Lay-led and peer support interventions for adolescents with asthma

Kew, Kayleigh M; Carr, Robin; Crossingham, Iain

doi:10.1002/14651858.cd012331.pub2

Cited by 38 publications

(31 citation statements)

References 48 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Crisis telephone calls, accompanied survivors to hospitals and the police, provided emotional support and education as well as assisted clinicians in tasks related to managing survivors such as prioritizing treatment, setting up appointments and follow-up at the facilities Family planning ( Scott et al , 2015 ) Provided birth control pills and condoms; provided health education Maternal and child health ( Gogia et al , 2011 ; Gilmore and McAuliffe, 2013 ; Glenton et al , 2013 ; Gogia and Sachdev, 2016 ; Tripathi et al , 2016 ; Nkonki et al , 2017 ; Shipton et al , 2017 ; du Toit et al , 2017 ) Promotion of antenatal care; health education and/or counselling regarding desirable practices, during pregnancy; promotion of delivery in a hospital or at home by a skilled birth attendant; education about safe and/or clean delivery practices Promotion of optimal neonatal care practices such as exclusive breastfeeding, keeping the baby warm and hygienic cord care; education to improve care-giver recognition of life-threatening neonatal problems and healthcare seeking behaviours; home visit, risk screening and identification of signs of severe neonatal illness Identification of children with blindness and severe visual impairment Emergency obstetric care ( Ni Bhuinneain and McCarthy, 2015 ) Community interventions that encourage emergency obstetric and neonatal care readiness at family and informal care level. Awareness raising on maternal health problems: anaemia, mal-presentation, retained placenta-obstructed labour and postpartum haemorrhage Immunization services ( Ryman et al , 2008 ; Saeterdal et al , 2014 ) Involved in informing and educating, mobilization and tracking of target populations Adolescent health services ( Koon et al , 2013 ; Kew et al , 2017 ) None specific, any adolescent health service delivered by the healthcare system. Lay-led and peer-support intervention for adolescents with asthma Non-communicable disease control and prevention ( Jeet et al , 2017 ...…”

Section: Resultsmentioning

confidence: 99%

Community health volunteers could help improve access to and use of essential health services by communities in LMICs: an umbrella review

Woldie

Admasu

Hassen

et al. 2018

Health Policy and Planning

103

View full text Add to dashboard Cite

A number of primary studies and systematic reviews focused on the contribution of community health workers (CHWs) in the delivery of essential health services. In many countries, a cadre of informal health workers also provide services on a volunteer basis [community health volunteers (CHV)], but there has been no synthesis of studies investigating their role and potential contribution across a range of health conditions; most existing studies are narrowly focused on a single condition. As this cadre grows in importance, there is a need to examine the evidence on whether and how CHVs can improve access to and use of essential health services in low- and middle-income countries (LMICs). We report an umbrella review of systematic reviews, searching PubMed, the Cochrane library, the database of abstracts of reviews of effects (DARE), EMBASE, ProQuest dissertation and theses, the Campbell library and DOPHER. We considered a review as ‘systematic’ if it had an explicit search strategy with qualitative or quantitative summaries of data. We used the Joanna Briggs Institute (JBI) critical appraisal assessment checklist to assess methodological quality. A data extraction format prepared a priori was used to extract data. Findings were synthesized narratively. Of 422 records initially found by the search strategy, we identified 39 systematic reviews eligible for inclusion. Most concluded that services provided by CHVs were not inferior to those provided by other health workers, and sometimes better. However, CHVs performed less well in more complex tasks such as diagnosis and counselling. Their performance could be strengthened by regular supportive supervision, in-service training and adequate logistical support, as well as a high level of community ownership. The use of CHVs in the delivery of selected health services for population groups with limited access, particularly in LMICs, appears promising. However, success requires careful implementation, strong policy backing and continual support by their managers.

show abstract

Section: Resultsmentioning

confidence: 99%

Community health volunteers could help improve access to and use of essential health services by communities in LMICs: an umbrella review

Woldie

Admasu

Hassen

et al. 2018

Health Policy and Planning

103

View full text Add to dashboard Cite

show abstract

“…The peer chat gave patients the opportunity to share experiences and discuss asthma-related topics with other participants. This was an age-specific functionality, as peers are important during adolescence [21]. Adolescents recommended this functionality during the developmental phase.…”

Section: Methodsmentioning

confidence: 99%

Effective Engagement of Adolescent Asthma Patients With Mobile Health–Supporting Medication Adherence

