Feasibility of Picture-Based Asthma Medication Plans in Urban Pediatric Outpatient Clinics

Mitchell, Stephanie; Bilderback, Andrew; Okelo, Sande O.

doi:10.1089/ped.2016.0640

Cited by 11 publications

(8 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Numerous studies have focused on the importance of proper training for an inhaler use [18][19][20] . Few have examined the additional impact of age, obesity and limited parental health literacy [21][22][23] . Considering that relatively high rate of incorrect handling of inhalers has been reported in asthmatic children 24 , we intend to examine the potential of education in improving inhaler technique and, consequently, better asthma control.…”

Section: Discussionmentioning

confidence: 99%

Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma

et al. 2020

View full text Add to dashboard Cite

Background/Aim. Asthma is the most common chronic disease in children and adolescents and has shown an apparent increase in incidence in recent years. The first purpose of the study was to evaluate the influence of education about proper use of inhalers on quality of life in children with asthma. Secondly, we aimed to understand which aspects of quality of life in children with asthma can be significantly improved after education and to identify factors that may affect the level of that improvement. Methods. In this prospective, before-and-after interventional study, a total of 147 children with asthma were enrolled. The Pediatric Asthma Quality of Life Questionnaire (PAQLQ) was used to measure the functional problems that are most troublesome to children with asthma. We used the Asthma Control Test (ACT), based on a series of question about symptoms and daily functioning, to identify patients with poorly controlled asthma. Forced expiratory volume in one second (FEV1) and peak expiratory flow (PEF) were also determined. Trained educators estimated patients' inhaler technique and collected questionnaire information. Results. Multivariate analysis of covariance indicated significant differences between PAQLQ and ACT scores which all were significantly higher after education about proper use of inhalers (p < 0.001). A number of children demonstrating a correct inhalation technique improved from 28 (19%) to 127 (86.4%) (p < 0.001). Asthma severity accounted for the largest proportion of variability PAQLQ and ACT scores (38.4%). Conclusion. Inhaler technique improvement contributes to better asthma control in children with asthma rather than to their quality of life. Asthma severity proved to be a major contributor to variations in PAQLQ and ACT scores and significant obstacle for quality of life improvement in children with asthma.

show abstract

Section: Discussionmentioning

confidence: 99%

Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma

et al. 2020

View full text Add to dashboard Cite

show abstract

“…The planned feasibility and pilot trial, as part of a larger program of research, builds on a growing body of innovative AAP literature [19-23]. In particular, patient education materials using a largely pictorial format may also be applicable to people with other complex conditions, such as type 1 diabetes and cystic fibrosis.…”

Section: Discussionmentioning

confidence: 99%

“…Recent AAP research has integrated the use of images with different amounts of supporting text [18,19] or mobile apps [20] to communicate asthma treatment plans. However, the focus of this AAP research has been to develop pictorial asthma action plans (PAAPs) and electronic AAPs [21,22] and to evaluate the feasibility and acceptability of their use [20,23]. Existing research has focused on the perspectives and behaviors of parents with little integration of the perspectives of young people [19].…”

Section: Introductionmentioning

confidence: 99%

Comparing Written Versus Pictorial Asthma Action Plans to Improve Asthma Management and Health Outcomes Among Children and Adolescents: Protocol of a Pilot and Feasibility Randomized Controlled Trial

