TY - JOUR
T1 - Rural children with asthma
T2 - Impact of a parent and child asthma education program
AU - Butz, Arlene
AU - Pham, Luu
AU - Lewis, La Pricia
AU - Lewis, Cassis
AU - Hill, Kim
AU - Walker, Jennifer
AU - Winkelstein, Marilyn
N1 - Funding Information:
ACKNOWLEDGEMENTS This study was funded by the National Institute of Nursing Research, NIH (NR05062). The authors thank Teresa Smith, RN, and Ann Brewer for their assistance with this project and the families for their willingness to participate in this study.
PY - 2005/12
Y1 - 2005/12
N2 - The goal of this study was to determine the effectiveness of an asthma educational intervention in improving asthma knowledge, self-efficacy, and quality of life in rural families. Children 6 to 12 years of age (62% male, 56% white, and 22% Medicaid) with persistent asthma (61%) were recruited from rural elementary schools and randomized into the control standard asthma education (CON) group or an interactive educational intervention (INT) group geared toward rural families. Parent/caregiver and child asthma knowledge, self-efficacy, and quality of life were assessed at baseline and at 10 months post enrollment. Despite high frequency of symptom reports, only 18% children reported an emergency department visit in the prior 6 months. Significant improvement in asthma knowledge was noted for INT parents and young INT children at follow-up (Parent: CON = 16.3; INT = 17.5, p < 0.001; Young children: CON = 10.8, INT = 12.45. p < 0.001). Child self-efficacy significantly increased in the INT group at follow-up; however, there was no significant difference in parent self-efficacy or parent and child quality of life at follow-up. Asthma symptom reports were significantly lower for the INT group at follow-up. For young rural children, an interactive asthma education intervention was associated with increased asthma knowledge and self-efficacy, decreased symptom reports, but not increased quality of life.
AB - The goal of this study was to determine the effectiveness of an asthma educational intervention in improving asthma knowledge, self-efficacy, and quality of life in rural families. Children 6 to 12 years of age (62% male, 56% white, and 22% Medicaid) with persistent asthma (61%) were recruited from rural elementary schools and randomized into the control standard asthma education (CON) group or an interactive educational intervention (INT) group geared toward rural families. Parent/caregiver and child asthma knowledge, self-efficacy, and quality of life were assessed at baseline and at 10 months post enrollment. Despite high frequency of symptom reports, only 18% children reported an emergency department visit in the prior 6 months. Significant improvement in asthma knowledge was noted for INT parents and young INT children at follow-up (Parent: CON = 16.3; INT = 17.5, p < 0.001; Young children: CON = 10.8, INT = 12.45. p < 0.001). Child self-efficacy significantly increased in the INT group at follow-up; however, there was no significant difference in parent self-efficacy or parent and child quality of life at follow-up. Asthma symptom reports were significantly lower for the INT group at follow-up. For young rural children, an interactive asthma education intervention was associated with increased asthma knowledge and self-efficacy, decreased symptom reports, but not increased quality of life.
KW - Asthma education
KW - Children
KW - Quality of life
KW - Rural
KW - Self-efficacy
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U2 - 10.1080/02770900500369850
DO - 10.1080/02770900500369850
M3 - Article
C2 - 16393717
AN - SCOPUS:30344445941
VL - 42
SP - 813
EP - 821
JO - Journal of Asthma
JF - Journal of Asthma
SN - 0277-0903
IS - 10
ER -