Evaluation of a Peer-led Asthma Self-management Group Intervention for Urban Adolescents

Abstract

Purpose: This paper describes the acceptability and generalizability of an evidenced-based peerled asthma self-management program. Design and Methods: Adolescents with persistent asthma (n=259, ages 12-17 years) from three urban cities participated in a one day camp led by either trained peer leaders (n= 35, ages 16-20 years; intervention group) or healthcare professionals (control group). Participants completed a camp evaluation form, and the peer leader quality survey. Results: Overall program evaluation showed high acceptability with average score of 4.5 (±.87) out of 5 and no treatment group differences were found. Campers highly rated peer leaders' qualification, particularly trustworthiness (98%), knowledge (97%), and sense of humor (95%). Participants from low income families (annual income < $30,000) reported higher satisfaction with their camp experience being enjoyable compared to their counterparts from higher income families (X 2 =4.23, p ≤ .04). Conclusions: This study supports the acceptability and generalizability of a peer-led asthma self-management program across different urban community locations, seasons and venues.

Fidelity of a peer‐led asthma self‐management intervention and its attention control in a multisite study of urban adolescents

“…Thus, careful evaluation of participants' acceptance of and satisfaction with treatment conditions could be part of fidelity assessment. In an earlier paper (Grape et al, ), we demonstrated high participant acceptance of and satisfaction with the program by participants in both groups, providing evidence of fidelity concerning treatment receipt.…”

“…Each of the three participating cities used different venues for the 1 day camps. We describe details about the differences in the venues and camp structure across the three sites elsewhere (Grape, Rhee, & Sanchez, ). The education curriculum consisted of four sessions (asthma basics, symptom monitoring and prevention, asthma management, and management of psychosocial issues and communication).…”

“…Fifty‐four percent were female, most, 77%, were African American, and 46% had public health insurance. Detailed demographic characteristics of the attended peer leaders for each site are described elsewhere (Grape et al, ).…”

Evaluation of Proper Inhaler Use in Children Acute Asthma Admitted to the Emergency Department: A Single Center Cross-sectional Study

“…A prior study showed that a video-assisted interactive training was more successful in adolescents in terms of properly using of MDI (110) (16). In addition, group therapy and training with peers have increased the likelihood of properly use of inhaler device as shown in previous studies (17,18). Therefore, we believe that when teaching adolescents inhaler device use, the primary physician should prefer and use the above-mentioned methods.…”

Prioritising target non-pharmacological interventions for research in Parkinson’s disease: achieving consensus from key stakeholders

“…Consequently, finding innovative ways to implement the intervention whilst still maintaining human contact, rather than taking a purely digital approach, is paramount. Recent work exploring the use of skype conferencing to deliver mindfulness interventions [27,30] or the use of lay facilitators to deliver interventions across conditions may be important avenues for further research [31][32][33].…”