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You Can Control Asthma: evaluation of an asthma education program for hospitalized inner-city children

V S Taggart, A E Zuckerman, R M Sly

    Patient Education and Counseling
    |February 1, 1991
    PubMed

    Insights

    Hospital-based asthma education for children significantly improved their knowledge of asthma triggers and self-control. This program also reduced emergency room visits, demonstrating its effectiveness in managing childhood asthma.

    Area of Science:

    • Pediatric Pulmonology
    • Health Education
    • Behavioral Science

    Background:

    • Asthma is a chronic respiratory condition affecting millions of children worldwide.
    • Effective asthma self-management is crucial for reducing exacerbations and improving quality of life.
    • Traditional asthma education programs may not reach all children, particularly those hospitalized.

    Purpose of the Study:

    • To design and evaluate a self-management education program for pediatric asthma patients during hospitalization.
    • To assess the program's feasibility and impact on children's asthma knowledge, self-control, and parental self-management techniques.
    • To determine the program's effect on healthcare utilization, specifically emergency room visits.

    Main Methods:

    • A multi-component educational program involving videotapes, activity books, and nurse-led discussions was implemented.
    • Pre- and post-tests were administered to 40 children (ages 6-12) to measure changes in asthma knowledge and Health Locus of Control.
    • Parental reports and medical record reviews (15 months pre- and post-intervention) were used to assess self-management practices and healthcare utilization.

    Main Results:

    • Children demonstrated statistically significant increases in knowledge of asthma warning signs and expected responses.
    • A significant improvement in children's sense of personal control (Health Locus of Control) regarding their asthma was observed.
    • Parents reported increased use of self-management techniques, and medical records showed a reduction in emergency room use post-intervention.

    Conclusions:

    • Inpatient hospital-based education is a viable and effective strategy for introducing asthma management skills to children.
    • This program demonstrated positive impacts on children's knowledge, self-efficacy, and healthcare utilization.
    • Hospital education can serve as a critical opportunity to reach children with asthma who may not benefit from traditional outpatient programs.

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