Hynes¹,

Durkin²,

Williford³

et al. 2019

JMIR Res Protoc

View full text Add to dashboard Cite

Background Asthma is an important focus for pediatric health research as management of asthma symptoms is a significant challenge, and morbidity and mortality among youths with asthma remain prevalent. Treatment guidelines for asthma recommend a written asthma action plan (WAAP) that summarizes individualized instructions for daily medication use. However, WAAPs are typically written at a seventh- to ninth-grade reading level, which can be a barrier to young people in understanding their treatment, having confidence in using a WAAP, and engaging with asthma education. Objective Utilizing a feasibility and pilot randomized controlled trial (RCT) design, the objective of the Take Action for Asthma Control study is to test a symptom-based, computer-generated pictorial asthma action plan (PAAP) in comparison with a standard WAAP and assess the feasibility and acceptability of the asthma action plan (AAP) intervention and study procedures. The study has 3 aims: (1) estimate the effect sizes of PAAPs compared with WAAPs on outcomes (eg, AAP knowledge and medication adherence), (2) evaluate feasibility and acceptability of AAP intervention and RCT procedures from the perspectives of key stakeholders, and (3) establish whether parent and youth literacy levels are associated with treatment outcomes. Methods This feasibility and pilot RCT is a block randomized, 2-arm, parallel-group clinical trial, lasting 6 months in duration. At baseline, participants will be randomly assigned to receive a PAAP or WAAP generated for them and reviewed with them by their asthma physician. Study procedures will take place over 4 separate time points: a baseline clinic appointment, 1-month telephone follow-up, and 3- and 6-month clinic-based follow-ups. At each time point, data will be collected related to the main outcomes: AAP knowledge, AAP satisfaction, asthma control, pulmonary function, and adherence to daily asthma medication. A sample size of up to 60 participants (aged 8-17 years) will be recruited. Feasibility and acceptability data will be collected via one-to-one qualitative interviews with providers involved in the study and a subgroup of families that participate in the study. Results Recruitment and data collection began in May 2017 and were completed in October 2018. Conclusions This pilot and feasibility study will test the potential efficacy, feasibility, and acceptability of an AAP intervention and study procedures. The findings will inform the design and delivery of a future definitive trial to assess the efficacy of PAAPs versus WAAPs in supporting asthma self-management among children and adolescents. International Registered Report Identifier (IRRID) DERR1-10.2196/11733

show abstract

“…A variety of picture-based asthma action plans were researched and evaluated for inclusion [43]. "Iggy and the Inhalers'' by Booster Shot Media, Inc. (BSM) had published promising results of implementing their Pictorial Asthma Action Plan and Curriculum and improved outcomes [13].…”

Section: Project Interventionmentioning

confidence: 99%

Implementation of a Pictorial Asthma Action Plan (PAAP) in a Special Population

Ochoa¹,

Summers²,

Lynch³

et al. 2021

CMR

View full text Add to dashboard Cite

Asthma action plans should be standard practice amongst asthmatics. According to a new report from the American Academy of Pediatrics, a lack of AAP implementations could lead to increased asthma-related hospitalizations. Many written AAPs are written at a seventh to ninth grade reading level leading to less control of asthma symptoms, potentially resulting in increased asthma-related hospitalizations. A pictorial-based curriculum and its benefits will be discussed, along with background information concerning the implementation of such intervention and desired goal to increase asthma control. Implementation of a Pictorial Asthma Action Plan and Curriculum to improve Asthma Control utilizing "Iggy and the Inhalers'' by Booster Shot Media was conducted in a predominantly Spanish speaking and low income-based population. Iggy and the inhalers have published results of implementing their Pictorial Asthma Action Plan and Curriculum and improved outcomes documented on their site. The objective of implementation was to determine whether incorporating a pictorial based approach would improve control and knowledge amongst students with asthma in a special population. All identifiable participant information was kept private per site guidelines with exception to age and grade range and demographic information. Sixteen children participated in the implementation. Nine participants scored in the "well controlled" category while seven participants were "not controlled" according to ACT guidelines. Overall, five of seven (71%) improved their asthma control enough to bring them into the "controlled" state according to the ACT. Of those who improved, 16 (81%) improved with the Asthma Knowledge test. Conclusion: By utilizing appropriate educational methods, you can also increase participation and engagement, which results in increased compliance and control. Control and knowledge of asthma were improved because of this implementation project. Recommendation is that a PAAP curriculum should be promoted system wide.

show abstract

Feasibility of Picture-Based Asthma Medication Plans in Urban Pediatric Outpatient Clinics

Cited by 11 publications

References 24 publications

Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma

Impact of educational intervention for correct inhaler technique on the quality of life of children with asthma

Comparing Written Versus Pictorial Asthma Action Plans to Improve Asthma Management and Health Outcomes Among Children and Adolescents: Protocol of a Pilot and Feasibility Randomized Controlled Trial

Implementation of a Pictorial Asthma Action Plan (PAAP) in a Special Population

Contact Info

Product

Resources

About