Medication education program for Indian children with asthma: A feasibility stud

Grover, Charu; Goel, Nitin; Armour, Carol; Asperen, Peter Van; Gaur, SN; Moles, RJ; Saini, Bandana

doi:10.4103/1119-3077.173716

Cited by 28 publications

(49 citation statements)

References 35 publications

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“…We identified eight studies where the inhaler training interventions (including such aspects as physical demonstration, technique labels, and written action plans) led to an improvement in inhaler technique and also a significant increase in disease control, (seven in asthma [ 39 , 83 , 84 , 87 , 94 , 96 , 111 ], and one in COPD [ 88 ]) while 4 studies reported that their intervention significantly improved disease outcomes or reduced hospital admission frequency, but did not measure inhaler error frequency [ 98 , 105 , 116 , 117 ]. Two further studies reported that training significantly improved technique and outcomes in asthma, but not in COPD patients [ 68 , 104 ].…”

Section: Resultsmentioning

confidence: 99%

Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes

et al. 2018

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BackgroundInhaled drug delivery is the cornerstone treatment for asthma and chronic obstructive pulmonary disease (COPD). However, use of inhaler devices can be challenging, potentially leading to critical errors in handling that can significantly reduce drug delivery to the lungs and effectiveness of treatment.MethodsA systematic review was conducted to define ‘critical’ errors and their impact on health outcomes and resource use between 2004 and 2016, using key search terms for inhaler errors in asthma and COPD (Search-1) and associated health-economic and patient burden (Search-2).ResultsSearch-1 identified 62 manuscripts, 47 abstracts, and 5 conference proceedings (n = 114 total). Search-2 identified 9 studies. We observed 299 descriptions of critical error. Age, education status, previous inhaler instruction, comorbidities and socioeconomic status were associated with worse handling error frequency. A significant association was found between inhaler errors and poor disease outcomes (exacerbations), and greater health-economic burden.ConclusionsWe have shown wide variations in how critical errors are defined, and the evidence shows an important association between inhaler errors and worsened health outcomes. Given the negative impact diminished disease outcomes impose on resource use, our findings highlight the importance of achieving optimal inhaler technique, and a need for a consensus on defining critical and non-critical errors.Electronic supplementary materialThe online version of this article (10.1186/s12931-017-0710-y) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%

Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes

et al. 2018

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“…Two studies were multi-centre (Moudgil 2000;Valery 2010) and five were single-centre studies (Blixen 2001;La Roche 2006;Canino 2008;Poureslami 2012;Grover 2016). Two studies (Blixen 2001; Poureslami 2012) examined adults and four studies examined children (La Roche 2006;Canino 2008;Valery 2010;Grover 2016). The study by (Moudgil 2000) included both adults and children, however specific results for adults and children were not presented in the published paper.…”

Section: Included Studiesmentioning

confidence: 99%

“…Three studies (La Roche 2006;Canino 2008;Grover 2016) were assessed as low risk, as > 90% of participants were followed up. Three studies (Moudgil 2000;Poureslami 2012;Valery 2010) were assessed as an unclear risk.…”

Section: Incomplete Outcome Datamentioning

confidence: 99%

Culture-specific programs for children and adults from minority groups who have asthma

McCallum

Morris

Brown³

et al. 2017

Cochrane Database of Systematic Reviews

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The available evidence showed that culture-specific education programmes for adults and children from minority groups are likely effective in improving asthma-related outcomes. This review was limited by few studies and evidence of very low to low quality. Not all asthma-related outcomes improved with culture-specific programs for both adults and children. Nevertheless, while modified culture-specific education programs are usually more time intensive, the findings of this review suggest using culture-specific asthma education programmes for children and adults from minority groups. However, more robust RCTs are needed to further strengthen the quality of evidence and determine the cost-effectiveness of culture-specific programs.

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“…In recent years, several research groups have implemented culturally tailored interventions, with or without participatory design, A systematic review of culture-specific programmes for adults and children with asthma [ 38 ] found four relevant randomised controlled trials (RCTs) in 2009, and an additional three RCTs in a 2017 update (a total of seven), of which three involved South Asians (two in high-income countries) [ 39 – 41 ]. All seven RCTs provided individual and/or group-setting educational classes and support groups or materials for asthma management, while the control groups received either no intervention or partial intervention (e.g.…”

Section: Introductionmentioning

confidence: 99%

A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

Lakhanpaul

Culley

Robertson

et al. 2020

BMC Med Res Methodol

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Background To describe how using a combined approach of community-based participatory research and intervention mapping principles could inform the development of a tailored complex intervention to improve management of asthma for South Asian (SA) children; Management and Interventions for Asthma (MIA) study. Methods A qualitative study using interviews, focus groups, workshops, and modified intervention mapping procedures to develop an intervention planning framework in an urban community setting in Leicester, UK. The modified form of intervention mapping (IM) included: systematic evidence synthesis; community study; families and healthcare professionals study; and development of potential collaborative intervention strategies. Participants in the community study were 63 SA community members and 12 key informants; in-depth semi-structured interviews involved 30 SA families, 14 White British (WB) families and 37 Healthcare Professionals (HCPs) treating SA children living with asthma; prioritisation workshops involved 145 SA, 6 WB and 37 HCP participants; 30 participants in finalisation workshops. Results Two key principles were utilised throughout the development of the intervention; community-based participatory research (CBPR) principles and intervention mapping (IM) procedures. The CBPR approach allowed close engagement with stakeholders and generated valuable knowledge to inform intervention development. It accounted for diverse perceptions and experiences with regard to asthma and recognised the priorities of patients and their families/caregivers for service improvement. The ‘ACT on Asthma’ programme was devised, comprising four arms of an intervention strategy: education and training, clinical support, advice centre and raising awareness, to be co-ordinated by a central team. Conclusions The modified IM principles utilised in this study were systematic and informed by theory. The combined IM and participatory approach could be considered when tailoring interventions for other clinical problems within diverse communities. The IM approach to intervention development was however resource intensive. Working in meaningful collaboration with minority communities requires specific resources and a culturally competent methodology.

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Medication education program for Indian children with asthma: A feasibility stud

Abstract: An asthma educator delivered interactive program simultaneously involving children with asthma and their parents, improved quality of life, empowered and promoted better self-management skills.

Cited by 28 publications

References 35 publications

Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes

Critical inhaler errors in asthma and COPD: a systematic review of impact on health outcomes

Culture-specific programs for children and adults from minority groups who have asthma

A structured collaborative approach to intervention design using a modified intervention mapping approach: a case study using the Management and Interventions for Asthma (MIA) project for South Asian children

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