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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

Journal of Nursing Scholarship : an Official Publication of Sigma Theta Tau International Honor Society of Nursing
|May 31, 2007
PubMed

Insights

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.
Abstract

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