A trial of asthma self-management in Beijing schools

Clark, Noreen M.; Gong, Molly; Kaciroti, Niko; Yu, Jie; Wu, Guixian; Zeng, Zong Yuan; Wu, Zhiyi

doi:10.1177/17423953050010010101

Cited by 20 publications

(23 citation statements)

References 13 publications

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“…Most studies relied on school records to identify absences. Five studies revealed that children who received the asthma education intervention had fewer absences than children who received usual care 17–19,26,32. In 1 study a reduction in school absences that approached statistical significance ( P = .07) was reported 28.…”

Section: Resultsmentioning

confidence: 97%

“…Five studies revealed that asthma education was associated with statistically significant reductions in the mean number of days with asthma symptoms 15,16,18,20,34. For 6 studies no statistically significant differences in days with symptoms were reported 14,19,27,28,33,35…”

Section: Resultsmentioning

confidence: 98%

“…Among the 22 studies that reported the number of sessions during which education was provided, the number of sessions ranged from 2 to 34, with a median of 6 sessions 15–17,19–37. In the 16 studies for which the duration of the intervention was reported, the time period ranged from 2 weeks to 1 year, with a median of 6 weeks ‡…”

Section: Resultsmentioning

confidence: 99%

“…Studies did not measure children’s socioeconomic status consistently. Only 9 studies reported asthma severity in a consistent manner 15,17–19,25,28,31,35,37. In these studies, the percentage of subjects with moderate-to-severe asthma ranged from 9% to 62%.…”

Section: Resultsmentioning

confidence: 99%

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Do School-Based Asthma Education Programs Improve Self-Management and Health Outcomes?

2009

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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 selfmanagement 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. NIH Public Access Author ManuscriptPediatrics. Author manuscript; available in PMC 2010 May 24. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptAsthma self-management education is an essential component of high-quality care for children with asthma. 1 However, time constraints can made it difficult for primary care providers to provide education. 2 In addition, some children do not have a usual source of primary care. Asthma education programs have been implemented in clinical settings, homes, and schools to augment education furnished by primary care providers. 3 Schoolbased programs are especially intriguing because they provide education to children in a setting in which they are accustomed to receiving instruction and emphasize teaching children how to manage asthma rather than relying on parents to do so.In this article we present a systematic review of studies of school-based asthma education programs. Although several systematic reviews on pediatric asthma education have been published previously, 4-7 they only incorporated studies published before 1999. A number of additional studies of school-based asthma education programs have been published since then. Moreover, previous systematic reviews combined findings from studies of schoolbased asthma education programs...

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Section: Resultsmentioning

confidence: 97%

Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Do School-Based Asthma Education Programs Improve Self-Management and Health Outcomes?

2009

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“…Unfortunately, several studies that met all of the criteria for this review did not provide the data necessary for the computation of an effect size (e.g., Clark, et al, 2005;Jalan & Glinskaya, no date;Kremer, Moulin, & Namunyu, 2003).…”

Section: Criteria For Inclusion and Exclusion Of Studies In The Reviewmentioning

confidence: 99%

Interventions in developing nations for improving primary and secondary school enrolments

Petrosino¹,

WestEd²,

Morgan³

et al. 2016

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The International Initiative for Impact Evaluation (3ie) is an international grant-making NGO promoting evidence-informed development policies and programmes. We are the global leader in funding, producing and synthesising high-quality evidence of what works, for whom, why and at what cost. We believe that better and policy-relevant evidence will make development more effective and improve people's lives. 3ie systematic reviews 3ie systematic reviews appraise and synthesise the available high-quality evidence on the effectiveness of social and economic development interventions in low-and middle-income countries. These reviews follow scientifically recognised review methods, and are peerreviewed and quality assured according to internationally accepted standards. 3ie is providing leadership in demonstrating rigorous and innovative review methodologies, such as using theory-based approaches suited to inform policy and programming in the dynamic contexts and challenges of low-and middle-income countries.

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Interventions for educating children who are at risk of asthma-related emergency department attendance

Boyd

Lasserson

McKean

et al. 2009

Cochrane Database of Systematic Reviews

145

135

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A trial of asthma self-management in Beijing schools

Cited by 20 publications

References 13 publications

Do School-Based Asthma Education Programs Improve Self-Management and Health Outcomes?

Do School-Based Asthma Education Programs Improve Self-Management and Health Outcomes?

Interventions in developing nations for improving primary and secondary school enrolments

Interventions for educating children who are at risk of asthma-related emergency department attendance

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