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Group discussions with parents have long-term positive effects on the management of asthma with good cost-benefit

C-A Hederos1, S Janson, G Hedlin

  • 1Barn-ungdomsmedicin mottagningen, Primary Care Research Unit, Karlstad, Sweden. carl-axel.hederos@liv.se

Acta Paediatrica (Oslo, Norway : 1992)
|September 29, 2005
PubMed

Insights

Group intervention significantly improved adherence and reduced asthma exacerbations in preschool children. This enhanced parental support led to better clinical outcomes and was economically beneficial.

Area of Science:

  • Pediatric Pulmonology
  • Health Education
  • Behavioral Science

Background:

  • Asthma management in preschool children presents challenges in adherence and clinical outcomes.
  • Parental involvement is crucial for effective pediatric asthma care.
  • Existing interventions may not adequately address parental support needs.

Purpose of the Study:

  • To evaluate the impact of a group-based intervention providing extra information and support to parents of preschool children with asthma.
  • To determine if this intervention improves medication adherence and clinical outcomes.

Main Methods:

  • A controlled, prospective study involving 60 newly diagnosed preschool asthmatic children (3 months to 6 years).
  • Randomization into either a control group or an intervention group receiving four group sessions.
  • Outcome measures included adherence rates, asthma burden (using diaries and MDI weighing), and clinical assessments over 18 months.

Main Results:

  • The intervention group showed significantly improved parental perception of adherence (8% poor adherence vs. 30% in control, p=0.015).
  • Children in the intervention group experienced fewer exacerbation days (2.1 vs. 3.9 per child) despite lower inhaled steroid doses.
  • The intervention proved to be profitable upon economic calculation.

Conclusions:

  • A group intervention significantly enhances parental adherence to asthma treatment plans in preschool children.
  • The intervention leads to improved clinical outcomes, including reduced exacerbations.
  • This supportive educational approach is effective and economically advantageous for pediatric asthma management.
Abstract

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