A controlled trial of a school-based intervention to improve asthma management

McCann, Donna C.; McWhirter, Jenny; Coleman, Helen; Calvert, Marguerite; Warner, John O.

doi:10.1183/09031936.06.0035604

Cited by 28 publications

(49 citation statements)

References 19 publications

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“…[47][48][49] The use of peers facilitated the reinforcement of health-related messages through consistent social contacts. 16,17 Using schools as the site of implementation also allowed the program to widely disseminate key asthma and smoking messages through a "cascade" of volunteer peers available at 1 site. 47…”

Section: Discussionmentioning

confidence: 99%

“…15 Although peer-led education can take place in many different contexts, school-based programs allow access to a large number of adolescents, and the continuous social contact helps to reinforce knowledge and behavior. [16][17][18] The Adolescent Asthma Action (Triple A) program is a peer-led intervention to improve the health and well-being of students with asthma in a supportive school environment. In a randomized controlled trial conducted in Australia, the investigators reported improved quality of life for adolescents with asthma, increased asthma knowledge, and decreased asthma-related school absenteeism.…”

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confidence: 99%

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Peer-led Education for Adolescents With Asthma in Jordan: A Cluster-Randomized Controlled Trial

et al. 2012

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This trial demonstrated that the Adolescent Asthma Action program can be readily adapted to suit different cultures and contexts. Adolescents in Jordan were successful in teaching their peers about asthma self-management and motivating them to avoid smoking. The findings revealed that peer education can be a useful strategy for health promotion programs in Jordanian schools when students are given the opportunity and training.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

Peer-led Education for Adolescents With Asthma in Jordan: A Cluster-Randomized Controlled Trial

et al. 2012

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“…Encourage full participation in physical activities when students are well, offer reduced/modified activities if experiencing symptoms. There are many examples of successful education programmes for school children with asthma which incorporate some of the above-mentioned principles (28)(29)(30)(31).…”

Section: Challenges For the Schoolmentioning

confidence: 99%

The management of the allergic child at school: EAACI/GA²LEN Task Force on the allergic child at school

Muraro¹,

Clark

Beyer

et al. 2010

Allergy

121

115

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The management of the allergic child at school: EAACI/GA 2 LEN Task Force on the allergic child at school. Allergy 2010; 65: 681-689. AimThe aim of this Task Force document is to describe an ideal model of care centred on the allergic children at school (Box 1), which is appropriate for use by all stakeholders. Despite a substantial body of literature on allergy management, the evidence available on how to best care for such children at school is inadequate. Furthermore, legislation, education, facilities and health care practices vary between countries. We have presented the information in such a way that individuals will be able to adopt the advice within the context of their local or national facilities to improve care for all children with allergy at school. Where local facilities are not able to support such an approach, this document may be used as a reference to inform national policy. How to use the recommendationsOur key recommendations are presented as 'action points' for schools. Some of these are generic and apply to all allergic children at school (Box 2), and others are presented as disease-specific action points. To facilitate the implementation of these recommendations, specific responsibilities for each stakeholder have been identified (Box 3). A comprehensive protective package for children with allergy at school can therefore be provided within this framework. These recommendations are based upon the available evidence and expert opinion.Allergy at school manifests in multiple ways: eczema, bronchial asthma (hereafter asthma), rhinitis and/or conjunctivitis, food allergy and less commonly venom allergy and AbstractAllergy affects at least one-quarter of European schoolchildren, it reduces quality of life and may impair school performance; there is a risk of severe reactions and, in rare cases, death. Allergy is a multi-system disorder, and children often have several co-existing diseases, i.e. allergic rhinitis, asthma, eczema and food allergy. Severe food allergy reactions may occur for the first time at school, and overall 20% of food allergy reactions occur in schools. Up to two-thirds of schools have at least one child at risk of anaphylaxis but many are poorly prepared. A cooperative partnership between doctors, community and school nurses, school staff, parents and the child is necessary to ensure allergic children are protected. Schools and doctors should adopt a comprehensive approach to allergy training, ensuring that all staff can prevent, recognize and initiate treatment of allergic reactions. urticaria. Children may present with various symptoms such as wheezing and dyspnoea related to asthma, which may be triggered by allergen contact, airway infection or physical exercise. Children with allergic rhinitis (or rhinoconjunctivitis) might have a runny nose, sneeze frequently, mouthbreath persistently and have itchy eyes in spring and/or summer, or they may have all-year-round symptoms. Indoor pollutants can be particularly harmful for students already affected by allergies or asthma...

