LEAP: A randomized-controlled trial of a lay-educator inpatient asthma education program

Jessica L. Rice, Kristen M. Matlack, Marsha D. Simmons, Jonathan Steinfeld, Margaret A. Laws, Mark E. Dovey, Robyn T. Cohen

Research output: Contribution to journalArticle

Abstract

Objective: To evaluate the impact of LEAP, a volunteer-based, inpatient asthma education program for families of inner-city children with asthma. Methods: 711 children ages 2-17 years admitted with status asthmaticus were randomized to receive usual care or usual care plus a supplemental education intervention. Both groups completed a baseline interview. Trained volunteer lay educators conducted individualized bedside education with the intervention group. Primary outcome was attendance at a post-hospitalization follow-up visit 7-10 days after discharge. Secondary outcomes included parent-reported asthma management behaviors, symptoms, and self-efficacy scores from a one month follow-up interview. Results: Post-hospitalization asthma clinic attendance was poor (38%), with no difference between groups. Families randomized to the intervention group were more likely to report use of a controller (OR 2.4, 95% CI 1.3-4.2, p< 0.01) and a valved-holding chamber (OR 2.9, 95% CI 1.1-7.4, p = 0.03), and were more likely to have an asthma action plan at follow up (OR 2.0, 95% CI 1.3-3.0, p< 0.01). Asthma self-efficacy scores were significantly improved among those who received the intervention (p = 0.04). Conclusions: Inpatient asthma education by trained lay volunteers was associated with improved asthma management behaviors. Practice Implications: This novel volunteer-based program could have widespread implications as a sustainable model for asthma education.

Original languageEnglish (US)
Pages (from-to)1585-1591
Number of pages7
JournalPatient Education and Counseling
Volume98
Issue number12
DOIs
StatePublished - Dec 2015

Keywords

  • Asthma
  • Asthma education
  • Inpatient education
  • Lay educator
  • Pediatric asthma
  • Social cognitive theory

ASJC Scopus subject areas

  • Medicine(all)

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    Rice, J. L., Matlack, K. M., Simmons, M. D., Steinfeld, J., Laws, M. A., Dovey, M. E., & Cohen, R. T. (2015). LEAP: A randomized-controlled trial of a lay-educator inpatient asthma education program. Patient Education and Counseling, 98(12), 1585-1591. https://doi.org/10.1016/j.pec.2015.06.020