The effectiveness of newly developed written asthma action plan in improvement of asthma outcome in children

Lakupoch, Kingthong; Manuyakorn, Wiparat; Preutthipan, Aroonwan; Kamalaporn, Harutai

doi:10.12932/ap-010217-0002

Cited by 10 publications

(8 citation statements)

References 12 publications

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“…Our first finding was that parents who had AAPs had slightly, but statistically significant, higher asthma parental self-efficacy than parents who did not have AAPs. Our finding is consistent with a recent study suggesting that AAP use is associated with improved confidence for parents caring for children with asthma [11]. The asthma self-efficacy questions included measures for comfortableness for, understanding of, and feelings of the ability to care for a child's asthma symptoms, which can contribute to confidence.…”

Section: Principal Findingssupporting

confidence: 90%

“…This contrasts with a finding in which parents who used AAPs did not report a significant decrease of child symptom-free days compared to parents who did not use an AAP; those authors considered that perhaps AAP users have more symptoms and, thus, worse outcomes [8]. However, another study found that AAP use was associated with reduced school absence days due to asthma [11]. Our findings of parents' perceptions of a decreased need for work absences and school absences is consistent with this; it may indicate that AAP use decreased the severity of symptoms in at least some children, such that time away from work and school were reduced.…”

Section: Principal Findingsmentioning

confidence: 85%

“…Despite these potential benefits, studies measuring the impact of AAPs on asthma complications have shown variable results. Some studies have not supported that providing AAPs to children is associated with a decrease of symptom-free days, urgent care visits, or unscheduled doctor visits [8][9][10], while other studies on AAP use found a decrease in missed school days, emergency room use, and unscheduled doctor visits [11][12][13], as well as improved confidence in parents caring for children with asthma [11]. AAP effectiveness may be influenced by income and literacy.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pediatric Asthma Action Plans: National Cross-Sectional Online Survey of Parents' Perceptions (Preprint)

Pletta¹,

Kerr²,

Eickhoff³

et al. 2020

Preprint

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BACKGROUND

Asthma Action Plans (AAPs) are recommended for pediatric patients to help improve asthma control. Studies have shown variable results for unscheduled doctor and emergency room visits. There may be an impact on parental self-efficacy for asthma management and other daily living factors, such as missed school or parent work days, or school or caregiver management that are valuable for patients and families.

OBJECTIVE

The purpose of this study was to understand parent perceptions of AAPs. The goals of this study were threefold, including examining: 1) the association between pediatric AAPs and parental self-efficacy, 2) parent perception of helpfulness of an AAP for daily living factors, and 3) associations with the type of provider who gave the AAP (primary care provider or asthma specialist).

METHODS

A national cross-sectional online survey was completed by parents of children ages 0-17 years with asthma in October 2018. Survey questions included presence or absence of pediatric Asthma Action Plan (AAP), Bursch Parental Self-Efficacy for Asthma, parental perceptions of helpfulness of AAP with regard to daily living factors ranked on a 5-point Likert scale, and provider type who gave AAP. Survey responses were summarized in terms of percentages or means +/− standard deviations. A two-sample t-test was used to compare self-efficacy for asthma and parental perception for helpfulness scores between subjects with an AAP versus subjects without an AAP. All reported P-values were two-sided.

RESULTS

A total of 704 parents with a child with asthma completed the survey. Parents had a mean age of 37.5 years (SD 10.9,) 82% were female and 77% were Caucasian. Most (80%) parents had an AAP for their child (65% written, 47% online, 84% available at school). Bursch Self-Efficacy Scale was significantly higher for parents with AAP (Mean=57.7, SD=8.6) vs no AAP (Mean=55.1, SD=9.9) (P=0.0008). Parents ranked at level of agreed/strongly agreed that AAP was helpful for daily living factors including managing asthma (80%), decreased parental missed work days (68%), decreased child missed school days (73%), when child is at school (78%), when child is with other caregivers (80%), child doing normal activities (78%) and child leading a normal life (81%). Parents agreed/strongly agreed that AAP was helpful from all provider types: pediatric provider (82.8%), family practice provider (79%) and asthma specialist (84.4%). There was not a significant difference (P=.53) by type of provider who gave the AAP.

CONCLUSIONS

Parents who had pediatric AAPs for their children had improved parental self-efficacy compared to those who did not have AAPs. Parents found AAPs helpful for decreasing missed time from work and school and for asthma management when at home, school and when with other caregivers. Significant AAP helpfulness was seen regardless of provider who gave AAP, parent education and income level. Findings support the usefulness of pediatric AAPs for families and the development of easily sharable electronic AAPs for children.

