Effect of Family Empowerment Education on Pulmonary Function and Quality of Life of Children With Asthma and Their Parents in Tunisia: A Randomized Controlled Trial

Dardouri, Maha; Sahli, Jihène; Ajmi, Thouraya; Mtiraoui, Ali; Bouguila, Jihéne; Zedini, Chekib; Mallouli, Manel

doi:10.1016/j.pedn.2020.04.005

Cited by 16 publications

(18 citation statements)

References 23 publications

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“…Several studies ( 28 – 31 ) have shown that after a child becomes ill, the main caregivers are mostly women, which is why women accounted for a relatively large proportion (68.94%) in this study. According to the results of the medication adherence tool, the proportion of the supervisors' children with good medication adherence was 57.24% (medication adherence tool scores 13 or 14), the general proportion was 27.40% (medication adherence tool scores 12), and the poor proportion was 15.36% (medication adherence tool scores 11 or less).…”

Section: Discussionmentioning

confidence: 75%

The Influence of Parents on Medication Adherence of Their Children in China: A Cross-Sectional Online Investigation Based on Health Belief Model

Liu

et al. 2022

Front. Public Health

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ObjectiveTo explore the influence of parents on the medication adherence of their children.Study DesignA cross-sectional online investigation.MethodsA questionnaire with 41 questions was designed based on the health belief model (HBM) distributed and collected online in 28 cities around China through multi-stage stratified sampling. The reliability of the questionnaire was assessed with Cronbach's α coefficient and split-half reliability, and its validity was evaluated with exploratory factor analysis and content validity index. The structural equation model (SEM) was constructed to explore the relationship between the parents' health beliefs and their children's medication adherence. Subgroup analysis was conducted to study the differences between parents with different demographic characteristics (male and female, rural and urban).Results573 questionnaires were included for analysis, with an effective rate of 62.97%. The Cronbach'α coefficient of the questionnaire was 0.821 > 0.6, the split-half reliability was 0.651 > 0.6, the I-CVI of each dimension were >0.78, and the S-CVI/AVE (I-CVI average) was 0.95 > 0.9. The result of the questionnaire exploratory factor analysis met the standard. According to the SEM, self-efficacy (λ = 0.177), perceived susceptibility (λ = −0.244), and perceived severity (λ = 0.243) were direct influencing factors of children's medication adherence. In the subgroup analysis, the model established by each subgroup was consistent with the model established by the overall sample. The absolute values of females' perceived susceptibility, severity, and self-efficacy for their children's medication adherence path coefficients were higher than males'.ConclusionParents' perceived severity and self-efficacy may positively impact on their children's medication adherence, while parents' susceptibility to children's medication non-adherence may negatively impact on children's medication adherence. Objective constraints, perceived barriers, and benefits may in directly impact on children's medication adherence. Women's health beliefs appear to have a more significant impact on their children's medication adherence than men's. It may be an effective strategy to increase their children's medication adherence by improving parents' health beliefs. Medical staff should explain medication adherence knowledge to the parents of children, and inform the children of the possible consequences of non-adherence with medication, to improve the subjective perception of parents on the severity of children's non-adherence with medication, and improve parents' self-efficacy in rational medication for children. In addition, attention should be paid to the mental health of the parents, and more social and psychological support.

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Section: Discussionmentioning

confidence: 75%

The Influence of Parents on Medication Adherence of Their Children in China: A Cross-Sectional Online Investigation Based on Health Belief Model

Liu

et al. 2022

Front. Public Health

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“…Previous studies revealed that family empowerment program improved family functioning, pulmonary function, quality of life, and asthma symptoms (Dardouri et al, 2020; Kashaninia et al, 2018; Payrovee et al, 2014; Yeh et al, 2016). In addition, multilevel asthma interventions for children and family decreased asthma symptoms and health service utilization, in particular ED (Canino et al, 2016; Suwannakeeree et al, 2016).…”

Section: Discussionmentioning

confidence: 97%

“…Recent asthma research proved that family empowerment program has been beneficial for the quality of life, pulmonary function, and family functioning (Dardouri et al, 2020; Fouda et al, 2015; Payrovee et al, 2014; Yeh et al, 2016). Few studies assessed the impact of family empowerment on asthma control, hospitalizations, and ED visits.…”

