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Implementing asthma education programmes in paediatric respiratory care: settings, timing, people and evaluation
Liesl M Osman1, Christine Calder
1Respiratory Medicine Unit, Aberdeen Royal Hospitals and Department of Medicine and Therapeutics, University of Aberdeen, Aberdeen AB25 2ZD, UK. l.osman@abdn.ac.uk
Insights
Asthma education programs in pediatric care empower children and parents to better manage asthma. Implementing these programs at key healthcare touchpoints improves asthma control and confidence.
Area of Science:
- Pediatric Pulmonology
- Healthcare Management
- Patient Education
Background:
- Randomized controlled trials demonstrate the efficacy of asthma education programs in pediatric care.
- Effective asthma management requires active participation from both children and their parents.
Purpose of the Study:
- To discuss the practical implementation of asthma education programs within routine pediatric healthcare.
- To identify optimal timing and strategies for delivering asthma education.
Main Methods:
- The paper reviews existing evidence on asthma education programs.
- It proposes key implementation points: initial diagnosis, post-acute events, medication changes, and regular reviews.
- It addresses specific challenges, such as educating adolescent populations.
Main Results:
- Implementation strategies focus on integrating education into standard clinical workflows.
- Process evaluation includes assessing protocols, designated coordinators, and audit outcomes.
- Individual outcome evaluation focuses on clinical improvement and enhanced patient-reported asthma control and confidence.
Conclusions:
- Integrating asthma education into pragmatic pediatric care is feasible and recommended.
- Structured implementation and evaluation are crucial for program success.
- Empowering families through education leads to improved asthma control and quality of life.
Abstract:
Randomised controlled trials have shown that asthma education programmes in paediatric care can improve the ability of children and their parents to control their asthma. This paper discusses the implementation of asthma education within pragmatic care. Key times for implementation are suggested: at the initial diagnosis, after acute asthma events such as hospitalisation, at the time of medication change and at regular review. Special issues, such as implementing programmes for teenagers, are discussed. Evaluation is recommended for processes (does the practice have an agreed protocol for education, does it have a key person with responsibility for co-ordinating education within the clinic or practice, does it have agreed outcomes for audit of education?). Evaluation is also recommended for individual outcomes (clinical improvement and increase in perceived asthma control and confidence in management).
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