Impact of a Self-Management Education on Health Outcomes and Quality of Life in Child Asthma


Book Description

According to the National Center for Health Statistics (2001) in 1998, 3.8 million children aged 0-17 years had an asthmatic episode. Nationally the asthma population is 6.3%. Arizona has exceeded the national asthma rates for 1991-1998 with an incidence of approximately 7% of the population. Asthmatic children require self-management instruction about asthma, medications, symptoms, and proper self-management. Poor self-management results from a lack of competence over asthma related self-management skills. This study defined self-management skill as those skills an asthmatic must have for competence in management. The purpose of this study was to test a self- management education program designed to enhance the self-management skill of inner city children with asthma in order to improve their health outcomes and quality of life. Measurement of effect in health outcomes and quality of life (QOL) were the indicators of competency in self-management skill. The pediatric asthma-specific questionnaire by Juniper and Guyatt (2001) examines QOL. Thurber and Blue (1994) developed the Asthma Self-care questionnaire to measure health outcomes. The pilot study design utilized a quasi-experimental design with pretest/posttest and non random assignment of subjects measured the differences in health outcomes and QOL of asthmatic children. Data collection was at three inner city Phoenix public schools. The analysis examined the * independent variable influence of self-management education on the dependent variable impact on quality of life and health outcomes.




Impact of Asthma Self-management Education On Childhood Asthma Outcomes


Book Description

Asthma is one of the most common respiratory disorders in children. Asthma self-management education programs aim to improve asthma treatment, management, and control in the United States and help patients to develop the knowledge and skills about asthma. Previous studies have shown that asthma self-management education programs have improved quality of care for children and reduced medical care costs. However, most of these studies had small sample sizes or focused on children from one certain hospital or a selected region for analysis. To fill this gap, this study analyzes data from the 2006-2012 Behavioral Risk Factor Surveillance Survey (BRFSS) Asthma Call-back Survey (ACBS). ACBS is a nationally representative survey of children with asthma in the United States, which increases the generalizability of the findings. Multinomial logistic regression models are used to analyze the association between participation in asthma self-management education programs and health outcomes and healthcare utilization for children with asthma. The results indicate that receiving more asthma education is associated with fewer routine care visits, medical visits for asthma episodes, hospitalizations, emergency department visits, and urgent care visits, and better control of asthma symptoms. The benefits of asthma education on hospitalizations and emergency department visits did not differ by financial hardship or race/ethnicity. This study provides evidence that asthma self-management education improves health outcomes for children and reduces healthcare utilization.




Self-Management Plan, Perceived Quality of Life and Medical Resource Utilization of Asthmatic Children


Book Description

The impact of asthma self-management programs on medical resource utilization has been studied repeatedly. The impact of these programs on a child's perceived quality of life, however, has not been addressed. This descriptive, correlational study compared the perceived quality of life and number of hospitalizations, emergency room and clinic visits in asthmatic children ages 7 - 11 years who adhered to a self-management plan with those who did not adhere to a plan. Quality of life was measured using the Childhood Asthma Questionnaire, a valid and reliable quality of life measurement tool for children of different ages. There were no significant differences between the Adherence and Non-adherence groups relative to quality of life or medical resource utilization. Findings did support a significant decrease in medical resource utilization for both groups since the establishment of their self- management plan. These findings confirm the role of self-management education as a worthwhile and cost effective investment for children.




Evaluating the Effects of an Organized Self-managment Asthma Education in Children 7 to 12 Years: a Quantitative Study


Book Description

Asthma affects Hispanic and African American children living in the Bronx compared with other groups, and these children have a higher rate of asthma hospitalization and emergency department (ED) visits, which is costly and challenging for families (DiNapoli, 2014). The purpose of this pilot study was to evaluate the effects of an organized asthma self-management education (OSMAE) intervention in children 7 to 12 years hospitalized with mild to severe asthma. A one-group quasi-experimental design study was conducted pre and one-week post intervention to evaluate outcomes variables. Besides collecting baseline demographic data, to evaluate the efficacy of the OSMAE, data were collected on asthma symptoms, activity limitations, emotional function, and peak flow readings and ED visits. Six consenting English-speaking 7 to 12-year-old children diagnosed with asthma and hospitalized at least once were recruited.




A review of UK health research funding


Book Description

This Review sets out to propose a structure for the funding arrangements for the whole spectrum of health research, with the objective of obtaining the maximum benefit from research success and, where possible, eliminating duplication of effort. The Review found, however, that the UK is at risk of failing to reap the full economic, health and social benefits that the UK's public investment in health research should generate. There is no overarching UK health research strategy to ensure UK health priorities are considered through all types of research and there are two key gaps in the translation of health research: (i) translating ideas from basic and clinical research into the development of new products and approaches to treatment of disease and illness; (ii) implementing those new products and approaches into clinical practice.The Review also found that the wider funding arrangements for supporting translation of ideas from conception to practice could be more coherent or comprehensive and, where arrangements exist, they do not function well. The Review identified cultural, institutional and financial barriers to translating research into practice in the publicly funded research arena. But it also found that, in the private sector, the pharmaceuticals industry is facing increasing challenges in translating research into health and economic benefit. The Review has sought to make recommendations that will increase the translation of R&D into health and economic benefit for the UK, both in the public and private sectors. The Review recommends that the Government should seek to achieve better coordination of health research and more coherent funding arrangements to support translation by establishing an Office for Strategic Coordination of Health Research (OSCHR).




Assessment of Quality of Life in Childhood Asthma


Book Description

This book examines assessment of quality of life against the background of contemporary approaches to management of childhood asthma, covering the psychosocial, biomedical and clinical costs and benefits.




Adherence and Self-Management in Pediatric Populations


Book Description

Adherence and Self-Management in Pediatric Populations addresses the contemporary theories, evidence-based assessments, and intervention approaches for common pediatric chronic illnesses. An introductory chapter summarizes the state of the field and provides a general foundation in adherence and self-management. Subsequent chapters focus on specific diseases, ensuring that the scope of knowledge contained therein is current and thorough, especially as the assessments and interventions can be specific to each disease. Case examples are included within each chapter to illustrate the application of these approaches. The book ends with an emerging areas chapter to illuminate the future of adherence science and clinical work. This book will be extremely helpful to professionals beginning to treat youth with suboptimal adherence or for those who conduct adherence research. Experts in the field will benefit from the synthesized literature to aid in clinical decision-making and advancing adherence science. Organized by disease for quick reference Provides case examples to illustrate concepts Incorporates technology-focused measurement and intervention approaches (mobile and electronic health) throughout







Effect of Family Education on Clinical Outcomes in Children with Asthma


Book Description

Childhood asthma still imposes an enormous burden on children and their families. To the best of our knowledge, no study reviewed the literature on the effect of family asthma education on major asthma outcomes. This study aimed to explore the effect of family education programs on major asthma outcomes in children. Quasi-experimental studies and randomized controlled trials were conducted among children with asthma aged 6,Äì18 years and their parents were included. Pub Med, Science Direct, and Trip databases were used to extract data published in English from 2010 to 2021. Twenty-two studies were reported in this review. It was demonstrated that family empowerment interventions were effective in improving the quality of life of children and their parents, asthma symptom control, and pulmonary function. Family education that was specific to medication improved medication adherence, inhalation technique, and asthma control. Family asthma education enhanced asthma management and family functioning. This approach should be a cornerstone of pediatric asthma therapy. It helps health care professionals to build a strong connection and trustful relationship with children with asthma and their families.