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Guideline Implementation for Improved Asthma Management and Treatment Adherence in Children in Jordan
Roqia Maabreh1, Mahmoud H Alrabab'a1, Madiha Amin Morsy2
1Faculty of Nursing, Al-Balqa Applied University, Alsalt 19117, Jordan.
Insights
Implementing asthma management guidelines significantly improved knowledge and treatment adherence in children with asthma and their mothers. These positive effects were sustained, highlighting the importance of guideline adherence for effective asthma control.
Area of Science:
- Pediatric Pulmonology
- Health Services Research
- Chronic Disease Management
Background:
- Asthma significantly burdens children, families, and society.
- Effective asthma management requires consistent adherence to treatment guidelines.
- Limited research exists on the impact of asthma guidelines on pediatric patients and their caregivers.
Purpose of the Study:
- To evaluate the influence of asthma management guidelines on knowledge and treatment adherence.
- To assess the impact on children with asthma and their mothers.
- To examine the sustainability of improvements post-guideline implementation.
Main Methods:
- Quasi-experimental design conducted in two Jordanian hospitals.
- Purposive sample of 100 children (aged 6-12) and 100 mothers.
- Data collected via questionnaire and observation checklist pre- and post-guideline implementation.
Main Results:
- Statistically significant improvement in asthma-related knowledge for both children and mothers (p < 0.001).
- Significant increase in children's adherence to treatment post-guideline implementation (p < 0.001).
- Sustained improvements in knowledge and adherence observed during follow-up assessments.
Conclusions:
- Asthma management guidelines positively impacted children's treatment adherence.
- Adherence to conventional guidelines is crucial for effective asthma management across healthcare services.
- The study underscores the benefits of guideline-based interventions for pediatric asthma.
Abstract:
Asthma imposes a significant social burden on children, their families, and society at large. As a chronic health condition, effective management could greatly benefit from consistent adherence to guidelines. Despite this, minimal effort has been exerted to examine the impact of asthma management guidelines and adherence to treatment on children with asthma and the mothers caring for them. This study was designed to evaluate the influence of asthma management guidelines on the knowledge and treatment adherence among children with asthma and their mothers. A quasi-experimental design was utilized, and the study was conducted at two large hospitals in Jordan: Princess Rahma Hospital and King Hussein Medical Center. A purposive sample of children aged 6-12 years (n = 100) who were accompanied by their mothers (n = 100) were recruited for this study. Data were collected using a structured questionnaire and an observation checklist before and after the implementation of guidelines. Statistical analyses were performed using SPSS. The results revealed a statistically significant improvement in knowledge related to asthma among children and their mothers (p < 0.001). Additionally, a statistically significant difference was observed in the children's adherence to their treatment regimen before and after the implementation of asthma management guidelines (p < 0.001). Moreover, the improvements in knowledge and practice related to asthma were sustained in the follow-up assessments. In conclusion, the guidelines had a beneficial effect on the children's adherence to their treatment regimen both before and after their implementation. Thus, asthma patients should adhere to conventional guidelines at various health services to manage their condition effectively.
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