Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomized controlled trial.

C. A. Stevens, L. J. Wesseldine, J. M. Couriel, J. M. Dyer, Liesl Marten Osman, M. Silverman

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    Abstract

    Background: The effects on morbidity were examined of providing an educational intervention and a written guided self-management plan to the parents of pre-school children following a recent attendance at hospital for asthma or wheeze.

    Methods: A prospective, randomised, partially blinded, controlled trial was designed at two secondary care centres. Over a 13 month period 200 children aged 18 months to 5 years at the time of admission to a children's ward or attendance at an accident and emergency department or children's (emergency) assessment unit (A&E/CAU) with a primary diagnosis of acute severe asthma or wheezing were recruited. 10 1 children were randomised into the control group and received usual care and 99 were assigned to the intervention group and received: (1) a pre-school asthma booklet; (2) a written guided self-management plan; and (3) two 20 minute structured educational sessions between a specialist respiratory nurse and the parent(s) and child. Subjects were assessed at 3, 6, and 12 months. The main outcomes were GP consultation rates, hospital re-admissions, and attendances at A&E/CAU. Secondary outcomes included disability score, caregivers' quality of life, and parental knowledge of asthma.

    Results: There were no statistically significant differences between the two groups during the 12 month follow up period for any of the main or secondary outcome measures.

    Conclusions: These results do not support the hypothesis that the introduction of an educational package and a written guided self-management plan to the parents of pre-school children with asthma who had recently attended hospital for troublesome asthma or wheeze reduces morbidity over the subsequent 12 months.

    Original languageEnglish
    Pages (from-to)39-44
    Number of pages5
    JournalThorax
    Volume57
    DOIs
    Publication statusPublished - 2002

    Keywords

    • PROGRAM
    • ADULTS
    • COST

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