A randomized control trial of an asthma self-management program for adolescents in Taiwan: A study protocol

Tseng, Tzu-Jung; Chang, Anne M.; Wu, Chiung-Jung

doi:10.1016/j.conctc.2017.09.005

Cited by 5 publications

(9 citation statements)

References 27 publications

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“…The original instruments for asthma self-efficacy, outcome-expectancy, and asthma selfmanagement behaviours (prevention and management) were only available in English. With permissions obtained, translating these English versions into Chinese by translation and backtranslation process [23]. The Cronbach's alphas to support the reliabilities of the Chinese versions of the Asthma Self-efficacy index and Outcome-expectancy were 0.83 and 0.88, respectively.…”

Section: Methodsmentioning

confidence: 96%

“…As outlined in our protocol paper [23], randomization was undertaken using a computerized random number, generated by a statistician who was independent to this study. Each participant was blindly allocated to either control or experimental group.…”

Section: Randomisationmentioning

confidence: 99%

“…The ASMP for Taiwanese adolescents was developed based on Bandura's self-efficacy model [11]. The content of the ASMP as described on our protocol paper [23] were developed using the National Asthma Educational and Prevention Program Experts Panel Report-3 guideline (EPR-3) [25]. The guideline consisted of environmental factors and comorbid conditions that affect asthma, education for a partnership in care, medication, assessing and monitoring asthma severity and asthma control.…”

Section: Interventionmentioning

confidence: 99%

“…The outcome measures of self-efficacy, outcome-expectancy, prevention and management behaviours, as well as the symptoms of asthma were collected at T1 (baseline) and T2 (week 4). The procedure of data collection was presented in our protocol paper [23]. Data collection was undertaken by a trained research assistant who was blinded to the study protocol.…”

Section: Data Collectionmentioning

confidence: 99%

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Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behavior, and asthma symptoms: A randomized controlled trial

Tseng

Chang

2019

Preprint

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Background: The asthma prevalence of Taiwanese adolescents is continued to rise and affecting sufferers’ daily life. With physical and psychological changes in adolescents, managing asthma can be quite challenges for them and could lead to negative social, emotional and physical impacts if not well managed. Literature found that adolescents with high levels of self-efficacy are more likely to be involved in prevention and management activities. The aim of this study was to develop an effective asthma self-management program by taking account for adolescents’ developmental stages and based on Bandura’s self-efficacy model for this group of young people. Methods: A randomised controlled trial was used to evaluate effects of the newly developed Asthma Self-management Program for Taiwanese adolescents. The outcomes were self-efficacy, outcome-expectancy, asthma prevention and self-management behaviour, and controlling asthma symptoms. Translation and back-translation process were used for original tools in English. Good consistent reliabilities of Chinese versions tools were identified. A t-test or Mann-Whiney U test was employed to determine any mean differences of outcome variables between groups overtime. Results: A sample of 83 patients completed (n = 43 in control group, n = 40 in experimental group) the study. The mean age was 14.3 years (SD = 1.85), two-third of the participants were males. Seventy-six percent (n = 68) had a mild to intermittent level of asthma severity. Significant improvements were found on self-efficacy, t = -2.75; outcome-expectancy, U = 646, prevention behaviours, t = -3.62, and management behaviours, t = -3.19, but non-significant results for the outcome of asthma control, U = 716. Conclusions: The results provide evidence to support the efficacy of the asthma self-management program based on the self-efficacy model that has taken considerations of developmental phases. The findings indicated the self-management program improved adolescents’ self-confidence in carrying out asthma prevention and management behaviours for effectively manage their asthma symptoms. Future clinical practice should consider delivering an educational program using multifaceted and interactive learning strategies.

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Section: Methodsmentioning

confidence: 96%

Section: Randomisationmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

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Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behavior, and asthma symptoms: A randomized controlled trial

Tseng

Chang

2019

Preprint

Self Cite

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“…A smaller sample of 90 participants with an attrition rate of 7.8% to reach the medium effect size than initially estimated in our protocol paper [ 21 ] were recruited. The sample size calculation was based on the main outcome of self-efficacy scores between groups at a 0.05 significance level of a power .8 and a 0.58 effect size [ 22 ].…”

Section: Methodsmentioning

confidence: 99%

Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behaviour, and asthma symptoms: A randomized controlled trial

Tseng

Chang

2020

Contemporary Clinical Trials Communications

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Background The asthma prevalence of Taiwanese adolescents continued to rise. With physical and psychological changes in adolescents, managing asthma can be quite challenges and affect social, emotional and physical wellbeing. Adolescents with high self-efficacy levels are more likely to be involved in prevention and management activities. The aim of this study was to develop an effective asthma self-management program taking account for adolescents' developmental stages and based on Bandura's self-efficacy model. Methods A two-arm, parallel group, randomized controlled trial was used. The outcomes were self-efficacy, outcome-expectancy, asthma prevention and self-management behaviour, and controlling asthma symptoms. Translation and back-translation process were used for original tools in English. Good consistent reliabilities of Chinese versions tools were identified. A t -test or Mann-Whiney U test was employed to determine any mean differences of outcome variables between groups overtime. Results A sample of 83 patients completed the study. The mean age was 14.2 years (SD = 1.8). Approximately 56.6% of the participants were males. 73% of participants (n = 61) had a mild to intermittent level of asthma severity. Significant improvements were found on self-efficacy, t = −2.8; outcome-expectancy, U = 646, prevention behaviours, t = −3.5, and management behaviours, t = −3.2, but non-significant results for the outcome of asthma control, U = 716. Conclusions The results provided evidence to support the efficacy of the asthma self-management program. The findings indicated the program improved adolescents’ self-confidence in managing their asthma symptoms. Future clinical practice should consider delivering an educational program using multifaceted and interactive learning strategies.

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The effect of mobile game training designed for asthmatic children on asthma management and quality of life

Karakul,

Düzkaya,

Bozkul

et al. 2024

Journal of Pediatric Nursing

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A randomized control trial of an asthma self-management program for adolescents in Taiwan: A study protocol

Cited by 5 publications

References 27 publications

Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behavior, and asthma symptoms: A randomized controlled trial

Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behavior, and asthma symptoms: A randomized controlled trial

Theoretical asthma self-management program for Taiwanese adolescents with self-efficacy, outcome-expectancy, health behaviour, and asthma symptoms: A randomized controlled trial

The effect of mobile game training designed for asthmatic children on asthma management and quality of life

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