Effectiveness of a school‐based academic asthma health education and counseling program on fostering acceptance of asthma in older school‐age students with asthma

Kintner, Eileen Kae; Cook, Gwendolyn; Marti, C. Nathan; Gomes, Maria de Lourdes Contente; Meeder, Linda; Egeren, Laurie A. Van

doi:10.1111/jspn.12098

Cited by 8 publications

(8 citation statements)

References 23 publications

(47 reference statements)

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“…Certified elementary school teachers are educated to instruct students in diverse subject matter using a variety of techniques and methods. Teachers were trained and supervised by nurse specialists in pediatric asthma and psychiatric/mental health counseling (Kintner, Cook, Marti, Allen et al, ; Kintner, Cook, Marti, Gomes et al, ).…”

Section: Methodsmentioning

confidence: 99%

“…Its effectiveness for psychosocial, behavioral, and quality of life outcomes compared to a well-established non-academic asthma education program, Open Airways for Schools (OAS; Clark et al, 2004; Evans et al, 1987), has been reported elsewhere (Kintner, Cook, Marti, Allen et al, 2015; Kintner, Cook, Marti, Gomes et al, 2015). …”

Section: Evaluation Of Sharp To Datementioning

confidence: 99%

“…SHARP (Kintner & Sikorskii, ; Kintner et al, ; Kintner, Cook, Marti, Allen et al, ; Kintner, Cook, Marti, Gomes et al, ) is based on the acceptance of asthma model (AAM) that was developed through a series of qualitative and quantitative studies (Kintner, , , , ) from an ecological approach (Bronfenbrenner, ) within a lifespan development perspective (Lerner, , ; Santrock, ; Sugarman, ). In this model, education and counseling programs enhance a student's knowledge of asthma (Kintner, ); reasoning about asthma symptom management, defined as introspective thinking through which situations are examined and options are considered (Kintner, ; Kintner, Cook, Hull, & Meeder, ); psychosocial acceptance of asthma and beliefs about the nature of asthma; and use of effective self‐care behaviors.…”

Section: The Sharp Program: Backgroundmentioning

confidence: 99%

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Comparative Effectiveness on Cognitive Asthma Outcomes of the SHARP Academic Asthma Health Education and Counseling Program and a Non‐Academic Program

Kintner

Cook

Marti

et al. 2015

Research in Nursing & Health

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Asthma morbidity and mortality is higher among older school-age children and early adolescents than other age groups across the lifespan. NIH recommended expanding asthma education to schools and community settings to meet cognitive outcomes that have an impact on morbidity and mortality. Guided by the acceptance of asthma model, an evidence-guided, comprehensive school-based academic health education and counseling program, Staying Healthy—Asthma Responsible & Prepared™ (SHARP), was developed. The program complements existing school curricula by integrating biology, psychology, and sociology content with related spelling, math, and reading and writing assignments. Feasibility, benefits, and efficacy have been established. We compared the effectiveness of SHARP to a non-academic program, Open Airways for Schools, in improving asthma knowledge and reasoning about symptom management. A two-group, cluster-randomized, single-blinded design was used with a sample of 205 students in grades 4–5 with asthma and their caregivers. Schools were matched prior to randomization. The unit of analysis was the student. Certified elementary school teachers delivered the programs during instructional time. Data were collected from student/caregiver dyads at baseline and at 1, 12, and 24 months after the intervention. In multilevel modeling, students enrolled in the academic SHARP program demonstrated significant (p<.001) improvement in asthma knowledge and reasoning over students enrolled in the non-academic program. Knowledge advantages were retained at 24 months. Findings support delivery in schools of the SHARP academic health education program for students with asthma.

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Section: Methodsmentioning

confidence: 99%

Section: Evaluation Of Sharp To Datementioning

confidence: 99%

Section: The Sharp Program: Backgroundmentioning

confidence: 99%

See 1 more Smart Citation

Comparative Effectiveness on Cognitive Asthma Outcomes of the SHARP Academic Asthma Health Education and Counseling Program and a Non‐Academic Program

Kintner

Cook

Marti

et al. 2015

Research in Nursing & Health

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“…We developed two instruments based on extensive reviews of asthma literature: Knowledge of Asthma Survey 46,47 and General Health History Survey 46–48 . We extracted statements and themes from our qualitative interviews to create three instruments: Acceptance of Asthma Questionnaire, 46,48,49 Beliefs about Asthma Questionnaire, and Participation in Life Activities Scale 3,4 . Findings of a series of instrumentation studies guided revisions to improve the psychometric properties of the acceptance and beliefs questionnaires over time.…”

Section: Theory Evaluation and Augmentationmentioning

confidence: 99%

Triangulation approach to developing, evaluating, and applying the evolving theory of adolescent acceptance of asthma

2021

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Acceptance is a term used by healthcare professionals regarding patients' psychosocial adjustment to chronic conditions. This paper describes a triangulation approach, applied over 25 years, to develop and evaluate a theory of adolescent acceptance of asthma. The theory was used to guide the development and evaluation of an education and counseling program focused on fostering acceptance. The approach was effective in (a) defining acceptance and isolating its attributes; (b) identifying its antecedents and consequences, and specifying relationships among them; (c) revealing overlooked variables and augmenting theory; and (d) using theory to guide development and evaluation of the self‐management program.

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“…Of the studies focused on children, most address interventions for school-aged children [13][14][15][16][17][18][19][20][21][22]. The literature is lacking in studies addressing the creation of education material for children, especially those that include information about self-regulating behaviors.…”

Section: Audience: Childrenmentioning

confidence: 99%

Audience, Content, Media: A Literature Review about Factors to Consider When Designing Technology Based Asthma Education Programs for Children

Wyatt¹

2015

J Child Adolesc Behav

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Childhood asthma is a growing societal problem that causes suffering for children and families. Short of finding a cure, the best way to address this problem is to give children with asthma the resources they need to control their condition. Unfortunately, research and resources for young children with asthma are lacking. The authors hypothesize that an approach using technology based delivery methods to provide age-appropriate education, which promotes self-regulation and includes psychosocial elements, could help children with asthma decrease exacerbations in the short term and establish healthy habits in the long term. To lay the groundwork for the initial investigation of this hypothesis, the authors reviewed the literature for three elements: audience (children with asthma), content (self-regulation and psychosocial elements), and media (mobile technology applications and digital story). Literature was reviewed for children's beliefs about illness and medication, self-regulation versus selfmanagement, the psychosocial elements of parental support and peer influences, technology and education, clinical computer-based education, electronic educational games, and smartphone applications. The gaps in the literature found regarding these topics point to areas where future research would be instructive for designing effective, technology based applications for children with asthma. To produce the most effective asthma education materials for children, all three elements in this literature review-audience, content, and medium-should be investigated in future research studies.

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Effectiveness of a school‐based academic asthma health education and counseling program on fostering acceptance of asthma in older school‐age students with asthma

Cited by 8 publications

References 23 publications

Comparative Effectiveness on Cognitive Asthma Outcomes of the SHARP Academic Asthma Health Education and Counseling Program and a Non‐Academic Program

Comparative Effectiveness on Cognitive Asthma Outcomes of the SHARP Academic Asthma Health Education and Counseling Program and a Non‐Academic Program

Triangulation approach to developing, evaluating, and applying the evolving theory of adolescent acceptance of asthma

Audience, Content, Media: A Literature Review about Factors to Consider When Designing Technology Based Asthma Education Programs for Children

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