Efficacy of asthma education program on asthma control in children with uncontrolled asthma

Abstract

We aimed to evaluate the efficacy of a group education program on asthma control for children with uncontrolled asthma. Patients were randomized to receive 1-hour group education program with their parents or usual care. Our primary outcome was the change in asthma control test (ACT) between baseline and month 3 and secondary outcomes were health care utilizations and self report of exacerbations of asthma symptoms and missed school days. Change of ACT between baseline and 1st month and 3rd month was not significant in education and usual care groups. Health care utilizations and self reported exacerbations in the study groups were similar while missed school days were significantly higher in usual care group. The results of the study suggest that group education may play a useful role in the management of children with uncontrolled asthma but it is not significantly effective when compared with usual care.

Parental knowledge and attitudes regarding asthma in their children: Impact of an educational intervention in an Indian population

“…Since the follow‐up assessment was at 5 months, seasonal variations could have attributed to changes in severity. There was no significant change in asthma control, results that are similar to other studies that showed no significant differences in clinical outcomes after educational intervention 20,21 …”

“…Our study showed a significant improvement in parental knowledge and attitudes after the educational intervention; however, there were no differences in asthma severity and control. These results are comparable with other studies that showed improvement in knowledge, self‐efficacy, and attitudes after educational intervention; however, evidence regarding postintervention clinical outcomes has been conflicting 3,6‐9,16‐25 …”

How can we support children, adolescents and young adults in managing chronic health challenges? A scoping review on the effects of patient education interventions

“…Ten studies from interventions tailored to children and adolescents with asthma reported improved asthma control and decreased number of asthma exacerbations. One study found no changes in asthma control …”

“…Of the studies dealing with patient education interventions, 14/17 studies resulted in beneficial effects as measured by one or several health economic outcomes . Three studies found no health economic impact or effects of the interventions .…”

“…Use of urgent health care was investigated in 13 studies, and 11 of these found significantly decreased use of urgent health care or trends towards beneficial effects, while two studies found no effects . Of the six studies that had measured hospitalization, three found beneficial effects, while three found no effects . Six studies found beneficial effects: two in terms of fewer visits to general practitioners and four in terms of less absence from school .…”