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

    Research output: Contribution to journalArticle

    65 Citations (Scopus)

    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

    Cite this

    Stevens, C. A., Wesseldine, L. J., Couriel, J. M., Dyer, J. M., Osman, L. M., & Silverman, M. (2002). Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomized controlled trial. Thorax, 57, 39-44. https://doi.org/10.1136/thorax.57.1.39

    Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomized controlled trial. / Stevens, C. A.; Wesseldine, L. J.; Couriel, J. M.; Dyer, J. M.; Osman, Liesl Marten; Silverman, M.

    In: Thorax, Vol. 57, 2002, p. 39-44.

    Research output: Contribution to journalArticle

    Stevens, C. A. ; Wesseldine, L. J. ; Couriel, J. M. ; Dyer, J. M. ; Osman, Liesl Marten ; Silverman, M. / Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomized controlled trial. In: Thorax. 2002 ; Vol. 57. pp. 39-44.
    @article{81e57b73e5ba460f99a6bb9501ba716a,
    title = "Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomized controlled trial.",
    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.",
    keywords = "PROGRAM, ADULTS, COST",
    author = "Stevens, {C. A.} and Wesseldine, {L. J.} and Couriel, {J. M.} and Dyer, {J. M.} and Osman, {Liesl Marten} and M. Silverman",
    year = "2002",
    doi = "10.1136/thorax.57.1.39",
    language = "English",
    volume = "57",
    pages = "39--44",
    journal = "Thorax",
    issn = "0040-6376",
    publisher = "BMJ Publishing Group Ltd",

    }

    TY - JOUR

    T1 - Parental education and guided self-management of asthma and wheezing in the pre-school child: a randomized controlled trial.

    AU - Stevens, C. A.

    AU - Wesseldine, L. J.

    AU - Couriel, J. M.

    AU - Dyer, J. M.

    AU - Osman, Liesl Marten

    AU - Silverman, M.

    PY - 2002

    Y1 - 2002

    N2 - 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.

    AB - 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.

    KW - PROGRAM

    KW - ADULTS

    KW - COST

    U2 - 10.1136/thorax.57.1.39

    DO - 10.1136/thorax.57.1.39

    M3 - Article

    VL - 57

    SP - 39

    EP - 44

    JO - Thorax

    JF - Thorax

    SN - 0040-6376

    ER -