Computer game for inner-city children does not improve asthma outcomes

Huss, Karen; Winkelstein, Marilyn; Nanda, Jagpreet Singh; NAUMANN, P; Sloand, Elizabeth; Huss, Richard W.

doi:10.1016/s0891-5245(02)88328-6

Cited by 70 publications

(40 citation statements)

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“…1). Of these 16 studies, 11 (69%) reported on randomised controlled trials (RCT) (10 two-arm RCTs [50][51][52][53][54][55][56][57][58][59], one three-arm RCT [60]) and 5 (31%) were feasibility studies employing a pre-post design [61][62][63][64][65] (Multimedia Apendix 2). Two of the RCTs reported on the same intervention [51,59], however, as they reported on different outcomes, and different uses of theory, we have considered them as separate interventions.…”

Section: Resultsmentioning

confidence: 99%

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Theory-Based Digital Interventions to Improve Asthma Self-Management Outcomes: Systematic Review (Preprint)

Lycett¹,

Raebel²,

Wildman³

et al. 2018

Preprint

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Section: Resultsmentioning

confidence: 99%

“…Table 2 shows the study characteristics in terms of adherence and self-management (including self-management efficacy, beliefs and behaviours) outcomes. Five studies (31%) did not report on behavioural outcomes [50,53,55,57,63].…”

Section: Study Characteristicsmentioning

confidence: 99%

Theory-Based Digital Interventions to Improve Asthma Self-Management Outcomes: Systematic Review (Preprint)

Lycett¹,

Raebel²,

Wildman³

et al. 2018

Preprint

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“…Of the studies focused on children, most address interventions for school-aged children [13][14][15][16][17][18][19][20][21][22]. The literature is lacking in studies addressing the creation of education material for children, especially those that include information about self-regulating behaviors.…”

Section: Audience: Childrenmentioning

confidence: 99%

“…A landmark study by Rubin et al evaluated children who used a program entitled Asthma Command and reported asthma knowledge and medical selfmanagement behaviors increased in children enrolled in the program [82]. Following the success of Asthma Command, several other programs-including Watch, Discover, Think, Act; Wee Willie Wheezie; Bronkie the Bronchiasauras; The Asthma Files; Okay With Asthma; and Okay With Asthma 2.0-were developed and tested [14,15,17,19,20,22]. Children age seven to 18 years were tested on their asthma knowledge, symptom management, behavioral responses, and overall feelings towards their chronic disease and they improved in all of these areas after using electronic education games [14,19,20,82].…”

Section: Electronic Educational Gamesmentioning

confidence: 99%

“…Multiple evaluation tools including the Asthma Knowledge and Appraisal Questionnaire, Asthma Information Quiz, and the Child Attitude toward Illness Scale have been used to evaluate children's changing levels of knowledge and attitudes following the use of the programs and all have shown increases in children's asthma knowledge in pre and posttest trials [14,20]. Notably, children using CAIs designed for minority populations showed increased feelings of autonomy, more extensive behavioral strategies for asthma management, high motivation for continuing their education in the gaming format, higher overall asthma knowledge, and increased selfefficacy compared to control groups [13,15,17]. Ninety-seven percent of children in one study reported electronic asthma games were both fun and educational [15].…”

Section: Electronic Educational Gamesmentioning

confidence: 99%

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Audience, Content, Media: A Literature Review about Factors to Consider When Designing Technology Based Asthma Education Programs for Children

Wyatt¹

2015

J Child Adolesc Behav

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Childhood asthma is a growing societal problem that causes suffering for children and families. Short of finding a cure, the best way to address this problem is to give children with asthma the resources they need to control their condition. Unfortunately, research and resources for young children with asthma are lacking. The authors hypothesize that an approach using technology based delivery methods to provide age-appropriate education, which promotes self-regulation and includes psychosocial elements, could help children with asthma decrease exacerbations in the short term and establish healthy habits in the long term. To lay the groundwork for the initial investigation of this hypothesis, the authors reviewed the literature for three elements: audience (children with asthma), content (self-regulation and psychosocial elements), and media (mobile technology applications and digital story). Literature was reviewed for children's beliefs about illness and medication, self-regulation versus selfmanagement, the psychosocial elements of parental support and peer influences, technology and education, clinical computer-based education, electronic educational games, and smartphone applications. The gaps in the literature found regarding these topics point to areas where future research would be instructive for designing effective, technology based applications for children with asthma. To produce the most effective asthma education materials for children, all three elements in this literature review-audience, content, and medium-should be investigated in future research studies.

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Electronic Media–Based Health Interventions Promoting Behavior Change in Youth

Hieftje

Edelman²,

Camenga³

et al. 2013

JAMA Pediatr

150

145

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Objective To assess the type and quality of the studies evaluating the effects of electronic media-based interventions on health and safety behavior change. Data Sources Studies were identified from searches in MEDLINE (1950 to September 2010) a and PsycINFO (1967 to September 2010). Study Selection Included were published studies of interventions that used electronic media and focused on health/safety behavior change in children aged 18 years or younger. Intervention Electronic media-based intervention. Main Outcome Measure Health or safety behavior change. Results Nineteen studies met criteria and focused on at least one behavior change outcome. Of these studies, 7 employed interventions related to physical activity and/or nutrition, 6 focused on asthma, 3 focused on safety behaviors, 2 focused on sexual risk behaviors, and 1 targeted diabetes. Seventeen studies reported at least one statistically significant effect on behavior change outcomes, including an increase in fruit, juice, or vegetable consumption, an increase in physical activity, improved asthma self-management, acquisition of street and fire safety skills, and sexual abstinence. Only five of the 19 studies were rated as being of excellent quality. Conclusions Our systematic review suggests that interventions using electronic media can improve health/safety behaviors in young people. However, there is a need for higher quality, rigorous interventions that promote behavior change.

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Computer game for inner-city children does not improve asthma outcomes

Abstract: Findings indicate that this CAI game was not effective in improving asthma symptoms in this group of children.

Cited by 70 publications

References 0 publications

Theory-Based Digital Interventions to Improve Asthma Self-Management Outcomes: Systematic Review (Preprint)

Theory-Based Digital Interventions to Improve Asthma Self-Management Outcomes: Systematic Review (Preprint)

Audience, Content, Media: A Literature Review about Factors to Consider When Designing Technology Based Asthma Education Programs for Children

Electronic Media–Based Health Interventions Promoting Behavior Change in Youth

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