Evaluating the effectiveness of a family empowerment program on family function and pulmonary function of children with asthma: A randomized control trial

Yeh, Hsiu-Ying; Ma, Wei‐Fen; Huang, Jing‐Long; Hsueh, Kai-Chung; Chiang, Li-Chi

doi:10.1016/j.ijnurstu.2016.04.013

Cited by 53 publications

(56 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…FU: 6 moDifficulty recruiting: 10/124 practices participated and 48 patients. No between-group difference in QoL [mAQLQ I: 6.20 (SD 0.76, 95% CI 5.76–6.65) vs. C: 6.1 (SD 0.81, 95% CI 5.63–6.57), MD 0.1].Morawska 2016 [64]107 participantsGeneric parenting skills vs usual care.Components: Parenting skillsParenting skills for managing LTCs + asthma ‘take-home tips sheets’.Parents of children 2–10 y with asthma and/or eczema.RCT. FU: 6 moBetween-group improvement in parents’ self-efficacy and childs’ ‘eczema behaviour’, but not equivalent asthma outcomes.Parent and family generic QoL improved ( p = 0.01).Plaza 2015 [65]230 participantsTrained practices (I) vs. specialist unit (I s ) vs. usual care (C).Impact:Components: Education programmeBasic information on asthma, inhaler technique; provision of a PAAP.Adults with persistent asthma.Cluster RCT.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Pinnock

Parke

Panagioti

et al. 2017

BMC Med

226

230

View full text Add to dashboard Cite

BackgroundSupported self-management has been recommended by asthma guidelines for three decades; improving current suboptimal implementation will require commitment from professionals, patients and healthcare organisations. The Practical Systematic Review of Self-Management Support (PRISMS) meta-review and Reducing Care Utilisation through Self-management Interventions (RECURSIVE) health economic review were commissioned to provide a systematic overview of supported self-management to inform implementation. We sought to investigate if supported asthma self-management reduces use of healthcare resources and improves asthma control; for which target groups it works; and which components and contextual factors contribute to effectiveness. Finally, we investigated the costs to healthcare services of providing supported self-management.MethodsWe undertook a meta-review (systematic overview) of systematic reviews updated with randomised controlled trials (RCTs) published since the review search dates, and health economic meta-analysis of RCTs. Twelve electronic databases were searched in 2012 (updated in 2015; pre-publication update January 2017) for systematic reviews reporting RCTs (and update RCTs) evaluating supported asthma self-management. We assessed the quality of included studies and undertook a meta-analysis and narrative synthesis.ResultsA total of 27 systematic reviews (n = 244 RCTs) and 13 update RCTs revealed that supported self-management can reduce hospitalisations, accident and emergency attendances and unscheduled consultations, and improve markers of control and quality of life for people with asthma across a range of cultural, demographic and healthcare settings. Core components are patient education, provision of an action plan and regular professional review. Self-management is most effective when delivered in the context of proactive long-term condition management. The total cost (n = 24 RCTs) of providing self-management support is offset by a reduction in hospitalisations and accident and emergency visits (standard mean difference 0.13, 95% confidence interval −0.09 to 0.34).ConclusionsEvidence from a total of 270 RCTs confirms that supported self-management for asthma can reduce unscheduled care and improve asthma control, can be delivered effectively for diverse demographic and cultural groups, is applicable in a broad range of clinical settings, and does not significantly increase total healthcare costs. Informed by this comprehensive synthesis of the literature, clinicians, patient-interest groups, policy-makers and providers of healthcare services should prioritise provision of supported self-management for people with asthma as a core component of routine care.Systematic review registrationRECURSIVE: PROSPERO CRD42012002694; PRISMS: PROSPERO does not register meta-reviewsElectronic supplementary materialThe online version of this article (doi:10.1186/s12916-017-0823-7) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

“…Generic parenting skills initiatives improved self-efficacy in families struggling to manage young children with asthma, with inconsistent effect on asthma outcomes [64, 67]. …”

Section: Resultsmentioning

confidence: 99%

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Pinnock

Parke

Panagioti

et al. 2017

BMC Med

226

230

View full text Add to dashboard Cite

show abstract

“…Los datos empíricos de este estudio demuestran que es necesario un análisis crítico que va mucho más allá de lo que es estadísticamente significativo, alcanzando lo clínicamente significativo, pues se vuelve preponderante para los profesionales de salud, más concretamente los enfermeros, pautar su práctica profesional de acuerdo con las directrices internacionales, como por ejemplo las emitidas por GINA, implementando instrumentos de medida que pueden coadyuvar en la gestión de síntomas en el niño con asma, como ejemplo del instrumento c-ACT. Estos resultados validan la necesidad vehemente de una intervención de Enfermería especializada en Rehabilitación que garanticen programas de intervención en la gestión de síntomas centrados en la familia, en el niño y en las necesidades identificadas (28) .…”