Section: Introductionmentioning

confidence: 99%

Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial

Dardouri

Bouguila

Sahli

et al. 2021

Specialist Pediatric Nursing

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Purpose In pediatric asthma, family empowerment education has been beneficial for the quality of life, pulmonary function, and family functioning. Few studies addressed the impact of a family empowerment program on asthma symptom control, acute healthcare use (AHCU), and medication use in children with asthma. This study aimed to assess the effect of a family empowerment intervention on asthma symptom control, AHCU, inhaler technique, and controller adherence in children with asthma. Design and Methods A single‐center study using a randomized controlled design was conducted in a university hospital in the center of Tunisia from May 2018 to September 2019. Eighty‐two families were randomly assigned to the intervention group (n = 41) of 8 weeks of group training sessions, or to the control group (n = 41) of usual care education. Thirty‐seven families in the intervention group and 39 families in the control group received allocated intervention at baseline. Thirty‐four families in each group completed the study at the 12‐month follow‐up. Results At baseline, the intervention and control groups were statistically comparable (p > .05). At follow‐up, there were significant differences between the intervention and the control group in asthma symptom control, χ2 (1, N = 34) = 9.950, p = .002, and inhalation technique, χ2 (1, N = 34) = 5.916, p = .01. For AHCU and adherence to asthma controller, there was no significant difference between groups, χ2 (1, N = 34) = 3.219, p = .07, χ2 (1, N = 34) = 0.541, p = .46, respectively. The difference within time in asthma symptom control and inhalation technique was significant (p = 10−3, p = .001; respectively). Practice Implications This study demonstrated that a family empowerment program significantly improved asthma symptom control and inhaler technique in children with asthma aged 7–17 years. This intervention could be clinically useful and time‐saving for pediatric nurses.

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“…The sample sizes of the reviewed studies ranged from 14 to 167 children with asthma, with a total of 1087 participants. The major target group of the educational interventions was asthmatic school-aged children and their families [13,[15][16][17][18][19][20][21][22][23][24][25]. Some studies included teachers [13], and asthma physicians [20].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

“…The topics discussed in almost 90% of the educational sessions were asthma pathophysiology, triggers identification, symptoms recognition, effective response during exacerbations, asthma action plan, types of asthma medications and their correct use, and communication with care providers [16][17][18][19][20][21][22][23][24][25].…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Effect of Family Education on Clinical Outcomes in Children with Asthma: A Review

Dardouri¹,

Mallouli²,

Sahli³

et al. 2023

New Perspectives on Asthma

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Childhood asthma still imposes an enormous burden on children and their families. To the best of our knowledge, no study reviewed the literature on the effect of family asthma education on major asthma outcomes. This study aimed to explore the effect of family education programs on major asthma outcomes in children. Quasi-experimental studies and randomized controlled trials were conducted among children with asthma aged 6–18 years and their parents were included. Pub Med, Science Direct, and Trip databases were used to extract data published in English from 2010 to 2021. Twenty-two studies were reported in this review. It was demonstrated that family empowerment interventions were effective in improving the quality of life of children and their parents, asthma symptom control, and pulmonary function. Family education that was specific to medication improved medication adherence, inhalation technique, and asthma control. Family asthma education enhanced asthma management and family functioning. This approach should be a cornerstone of pediatric asthma therapy. It helps health care professionals to build a strong connection and trustful relationship with children with asthma and their families.

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Effect of Family Empowerment Education on Pulmonary Function and Quality of Life of Children With Asthma and Their Parents in Tunisia: A Randomized Controlled Trial

Cited by 16 publications

References 23 publications

The Influence of Parents on Medication Adherence of Their Children in China: A Cross-Sectional Online Investigation Based on Health Belief Model

The Influence of Parents on Medication Adherence of Their Children in China: A Cross-Sectional Online Investigation Based on Health Belief Model

Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: A randomized controlled trial

Effect of Family Education on Clinical Outcomes in Children with Asthma: A Review

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