Effectiveness of a Home- and School-Based Asthma Educational Program for Head Start Children With Asthma

Eakin, Michelle N.; Zaeh, Sandra E.; Eckmann, Thomas; Ruvalcaba, Elizabeth; Rańd, Cynthia S.; Hilliard, Marisa E.; Riekert, Kristin A.

doi:10.1001/jamapediatrics.2020.3375

Cited by 14 publications

(7 citation statements)

References 18 publications

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“…Participants were recruited from Baltimore City Head Start programs across 78 sites from April 2011 to November 2016 as part of a randomized trial of a multi-level home and school-based asthma education program ( 16 ). Eligible caregivers were the parent or legal guardian of a child aged 2–years, who reported that their child had a physician diagnosis of asthma or reactive airway disease, and who spoke English.…”

Section: Methodsmentioning

confidence: 99%

“…Research assistants conducted home visits at baseline, which included a structured survey with the caregiver. Families in the study were randomized to either receive a family education intervention (Asthma Basic Care; ABC) with Head Start education (ABC + HS) or Head Start education alone ( 16 ). The ABC family intervention included in person and at home asthma management educational sessions and phone calls tailored to the needs of preschool children living in urban home environments.…”

Section: Methodsmentioning

confidence: 99%

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Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Lu,

Ruvalcaba,

McQuaid

et al. 2023

Front. Allergy

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IntroductionMedication adherence is suboptimal in childhood asthma. Children rely on caregivers to manage medication administration. It is important to detect families who are at risk for poor adherence or to identify potential areas that can assist families with better adherence to asthma medications in order to improve asthma outcomes. We investigated the association between asthma routines, family asthma management knowledge and skills, and caregiver depressive symptoms with daily controller medication adherence among Head Start preschool children in Baltimore City.MethodsOur study included 256 low-income urban preschool children who were prescribed a daily controller medication. Asthma routinization (by the Asthma Routines Questionnaire), family asthma management [by the Family Asthma Management System Scale (FAMSS)], and caregiver depressive symptoms (by the Center for Epidemiological Studies – Depression) were assessed at baseline. The medication possession ratio (MPR) to measure adherence to daily controller medications was calculated at baseline and 12 months from pharmacy fill records. Multiple regression models evaluated the relationship between asthma routinization, the FAMSS, the CES-D, and MPR.ResultsResults indicated that only 7% of families had an MPR above 80% at baseline, and 24% of caregivers had clinically significant depressive symptoms. Higher asthma medication routines were associated with higher MPR at baseline (b = 0.05, p = 0.03). Higher family asthma management was associated with higher MPR at both baseline (b = 0.04, p < 0.01) and 12 months (b = 0.05, p < 0.01).DiscussionOur findings highlight the importance of family asthma management and maintaining medication routines over time to improve asthma controller medication adherence.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Lu,

Ruvalcaba,

McQuaid

et al. 2023

Front. Allergy

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“…Therefore, numerous studies are emerging to explore efficient strategies for asthma management, such as monitoring and assessing the effectiveness and outcomes of asthma management activities at the global and national levels, or exploring personalized disease management interventions at the individual level (81, 82). Eakin et al improved asthma control and reduced the course of oral corticosteroids therapy and length of hospital stay in children through an intervention that combined family asthma education and a federally funded Head Start program (83). In addition, research has recently been emerging on Internet-based solutions, social media, and mobile technologies to improve asthma self-management in children and to facilitate the delivery of patient care (84-86).…”

Section: Emerging Trendsmentioning

confidence: 99%

Visualizing the knowledge domains and research trends of childhood asthma: A scientometric analysis with CiteSpace

Chen²,

Yao³

et al. 2022

Front. Pediatr.