Kosse

Bouvy

Belitser

et al. 2019

JMIR Mhealth Uhealth

View full text Add to dashboard Cite

Background Mobile health (mHealth) apps have the potential to support patients’ medication use and are therefore increasingly used. Apps with broad functionality are suggested to be more effective; however, not much is known about the actual use of different functionalities and the effective engagement. Objective The aim of this study was to explore the use and the effective engagement of adolescents (aged 12 to 18 years) with the Adolescent Adherence Patient Tool (ADAPT). Methods The ADAPT intervention consisted of an app for patients, which was connected to a management system for their pharmacist. The aim of the ADAPT intervention was to improve medication adherence and, therefore, the app contained multiple functionalities: questionnaires to monitor symptoms and adherence, medication reminders, short movies, pharmacist chat, and peer chat. For this study, data of the ADAPT study and a cluster randomized controlled trial were used. Adolescents with asthma had 6 months’ access to the ADAPT intervention, and all app usage was securely registered in a log file. Results In total, 86 adolescents (mean age 15.0, SD 2.0 years) used the ADAPT app 17 times (range 1-113) per person. Females used the app more often than males ( P =.01) and for a longer period of time ( P =.03). On average, 3 different functionalities were used, and 13% of the adolescents used all functionalities of the app. The questionnaires to monitor symptoms and adherence were used by most adolescents. The total app use did not affect adherence; however, activity in the pharmacist chat positively affected medication adherence ( P =.03), in particular, if patients sent messages to their pharmacist ( P =.01). Conclusions mHealth apps for adolescents with asthma should contain different functionalities to serve the diverging needs and preferences of individual patients. Suggested key functionalities to promote use and effectiveness in adolescents with asthma are questionnaires to monitor symptoms and a health care provider chat.

show abstract

“…20 In high-income settings, a small number of studies have evaluated peer-and lay-led complex asthma interventions for adolescents, suggesting a small improvement in asthma-related quality of life, although the effect on asthma control, exacerbations and adherence are unclear. 21 Self-management education delivered to adults with asthma by trained lay people, resulted in comparable clinical outcomes to patients seen by primary care based practice nurses in the UK. 22 Qualitative exploration of the experiences of these lay educators reinforced several of the points raised in our study; the need for comprehensive support and monitoring, particularly at the start of the programme, and the importance of training, with consideration of content, intensity, and interactive teaching methods.…”

Section: Discussionmentioning

confidence: 99%

Task-shifting to Improve Asthma Education for Malawian Children: a Qualitative Analysis

Nkhalamba

Rylance

Muula

et al. 2020

Preprint

View full text Add to dashboard Cite

Background:Asthma education, a key component of long-term asthma management, is challenging in resource-limited settings with shortages of clinical staff. Task-shifting educational roles to lay (non-clinical) staff is a potential solution. We conducted a randomised controlled trial of an enhanced asthma care intervention for children in Malawi, which included reallocation of asthma education tasks to lay-educators. In this qualitative sub-study, we explored the experiences of asthmatic children, their families and lay-educators, to assess the acceptability, facilitators and barriers, and perceived value of the task-shifting asthma education intervention.Methods:We conducted 6 focus group discussions, including 15 children and 28 carers, and individual interviews with 4 lay-educators and a senior nurse. Translated transcripts were coded independently by three researchers and key themes identified. Results:Prior to the intervention, participants reported challenges in asthma care including the busy and sometimes hostile clinical environment, lack of access to information and the erratic supply of medication. The education sessions were well received: participants reported greater understanding of asthma and their treatment and confidence to manage symptoms. The lay-educators appreciated pre-intervention training, written guidelines, , and access to clinical support. Low education levels among carers presented challenges, requiring an open, non-critical and individualised approachDiscussion:Asthma education can be successfully delivered by lay-educators with adequate training, supervision and support, with benefits to the patients, their families and the community. Wider implementation could help address human resource shortages and support progress towards Universal Health Coverage.Trial Registration:The RCT was registered in the Pan African Clinical Trials Registry: PACTR201807211617031

show abstract

Lay-led and peer support interventions for adolescents with asthma

Cited by 38 publications

References 48 publications

Community health volunteers could help improve access to and use of essential health services by communities in LMICs: an umbrella review

Community health volunteers could help improve access to and use of essential health services by communities in LMICs: an umbrella review

Effective Engagement of Adolescent Asthma Patients With Mobile Health–Supporting Medication Adherence

Task-shifting to Improve Asthma Education for Malawian Children: a Qualitative Analysis

Contact Info

Product

Resources

About