A School Nurse-Led Asthma Intervention for School-Age Children: A Randomized Control Trial to Improve Self-Management

J Sch Nurs. 2021 Dec;37(6):480-490. doi: 10.1177/1059840520902511. Epub 2020 Mar 9.

Abstract

Asthma is a common disease in children, and obtaining basic knowledge and skills to manage asthma symptoms is critically important. This study examined the effectiveness of a theoretically based school nurse-led asthma intervention on asthma symptoms, self-management, peak flow meter usage, daily activities, and school absences in children 7-12 years old. A randomized controlled, two-group, repeated measures design was conducted in eight public schools. Data collection occurred at three time points. The treatment group had statistically significant differences in reported symptoms (p < .001), asthma control with a peak flow meter usage (p < .001), and daily activities (p < .001) at 6 weeks and at 12 weeks. Although difference in school absences was not statistically significant, the treatment group missed fewer school days than the control group. Self-management is a complex process, and school nurses can provide essential learning steps and continuity of care for school-age children living with asthma.

Keywords: asthma; randomized control; school nurse–led intervention; school-age children; self-management; trial.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Absenteeism
  • Asthma* / therapy
  • Child
  • Humans
  • Nurse's Role
  • Nurses*
  • Schools
  • Self-Management*