PELICAN: a cluster-randomized controlled trial in Dutch general practices to assess a self-management support intervention based on individual goals for children with asthma

Abstract

Due to recruitment problems and underpowered analyses, no firm conclusions on the effectiveness of ISM support for childhood asthma in primary care could be drawn. Still, this study can be considered a valuable pilot study and in the future, there might be better capacity in general practices to commit to such treatment.

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

“…Health‐related quality of life was measured in 23 studies. From these, eleven did not find any significant differences between the intervention group and the control group, while 12 studies found significant effects or improvements in intervention groups over time …”

“…One study found that, when compared to the control group, participants in the intervention group became more aware of their strengths as well as the difficulties connected to their diagnosis . One study was unfortunately underpowered and found no differences . One of the two studies that compared cognitive behavioural therapy‐based intervention with psycho‐education failed to find significant differences between the groups .…”

“…53,55,[65][66][67][68] Health-related quality of life was measured in 23 studies. From these, eleven did not find any significant differences between the intervention group and the control group, 26,27,29,57,63,[68][69][70][71][72][73] while 12 studies found significant effects or improvements in intervention groups over time. 40,42,52,53,55,59,60,66,[74][75][76] Knowledge was investigated in 10 studies.…”

“…77 One study was unfortunately underpowered and found no differences. 73 One of the two studies that compared cognitive behavioural therapy-based intervention with psycho-education failed to find significant differences between the groups. 82 The second study, however, found significant changes in the cognitive behavioural therapy group controlled for baseline scores.…”

Astım Yönetiminde Okul Temelli Yaklaşım ve Hemşirenin Rolleri

“…28 Bu süreçte okul sağlığı hemşirelerinin önemli rolleri vardır. Bu roller ile bunun astım yönetimine ilişkin yarattığı olumlu sonuçları şöyledir: 27,35 Sonuç: Okul çağındaki çocuklara astım yönetiminde sorumluluk verilmesi, astım durumu üzerinde kontrol ve yeterlilik algısı oluşturarak, çocuğun sağlıklı gelişimine destek olur. 35 Bir meta-analiz çalışması sonucunda ise çocuk ve adölesanlara astım özyönetimi için verilen eğitimin, çocuklarda özyönetim ve akciğer fonksiyonlarında gelişimi sağlamasının yanında okul devamsızlığını, okulda aktivite kısıtlamasını ve acil servislere olan başvuru sıklığını azaltması yönünden etkili olduğu bildirilmektedir.…”