Section: Discussionunclassified

Controlo da asma infantil: principais fatores asociados

et al. 2019

View full text Add to dashboard Cite

Introducción: El asma aparece como una enfermedad inflamatoria crónica de las vías respiratorias y se caracteriza por episodios de obstrucción bronquial reversible pudiendo ser desencadenada por varios factores. Se constituye como la enfermedad infantil más común, una importante causa de internamiento hospitalario y un problema de salud pública. Las directrices internacionales sobre la gestión del asma reconocen que el tratamiento reside en el control actual y en el riesgo de exacerbaciones, basándose en la gestión de los síntomas. En cuanto a la percepción del control del asma infantil, existen discrepancias entre la percepción de los cuidadores y las indicaciones internacionales.Objetivos: Describir y analizar los datos clínicos, sociodemográficos y factores asociados al control del asma infantil.Metodología: Estudio metodológico, cuantitativo y transversal, en una muestra de niños, entre los 6 y los 11 años, con asma y cuidadores. El control del asma ha sido evaluado por el instrumento Childhood Asthma Control Test.Resultados: La muestra fue compuesta por 60 niños y cuidadores. 12% (n = 7) de los niños presentan asma no controlada y 53% (n = 32) asma parcialmente controlada. En el 38% (n = 23) de los cuidadores existieron discrepancias entre el grado clasificado mediante las pautas internacionales y su percepción. El análisis de Regresión Logística confirma que los niños con necesidades de terapia inhalatoria de rescate presentan 7 veces mayor probabilidad de que el asma no esté controlada.Conclusión: Resulta perentoria la necesidad de aprehender la complejidad de los factores que interfieren en el control del asma, existiendo necesidad de programas de intervención de gestión de síntomas centrados en los cuidadores, en el niño y en las necesidades identificadas. Introduction: Asthma is an airways chronic and inflammatory disease characterized by episodes of reversible bronchial obstruction and can be triggered by several factors. It is the most common childhood disease, an important hospitalization cause and a public health problem. International guidelines of asthma management recognize that treatment based on current management and exacerbations risk, which are based on symptom management. Regarding the control perception of childhood asthma, there are discrepancies between the caregiver’s perception and the international indications.Objectives: To describe and analyze the clinical, sociodemographic and factors associated with childhood asthma control.Methodology: Methodological, quantitative and transversal study, in a sample of 60 children, between 6 and 11 years, and caregivers. Asthma control was evaluated by the instrument childhood Asthma Control Test.Results: The sample consisted of 60 children and caregivers. 12% (n = 7) of the children had uncontrolled asthma, 53% (n = 32) partly controlled asthma. In 38% (n = 23) of the caregivers there were discrepancies between the grade classified through the international guidelines and their perception. Logistic Regression analysis confirms that children with inhalational rescue therapy needs 7 times more likely asthma to be uncontrolled.Conclusion: The complexity of the factors that interfere in the control of asthma is urgent and there is a need for symptom management intervention programs focused on the caregivers, the child and the identified needs. Introdução: A asma apresenta-se como uma doença crónica e inflamatória das vias aéreas caracterizada por episódios de obstrução brônquica reversível podendo ser desencadeada por diversos fatores. Constitui-se como a doença infantil mais comum, uma importante causa de internamento hospitalar e um problema de saúde pública. As diretrizes internacionais sobre a gestão da asma reconhecem que o tratamento reside no controlo atual e no risco de exacerbações, sendo baseados na gestão de sintomas. Relativamente à perceção do controlo da asma infantil, existem discrepâncias entre a perceção dos cuidadores e as indicações internacionais.Objetivos: Descrever e analisar os dados clínicos, sociodemográficos e fatores associados ao controlo da asma infantil. Metodologia: Estudo metodológico, quantitativo e transversal, numa amostra de crianças, entre os 6 e os 11 anos, com asma e cuidadores. O controlo da asma foi avaliado pelo instrumento Childhood Asthma Control Test. Resultados: A amostra foi composta por 60 crianças e cuidadores. 12% (n=7) das crianças apresentam asma não controlada e 53% (n=32) asma parcialmente controlada. Em 38% (n=23) dos cuidadores existiram discrepâncias entre o grau classificado mediante as guidelines internacionais e a sua perceção. A análise de Regressão Logística confirma que as crianças com necessidades de terapêutica inalatória de resgate apresentam 7 vezes maior probabilidade da asma estar não controlada. Conclusão: Torna-se perentório a necessidade de apreensão da complexidade dos fatores que interferem no controlo da asma, existindo necessidade de programas de intervenção de gestão de sintomas centrados nos cuidadores, na criança e nas necessidades identificadas.

show abstract

“…In comparison to the ICU, the labors of families are more concentrated on the children; this enhances the quality of care for the children while avoiding separation anxiety. Related research shows that home medical care could strengthen the care of families as subjects [27]. Additionally, according to the parents, the health-care professionals communicate with the children, empower them with the responsibility of self-care, and encourage them to sense their bodies and control their physical states.…”

Section: Discussionmentioning

confidence: 99%

Partnership Between Families of Children with Muscular Dystrophy and Health-care Professionals: From Parents' Perspective

Yang

Chung

2018

Asian Nursing Research

View full text Add to dashboard Cite

This study demonstrated that partnerships were established by healthcare professionals, enhancing the care capacity of the families, developing the preventive medicine of MD, and enhancing children's potential for self-care within the families. Hospital policies should include the promotion of family partnership care. The findings can help healthcare professionals recognize the life experiences of children with MD when providing medical care.

show abstract

Evaluating the effectiveness of a family empowerment program on family function and pulmonary function of children with asthma: A randomized control trial

Cited by 53 publications

References 44 publications

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Systematic meta-review of supported self-management for asthma: a healthcare perspective

Controlo da asma infantil: principais fatores asociados

Partnership Between Families of Children with Muscular Dystrophy and Health-care Professionals: From Parents' Perspective

Contact Info

Product

Resources

About