatics at hospital-based Asthma Education programmes.
Juliana Hazell - One of the best experts on this subject based on the ideXlab platform.
-
randomized controlled trial of a teacher led Asthma Education program
Pediatric Pulmonology, 2004Co-Authors: R L Henry, Peter G. Gibson, Graham V Vimpani, Lynn J Francis, Juliana HazellAbstract:Our objective was to determine whether an Asthma Education program in schools would have 1) a direct impact on student knowledge and attitudes to Asthma and quality of life of the students with Asthma, 2) an indirect impact on teacher knowledge and attitudes to Asthma and on school policies about Asthma, and 3) a sustainable program after the resources to implement the research were withdrawn. Seventeen intervention and 15 control schools participated in a controlled trial. Baseline knowledge and attitudes were measured in year 8 students (ages 13–14 years) and their teachers together with quality of life in the students with Asthma. A three-lesson package about Asthma was delivered by teachers as part of the Personal Development/Health/Physical Education (PD/H/PE) curriculum. Follow-up questionnaires were administered to students and staff. Efforts to change school policies were documented. Five years after the intervention, PD/H/PE teachers were contacted to determine whether the program was still operating. Main outcome measures included Asthma knowledge, attitudes, and quality of life. Questionnaires were returned by 4,161/4,475 of the year 8 students at baseline and by 3,443 at follow-up. In intervention schools, compared with control schools, students showed improved Asthma knowledge (P < 0.0001), improvement in tolerance to Asthma (P = 0.02), internal control (P = 0.03), and less tendency to believe in the role of chance in Asthma control (P = 0.04). Students from intervention but not control schools showed significant improvements in overall quality of life (P = 0.003 vs. P = 0.82, respectively). Teachers from intervention schools showed significant increases in knowledge compared to control schools (P < 0.0001). Intervention schools were more likely to seek further health Education about Asthma (P < 0.01). Five years after the 35 schools involved in the development of the materials or the trial had been offered the Living With Asthma package, 25 (71%) were still teaching the program to most or all of their students. Fifty-nine of the 61 (97%) high schools in the Hunter Region now have the program. Management and distribution of the Living With Asthma program have been taken over by the Asthma Foundation of New South Wales. The package has been updated and is being offered to all high schools throughout New South Wales as part of the National Asthma-Friendly Schools Project. In conclusion, a teacher-led Asthma Education program in secondary school had direct and indirect beneficial outcomes and was sustained at a high level for 5 years in most schools in the Hunter Region, despite minimal ongoing maintenance and support from health workers. © 2004 Wiley-Liss, Inc.
-
randomized controlled trial of a teacher led Asthma Education program
Pediatric Pulmonology, 2004Co-Authors: R L Henry, Peter G. Gibson, Graham V Vimpani, Lynn J Francis, Juliana HazellAbstract:Our objective was to determine whether an Asthma Education program in schools would have 1) a direct impact on student knowledge and attitudes to Asthma and quality of life of the students with Asthma, 2) an indirect impact on teacher knowledge and attitudes to Asthma and on school policies about Asthma, and 3) a sustainable program after the resources to implement the research were withdrawn. Seventeen intervention and 15 control schools participated in a controlled trial. Baseline knowledge and attitudes were measured in year 8 students (ages 13-14 years) and their teachers together with quality of life in the students with Asthma. A three-lesson package about Asthma was delivered by teachers as part of the Personal Development/Health/Physical Education (PD/H/PE) curriculum. Follow-up questionnaires were administered to students and staff. Efforts to change school policies were documented. Five years after the intervention, PD/H/PE teachers were contacted to determine whether the program was still operating. Main outcome measures included Asthma knowledge, attitudes, and quality of life. Questionnaires were returned by 4,161/4,475 of the year 8 students at baseline and by 3,443 at follow-up. In intervention schools, compared with control schools, students showed improved Asthma knowledge (P < 0.0001), improvement in tolerance to Asthma (P = 0.02), internal control (P = 0.03), and less tendency to believe in the role of chance in Asthma control (P = 0.04). Students from intervention but not control schools showed significant improvements in overall quality of life (P = 0.003 vs. P = 0.82, respectively). Teachers from intervention schools showed significant increases in knowledge compared to control schools (P < 0.0001). Intervention schools were more likely to seek further health Education about Asthma (P < 0.01). Five years after the 35 schools involved in the development of the materials or the trial had been offered the Living With Asthma package, 25 (71%) were still teaching the program to most or all of their students. Fifty-nine of the 61 (97%) high schools in the Hunter Region now have the program. Management and distribution of the Living With Asthma program have been taken over by the Asthma Foundation of New South Wales. The package has been updated and is being offered to all high schools throughout New South Wales as part of the National Asthma-Friendly Schools Project. In conclusion, a teacher-led Asthma Education program in secondary school had direct and indirect beneficial outcomes and was sustained at a high level for 5 years in most schools in the Hunter Region, despite minimal ongoing maintenance and support from health workers.
