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Home-based educational interventions for children with asthma
Antonia O'Connor1,2, Maryam Hasan3, Krishna Bajee Sriram4,5
1Department of Respiratory and Sleep Medicine, Women's and Children's Hospital, North Adelaide, Australia.
The Cochrane Database of Systematic Reviews
|February 6, 2025
Summary
Home-based asthma education for children shows uncertain benefits compared to usual care or education elsewhere. While it may slightly improve quality of life, more research is needed to determine optimal content and effectiveness for asthma management.
Area of Science:
- Pediatric Pulmonology
- Health Education Research
- Evidence-Based Medicine
Background:
- Asthma is a prevalent chronic respiratory condition affecting millions globally.
- Home-based asthma education aims to improve self-management skills in a familiar environment.
- Existing evidence on the superiority of home-based asthma education requires further investigation.
Purpose of the Study:
- To evaluate the effectiveness of home-based educational interventions for pediatric asthma.
- To assess impacts on asthma-related outcomes in children, caregivers, or both.
- To compare home-based education against usual care, less-intensive education, or education delivered elsewhere.
Main Methods:
- Systematic review and meta-analysis of randomized controlled trials (RCTs).
- Inclusion of face-to-face, self-management programs for children (2-18 years) with asthma.
- Data extraction and quality assessment using GRADE; meta-analysis of continuous and dichotomous data.
Main Results:
- Home-based education showed very uncertain effects on emergency department visits and low certainty for oral corticosteroid use compared to controls.
- A potential improvement in quality-of-life scores was observed, though with very uncertain evidence.
- More intensive home-based education did not significantly reduce emergency visits but may decrease hospitalizations compared to less-intensive programs.
Conclusions:
- Evidence for home-based asthma educational interventions remains uncertain when compared to usual care or education delivered in other settings.
- Home-based education may offer benefits for quality of life and potentially reduce hospitalizations.
- Considerable diversity in studies limits interpretation; further research is needed to identify optimal components and settings for pediatric asthma education.
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