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Theory-based self-management intervention to improve adolescents' asthma control: a cluster randomised controlled
Katherine Harris1, Gioia Mosler1, Jonathan Grigg1
1Centre for Genomics and Child Health, Queen Mary University of London, London, UK.
BMJ Open
|April 25, 2019
Summary
A new school-based intervention aims to improve asthma control in children by addressing adherence barriers. This study will evaluate its effectiveness in enhancing self-management behaviors and reducing poorly controlled asthma cases.
Area of Science:
- Pediatric Respiratory Medicine
- Public Health Interventions
- Behavioral Science in Healthcare
Background:
- Asthma morbidity and mortality are disproportionately high in the UK compared to Europe.
- Previous research indicated that 45.7% of children with asthma have poorly controlled symptoms, with low adherence to inhaled corticosteroids.
- Identified barriers to adherence include embarrassment, bullying, forgetfulness, and misconceptions about medication.
Purpose of the Study:
- To develop and test a school-based self-management intervention for children with asthma.
- To improve asthma control and self-management behaviors in pediatric populations.
- To address the high rates of poorly controlled asthma in the UK.
Main Methods:
- A theory-based cluster randomized controlled trial utilizing the COM-B model.
- Intervention includes a theatre workshop and self-management workshops for children in years 7 and 8.
- Data collection via questionnaires at baseline, and 3, 6, and 12 months post-intervention, with primary outcome measured by the Asthma Control Test.
Main Results:
- The study is designed to quantitatively analyze data using generalized linear and non-linear mixed effects models.
- The primary outcome measure is asthma control, assessed using the Asthma Control Test at 6 months post-intervention.
- The study will determine the intervention's effect on asthma control and self-management behaviors.
Conclusions:
- The findings will inform strategies to improve asthma management in school-aged children.
- This intervention has the potential to reduce asthma-related morbidity in the UK.
- Dissemination of results will occur through conferences, publications, and social media.