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“…Including standardised personalised management plans (eg, nationally agreed Allergy Action Plans for Children38) with correspondence to patients/parents explaining that it is their responsibility to share this with nurseries/schools may help. School-based interventions can improve health outcomes, such as asthma,39 and future integration of care between education authorities, schools and healthcare providers with key roles for school nurses is critically important.…”

Section: Discussionmentioning

confidence: 99%

New patient-reported experience measure for children with allergic disease: development, validation and results from integrated care

et al. 2016

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Objectives: To develop and validate a new allergy-specific Patient-Reported Experience Measure (PREM) for children and their parents, and to collect feedback in an integrated care setting.Design: Two allergy-specific PREMs were produced using focus-groups, cognitive testing, two prospective validation-studies (collaboration: Royal College of Paediatrics and Child Health, Picker Institute Europe, Imperial College/London): "Your Allergy Care", for children age 8-16 years; "Your Child's Allergy Care", for parents of children aged 0-7 years.Setting: Community event, primary/secondary/tertiary allergy care-settings. Main outcome measures:Performance of PREMs in validation-study; reported experience of allergy care. Participants: 687 children with allergic conditions and their parents/carersResults: In total 687 questionnaires were completed; 503/687 (253 child; 250 parent) for the final survey. In both surveys demographic variations were not associated with differences in results.Although 71% reported ≥1 allergic condition (food allergy/eczema/hayfever/asthma), 62% of patients required multiple visits before receiving final diagnosis. Overall, patient experience was good for communication with patient/parent, competence, confidence in ability and 73% felt looked after "very well", 23% "quite well". Areas for improvement included communication with nurseries/schools, more information on side-effects, allergic conditions, allergen/irritant-avoidance. Allergy care in primary/emergency caresettings was associated with higher problem-scores (worse experience) than in specialist clinics. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 Allergic conditions affect up to a third of children in the United Kingdom at some point during childhood making them the most common chronic childhood ailment(1). Many children suffer from multiple allergic co-morbidities, such as eczema, asthma, food allergies and hayfever. Access to specialist allergy care is difficult due to under-provision of services, as outlined in successive national reports(2-5). Once accessed, there is evidence of considerable variability in the quality of allergy care, which is likely to negatively impact on clinical outcomes, patients' experiences and safety(6, 7).In response, the Department of Health commissioned the Royal College of Paediatrics and Child Health (RCPCH) to define care-pathways for children with allergic conditions, including the development of allergy-specific Patient Reported Experience Measures (PREMs)(8).PREMs allow patients to report on their experience of care rather than health outcomes (Patient Reported Outcome Measures, PROMs, e.g. ...

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A controlled trial of a school-based intervention to improve asthma management

Cited by 28 publications

References 19 publications

Peer-led Education for Adolescents With Asthma in Jordan: A Cluster-Randomized Controlled Trial

Peer-led Education for Adolescents With Asthma in Jordan: A Cluster-Randomized Controlled Trial

The management of the allergic child at school: EAACI/GA²LEN Task Force on the allergic child at school

New patient-reported experience measure for children with allergic disease: development, validation and results from integrated care

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A controlled trial of a school-based intervention to improve asthma management

Cited by 28 publications

References 19 publications

Peer-led Education for Adolescents With Asthma in Jordan: A Cluster-Randomized Controlled Trial

Peer-led Education for Adolescents With Asthma in Jordan: A Cluster-Randomized Controlled Trial

The management of the allergic child at school: EAACI/GA2LEN Task Force on the allergic child at school

New patient-reported experience measure for children with allergic disease: development, validation and results from integrated care

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The management of the allergic child at school: EAACI/GA²LEN Task Force on the allergic child at school