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Published on: August 1, 2019
Internet-enabled interactive multimedia asthma education program: a randomized trial
Santosh Krishna1, Benjamin D Francisco, E Andrew Balas
1School of Public Health, Saint Louis University, St Louis, MO 63104, USA. krishnas@slu.edu
Insights
An interactive multimedia asthma education program improved health outcomes for children with asthma. This digital tool enhanced asthma knowledge, reduced symptom days, and decreased emergency visits, offering a valuable supplement to traditional care.
Area of Science:
- Pediatric Pulmonology
- Health Informatics
- Digital Health Education
Background:
- Childhood asthma management requires effective patient education.
- Traditional asthma education methods may have limitations in engagement and knowledge retention.
- Internet-enabled interactive multimedia offers a novel approach to patient education.
Purpose of the Study:
- To evaluate the impact of an Internet-enabled interactive multimedia asthma education program on health outcomes in children with asthma.
- To assess improvements in asthma knowledge, symptom control, and healthcare utilization.
Main Methods:
- A randomized controlled trial involving 228 children with asthma visiting a pediatric pulmonary clinic.
- Intervention group received standard education plus the Interactive Multimedia Program for Asthma Control and Tracking (IMPACT).
- Data collected included asthma knowledge surveys, quality of life questionnaires, symptom history, spirometry, and health services utilization over 12 months.
Main Results:
- The IMPACT program significantly increased asthma knowledge in children and caregivers.
- Intervention group experienced a reduction in asthma symptom days (81 vs 51 per year) and emergency department visits (1.93 vs 0.62 per year).
- Children in the intervention group showed decreased use of inhaled corticosteroids and a correlation between asthma knowledge and fewer urgent physician visits.
Conclusions:
- Interactive multimedia education, when supplementing conventional asthma care, significantly enhances children's asthma knowledge.
- This approach effectively reduces the overall burden of childhood asthma, including symptom frequency and healthcare needs.
- Digital health tools show promise in improving pediatric asthma management and patient outcomes.
Objective:
To determine whether health outcomes of children who have asthma can be improved through the use of an Internet-enabled interactive multimedia asthma education program.
Methods:
Two hundred twenty-eight children with asthma visiting a pediatric pulmonary clinic were randomly assigned to control and intervention groups. Children and caregivers in both groups received traditional patient education based on the National Asthma Education and Prevention Program. Intervention group participants received additional self-management education through the Interactive Multimedia Program for Asthma Control and Tracking. Pediatric Asthma Care Knowledge Survey, Pediatric Asthma Caregiver's Quality of Life Questionnaire, asthma symptom history, spirometry, and health services utilization data were collected at the initial visit and at 3 and 12 months.
Results:
Interactive Multimedia Program for Asthma Control and Tracking significantly increased asthma knowledge of children and caregivers, decreased asthma symptom days (81 vs 51 per year), and decreased number of emergency department visits (1.93 vs 0.62 per year) among the intervention group participants. The intervention group children were also using a significantly lower average daily dose of inhaled corticosteroids (434 vs 754 micro g [beclomethasone equivalents]) at visit 3. Asthma knowledge of all 7- to 17-year-old children correlated with fewer urgent physician visits (r = 0.37) and less frequent use of quick-relief medicines (r = 0.30).
Conclusions:
Supplementing conventional asthma care with interactive multimedia education can significantly improve asthma knowledge and reduce the burden of childhood asthma.
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