Effectiveness of a school- and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school-age students

J Spec Pediatr Nurs. 2015 Jan;20(1):62-75. doi: 10.1111/jspn.12099. Epub 2014 Nov 30.

Abstract

Purpose: The purpose was to evaluate the effectiveness of Staying Healthy-Asthma Responsible & Prepared, an academic asthma health education and counseling program, on fostering the use of effective asthma self-care behaviors.

Design and methods: This was a phase III, two-group, cluster randomized, single-blinded, longitudinal design-guided study. Caregivers of 205 fourth- and fifth-grade students completed the asthma health behaviors survey at preintervention, and 1, 12, and 24 months postintervention. Analysis involved multilevel modeling.

Results: All students demonstrated improvement in episode management, risk reduction/prevention, and health promotion behaviors; Staying Healthy-Asthma Responsible & Prepared students demonstrated increased improvement in episode management and risk reduction/prevention behaviors.

Practice implications: Working with schoolteachers, nurses can improve the use of effective asthma self-care behaviors.

Keywords: Adaptation; adjustment; condition management; episode management; health promotion; intervention; pediatric; prevention; quality of life; randomized control trial; risk reduction; self-management.

Publication types

  • Clinical Trial, Phase III
  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Age Factors
  • Asthma / diagnosis
  • Asthma / psychology
  • Asthma / therapy*
  • Caregivers / education
  • Cluster Analysis
  • Female
  • Health Behavior
  • Health Education / organization & administration*
  • Humans
  • Longitudinal Studies
  • Male
  • National Institutes of Health (U.S.)
  • Patient Education as Topic / organization & administration*
  • Program Evaluation
  • Quality of Life*
  • Risk Assessment
  • Risk Reduction Behavior*
  • School Health Services / organization & administration
  • Self Care*
  • Severity of Illness Index
  • Sex Factors
  • Single-Blind Method
  • United States
  • Young Adult