Related Experiment Videos
Testing an intervention to promote children's adherence to asthma self-management
Patricia V Burkhart1, Mary Kay Rayens, Marsha G Oakley
1College of Nursing, University of Kentucky, Lexington, KY 40536-0232, USA. pvburk2@email.@uky.edu
Summary
Asthma education plus contingency management improved adherence to peak expiratory flow monitoring in children. This intervention helped children with persistent asthma manage their condition effectively at home.
Area of Science:
- Pediatric Pulmonology
- Behavioral Science
- Asthma Self-Management
Background:
- Persistent asthma affects many children, necessitating effective self-management strategies.
- Peak expiratory flow (PEF) monitoring is crucial for asthma self-management.
- Adherence to PEF monitoring can be challenging for pediatric patients.
Purpose of the Study:
- To evaluate the effectiveness of asthma education combined with a contingency management behavioral protocol.
- To determine if this intervention improves adherence to PEF monitoring in children with persistent asthma.
- To assess if the intervention reduces asthma episodes in pediatric patients.
Main Methods:
- A randomized controlled trial involving 77 children with persistent asthma.
- Intervention group received asthma education and contingency management (self-monitoring, contracts, reinforcement).
- Adherence to daily PEF monitoring was electronically assessed over 16 weeks.
Main Results:
- No significant difference in PEF monitoring adherence at baseline or 8 weeks.
- Intervention group showed significantly higher adherence at 16 weeks.
- High adherence (>=80%) to PEF monitoring was associated with fewer asthma episodes.
Conclusions:
- The combined asthma education and contingency management intervention was effective.
- The protocol successfully enhanced adherence to home-based asthma self-management.
- Improved adherence to PEF monitoring may lead to better asthma control in children.
Related Concept Videos
01:30Asthma-IV: Nursing Management
The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
First, in...
01:30Asthma-IV: Diagnostic and Management
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
01:30Chronic Obstructive Pulmonary Disease-V: Nursing Management
Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
Assessment
01:29Asthma-I: Introduction
Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
01:26COPD: Management Using Bronchodilators and Corticosteroids
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
01:29Chronic Obstructive Pulmonary Disease-V: Management
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation