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Development of a health education program for parents of preschool children with asthma
I Mesters1, R Meertens, H Crebolder
1Department of Health Education, University of Limburg, Maastricht, The Netherlands.
Insights
A new self-management education program for parents of young children with asthma significantly improved knowledge, attitudes, self-efficacy, and behaviors. This program integrates education into routine medical care for better asthma management in children.
Area of Science:
- Pediatrics
- Health Education
- Asthma Management
Background:
- Asthma is a common chronic respiratory disease in preschool children.
- Effective self-management support for pediatric asthma is crucial for improving health outcomes.
- Current healthcare models may not fully integrate educational components into routine pediatric asthma care.
Purpose of the Study:
- To develop and pilot test a self-management education program for parents of preschool children with asthma.
- To integrate asthma education into the existing medical care framework provided by various healthcare professionals.
- To assess the program's impact on parental knowledge, attitudes, self-efficacy, and self-management behaviors.
Main Methods:
- Development of a multi-component program involving four manuals for healthcare providers and a parent booklet.
- Needs assessment surveys involving parents and healthcare professionals to inform program design.
- Pilot testing of the program through group sessions with parents.
- Pre- and post-test measurements of key variables including knowledge, attitude, self-efficacy, and behavior.
Main Results:
- Significant improvements were observed in parental knowledge, attitude, self-efficacy, and self-management behaviors post-program participation.
- The program successfully integrated educational tasks across different healthcare disciplines (GPs, asthma nurses, community nurses, child health doctors).
- Pilot study findings support the program's efficacy in enhancing parental capacity for pediatric asthma self-management.
Conclusions:
- The developed self-management education program shows promise for improving pediatric asthma care.
- Integration of education within routine medical services is a feasible and effective strategy.
- Further evaluation in a controlled primary healthcare setting is warranted to confirm efficacy.
Abstract:
This paper presents the development and pilot testing of a self-management education program for parents of preschool children (0-4 years) with asthma, involving general practitioners, asthma nurses, community nurses and doctors of child health centers. The program intends to integrate education in the medical care provided to the child (and the parent). The program contains four manuals, one for each group of health care providers, and a booklet for parents. The manuals identify the educational tasks per discipline and regulate referral from one discipline to another. The booklet provides written information for parents. In the development of the program, representative from both the target population and the providers of the education were involved in needs assessment surveys. Findings of these surveys were integrated into the design of the program. Then, a pilot study was conducted to test the efficacy of the program during group sessions. Findings indicate that the variables measured (knowledge, attitude, self-efficacy and self-management behaviors) improved significantly from pre- to post-test. Finally, the program was revised for the next phase in which the program will be evaluated in primary health care with a controlled trial.
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