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BackgroundAsthma is one of the most common chronic diseases in children globally. In recent decades, advances have been made in understanding the mechanism, diagnosis, treatment and management for childhood asthma, but few studies have explored its knowledge structure and future interests comprehensively.ObjectiveThis scientometric study aims to understand the research status and emerging trends of childhood asthma.MethodsCiteSpace (version 5.8.R3) was used to demonstrate national and institutional collaborations in childhood asthma, analyze research subjects and journal distribution, review research keywords and their clusters, as well as detect research bursts.ResultsA total of 14,340 publications related to childhood asthma were extracted from Web of Science (core database) during January 2011 to December 2021. The results showed that academic activities of childhood asthma had increased steadily in the last decade. Most of the research was conducted by developed countries while China, as a developing country, was also actively engaged in this field. In addition to subjects of allergy and immunology, both public health aspects and ecological environmental impacts on the disease were emphasized recently in this research field. Keywords clustering analysis indicated that research on asthma management and atopy was constantly updated and became the two major research focuses recently, as a significant shift in research hotspots from etiology and diagnosis to atopic march and asthma management was identified. Subgroup analysis for childhood asthma management and atopy suggested that caregiver- or physician-based education and interventions were emerging directions for asthma management, and that asthma should be carefully studied in the context of atopy, together with other allergic diseases.ConclusionsThis study presented a comprehensive and systematic overview of the research status of childhood asthma, provided clues to future research directions, and highlighted two significant research trends of asthma management and atopy in this field.

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“…13 14 Some prior studies have shown that asthma education targeted at children can reduce unscheduled visits and hospitalisations. [15][16][17] One study found that asthma education was a useful tool for controlling asthma. However, it is not significantly effective in reducing healthcare utilisation when compared with usual care.…”

Section: Introductionmentioning

confidence: 99%

“…The setting of asthma education also differs 13 14. Some prior studies have shown that asthma education targeted at children can reduce unscheduled visits and hospitalisations 15–17. One study found that asthma education was a useful tool for controlling asthma.…”

Section: Introductionmentioning

confidence: 99%

Effect of asthma education on health outcomes in children: a systematic review

Liu

Jiesisibieke²,

Tung

2022

Arch Dis Child

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BackgroundIt remains unknown whether child-oriented asthma education is associated with better health outcomes. This meta-analysis investigated the effects of asthma education on hospitalisation and emergency department and clinic visits.MethodsWe searched the Cochrane Library, PubMed and EMBASE for relevant studies from inception to 4 July 2021, and selected studies that reported hospitalisation or emergency department or clinic visits as outcomes. The participants were only children. Two authors independently selected the studies, assessed the quality of the included studies and retrieved the data. A third senior author was engaged to resolve disagreements. Fifteen longitudinal studies were included for the systematic review and meta-analysis. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 was used as the standard of reporting (PRISMA registration ID is 284509).FindingsCompared with the control group, the asthma education group had 54% lower hospitalisation risk (95% CI 0.32 to 0.66), and 31% lower emergency department visit risk (95% CI 0.59 to 0.81). Sensitivity analysis showed that the asthma education group had a reduced clinic visit risk (risk ratio (RR)=0.80, 95% CI 0.67 to 0.97). Subgroup analysis showed that asthma education involving both children and parents/guardians was associated with fewer hospitalisations (RR=0.38, 95% CI 0.24 to 0.59) and emergency department visits (RR=0.69, 95% CI 0.57 to 0.83). Asthma education in hospitals or non-hospitals can reduce the risk of hospitalisation and emergency department visits. However, only education in the hospitals was associated with the reduction of clinical visits (RR=0.45, 95% CI 0.22 to 0.92).InterpretationEducation is effective for controlling asthma, especially for reducing hospitalisation and emergency department and clinic visits. Education involving both children and parents/guardians is more effective than that involving only children. The setting of asthma education does not impact its effect to a large extent.

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Effectiveness of a Home- and School-Based Asthma Educational Program for Head Start Children With Asthma

Cited by 14 publications

References 18 publications

Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Asthma routinization, family asthma management, caregiver depressive symptoms, and medication adherence in Head Start preschool children

Visualizing the knowledge domains and research trends of childhood asthma: A scientometric analysis with CiteSpace

Effect of asthma education on health outcomes in children: a systematic review

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