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Section: Principal Findingssupporting

confidence: 90%

Section: Principal Findingsmentioning

confidence: 85%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric Asthma Action Plans: National Cross-Sectional Online Survey of Parents' Perceptions (Preprint)

Pletta¹,

Kerr²,

Eickhoff³

et al. 2020

Preprint

View full text Add to dashboard Cite

BACKGROUND

OBJECTIVE

METHODS

RESULTS

CONCLUSIONS

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“…The main purpose of this project was to improve participant sense of self-efficacy regarding student asthma exacerbation prevention and management through education about, and provision of, personalized student AAPs. While previous studies of AAP use have clearly demonstrated improvement in pediatric asthma management (Akhter et al, 2017;Khan et al, 2014;Lakupoch et al, 2018;Srinivas, 2015), their focus has been on use primarily in the home setting. Studies specific to school-based AAP use have generally concentrated on improving school nurse AAP initiation within schools (Egginton et al, 2013;Hanson et al, 2013;Jaramillo & Reznik, 2015;McCabe et al, 2018;Richmond et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

Improving Self-Efficacy of Student Asthma Management in Elementary and Preschool Staff

Arekapudi

Norris

Updegrove

2020

The Journal of School Nursing

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Asthma is a leading cause of chronic illness among school-aged children and adolescents. Current trends have led to school faculty and staff becoming increasingly responsible for managing student asthma, often without optimal training or resources. The purpose of this project was to establish whether facilitated access to personalized student asthma action plans (AAPs), education, proper use, and school nurse support improved reported self-efficacy regarding student asthma exacerbation prevention and management in elementary and preschool faculty and staff. Thirty-five participants from an urban, underserved Connecticut school were surveyed to determine perceived self-efficacy regarding student asthma exacerbation prevention and management. AAPs were then placed with students’ asthma inhalers, and all participants were instructed on their use. Three months later, participants were resurveyed. A statistically significant difference after both the initial education and 3-month survey was identified. Providing elementary and preschool faculty and staff with facilitated access to student action plans and education on their use can improve perceived self-efficacy regarding student asthma exacerbation prevention and management.

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“…Action plans should be created with patient/caregiver input, shared with relevant individuals (eg, school teachers) and should be reviewed and updated regularly. PAAPs have been shown to reduce ED attendance and missed school days and to increase caregiver confidence when managing attacks 44. The 2018 Annual Asthma Survey found that over 50% of children with asthma in the UK had no PAAP, and around 20% of caregivers did not seek medical advice during acute asthma attacks, highlighting large gaps in education 45…”

Section: Management Of Asthma In Childrenmentioning

confidence: 99%

Diagnosis and management of asthma in children

Martin

Townshend

Brodlie

2022

bmjpo

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Asthma is the the most common chronic respiratory condition of childhood worldwide, with around 14% of children and young people affected. Despite the high prevalence, paediatric asthma outcomes are inadequate, and there are several avoidable deaths each year. Characteristic asthma features include wheeze, shortness of breath and cough, which are typically triggered by a number of possible stimuli. There are several diagnostic challenges, and as a result, both overdiagnosis and underdiagnosis of paediatric asthma remain problematic.Effective asthma management involves a holistic approach addressing both pharmacological and non-pharmacological management, as well as education and self-management aspects. Working in partnership with children and families is key in promoting good outcomes. Education on how to take treatment effectively, trigger avoidance, modifiable risk factors and actions to take during acute attacks via personalised asthma action plans is essential.This review aimed to provide an overview of good clinical practice in the diagnosis and management of paediatric asthma. We discuss the current diagnostic challenges and predictors of life-threatening attacks. Additionally, we outline the similarities and differences in global paediatric asthma guidelines and highlight potential future developments in care. It is hoped that this review will be useful for healthcare providers working in a range of child health settings.

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The effectiveness of newly developed written asthma action plan in improvement of asthma outcome in children

Cited by 10 publications

References 12 publications

Pediatric Asthma Action Plans: National Cross-Sectional Online Survey of Parents' Perceptions (Preprint)

Pediatric Asthma Action Plans: National Cross-Sectional Online Survey of Parents' Perceptions (Preprint)

Improving Self-Efficacy of Student Asthma Management in Elementary and Preschool Staff

Diagnosis and management of asthma in children

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