Breaking the access barrier: evaluating an asthma center's efforts to provide education to children with asthma in schools

Chest. 2005 Oct;128(4):1928-35. doi: 10.1378/chest.128.4.1928.

Abstract

Objective: To evaluate an asthma education program for children with asthma that is delivered in their school by certified asthma educators from a local hospital-based asthma center.

Study design: Randomized controlled trial.

Setting: Twenty-six elementary schools located in a suburb of Toronto.

Participants: A total of 256 children in grades 2 to 5 with asthma and their parents were randomized to control and experimental groups.

Intervention: Children in the experimental group received the "Roaring Adventures of Puff" asthma education program over the course of six weekly 1-h sessions. Those in the control group continued receiving usual care.

Measurements and results: Data collection involved measuring asthma quality of life, self-efficacy for managing asthma, school absenteeism, days of interrupted activity, health services use, and parental loss of time from work. Quality of life and self-efficacy data were collected from the children at baseline and 2 months. Telephone parental interviews conducted over 1 year were used to collect data on the remaining variables. Unpaired t test, analysis of variance, and chi2 test were used to determine whether differences existed between the groups. The results are reported as the mean +/- SD. The experimental group demonstrated higher scores than the control group for self-efficacy (3.6 +/- 0.7 vs 3.8 +/- 0.9, respectively; p < 0.05) and quality of life (5.0 +/- 1.4 vs 5.5 +/- 1.4, respectively; p < 0.05). At 1 year, the experimental group demonstrated fewer mean urgent health-care visits (2.5 +/- 2.5 vs 1.7 +/- 1.9 visits per year, respectively; p < 0.01), days of missed school (4.3 +/- 5.7 vs 3.0 +/- 4.4 days per year, respectively; p > 0.05), and days of interrupted activity (9.1 +/- 10.5 vs 6.2 +/- 7.3 days per year; p < 0.01) related to asthma than the control group. There were no differences between the groups for parental work absenteeism or scheduled asthma visits.

Conclusion: Providing an asthma education program to children in their school can significantly improve quality of life and reduce the burden of childhood asthma.

Publication types

  • Clinical Trial
  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Asthma / physiopathology
  • Asthma / psychology*
  • Asthma / rehabilitation*
  • Child
  • Humans
  • Interviews as Topic
  • Ontario
  • Parent-Child Relations
  • Patient Education as Topic*
  • Quality of Life*
  • Schools
  • Self Care
  • Telephone