Self-management psychology and the treatment of childhood asthma

Thoresen, Carl E.; Kirmil-Gray, Kathleen

doi:10.1016/0091-6749(83)90487-6

Cited by 62 publications

(22 citation statements)

References 15 publications

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“…Lack of information, lack of confidence in the treatment, feelings of helplessness, and strain may lead to ineffective management of the disease. As shown in the management of other chronic diseases in childhood (7,8), health education programs for parents, addressing medical as well as psychological issues, can make an important contribution to supporting the families and improving long‐term treatment outcome.…”

Section: Publications On Parental Education In Childhood Atopic Dermamentioning

confidence: 99%

Evaluation of a parental training program for the management of childhood atopic dermatitis

Staab

Rueden

Kehrt

et al. 2002

Pediatric Allergy Immunology

174

205

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Atopic dermatitis (AD) in childhood is a common disease with prevalence rates as high as 20%. Its early onset in infancy and its chronic relapsing course puts a special burden on families. Supporting parents in dealing with the management of AD presents a challenge for physicians. The objective of this study was to determine the effect of a structured parental training program on managing AD in children. Two-hundred and four families participated in a prospective, randomized controlled trial. Children (5 months to 12 years in age) had suffered from moderate-to-severe AD for at least 4 months. They were randomly assigned to either the intervention group or a waiting, control group who could participate in the training program 1 year later. The intervention was an inter-disciplinary, structured educational program which covered medical, nutritional, and psychological issues in six group sessions of 2 h each. The families were assessed at the beginning of the study and 1 year later. Main outcome measures were: severity of eczema (SCORAD); treatment habits; treatment costs; quality of life; and coping strategies. Significant effects were shown regarding treatment behavior, such as regular use of emollients, use of antiseptics and topical steroids in the event of exacerbation, and a reduction in the use of unconventional therapies. Satisfaction with medical treatment was improved, and rumination as an ineffective coping strategy was reduced. Finally, significant reduction of treatment costs was achieved. We conclude that structured training programs for parents of children with AD is a helpful adjunct to dermatological treatment.

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Section: Publications On Parental Education In Childhood Atopic Dermamentioning

confidence: 99%

Evaluation of a parental training program for the management of childhood atopic dermatitis

Staab

Rueden

Kehrt

et al. 2002

Pediatric Allergy Immunology

174

205

View full text Add to dashboard Cite

show abstract

“…Children must also believe that they will be capable of and effective at executing the behaviors (Bandura, 1986;Riekert, 2000). Research on pediatric asthma has found that children's perceptions about their personal competence in illness management positively affect their decisions and choices about what adherence-related behaviors to engage in (i.e., inhaler use, seeking help; Ireland, 1997;Thoresen & Kirmil-Gray, 1983) and influence their actions, motivation, and perseverance in self-management behaviors in the face of challenge (Bartlett, 1983;Thoresen & Kirmil-Gray, 1983). For instance, adherence to treatment is more common among children with high perceived self-efficacy for asthma management than children with low self-efficacy (Tobin, Wigal, Winder, Holroyd, & Creer, 1987).…”

mentioning

confidence: 99%

Outcome Expectancy and Self-Efficacy in Adolescent Asthma Self-Management

Zebracki¹,

Drotar²

2004

Children's Health Care

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“…Subsequent re-admissions others. [6][7][8][9] Howland et al commented that many were significantly reduced in the interof the studies do not stand up to rigorous vention group from 25% to 8% in individual scientific scrutiny. 8 Limitations included small follow up periods that ranged from two to 14 months ( 2 =9.63; p=0.002).…”

mentioning

confidence: 99%

Impact of a nurse-led home management training programme in children admitted to hospital with acute asthma: a randomised controlled study

Madge

McColl

Paton

1997

Thorax

174

139

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Abstracthood asthma. 1 2 Asthma re-admissions are also Background -Re-admissions to hospital common. For example, Senthilsevan recently in childhood asthma are common with reported that re-admission rates (asthma restudies reporting that 25% or more of chil-admissions/all asthma admissions) for children dren will be re-admitted within a year. from all 134 hospitals in Saskatchewan ProvThere is a need for strategies to reduce re-ince, Canada were between 20% and 30% admissions.during the decade 1980-9. 3 Mitchell et al reMethods -A prospective randomised con-ported higher rates in children in New Zealand 4 trol study of an asthma home management and there is even some evidence that re-adtraining programme was performed in missions may be increasing.5 The need to dechildren aged two years or over admitted velop strategies to reduce the high re-admission with acute asthma. Two hundred and one rate in childhood asthma has been highlighted. 4 children were randomised at admission to At the Royal Hospital for Sick Children, either an intervention group (n=96) which Glasgow we also noted that asthma re-adreceived the teaching programme or a con-missions were common with approximately trol group (n=105). A nurse-led teaching 21% of children being re-admitted within a programme used the current attack as a year. This occurred despite the fact that over model for the management of future at-90% of the children admitted to hospital retacks and included discussion, written in-ceived nebulised bronchodilators and oral formation, subsequent follow up and corticosteroids. Care around discharge was, telephone advice aimed at developing and however, less satisfactory -for example, only reinforcing individualised asthma man-10% were noted to have been given written agement plans. Parents were also provided instructions about their treatment. with a course of oral steroids and guidance There are now many published studies on the on when to start them.use of asthma self-management programmes to Results -The groups were similar in dedecrease asthma morbidity. Several narrative gree of social deprivation, length of stay, reviews have evaluated the existing paediatric number of previous admissions, acute literature and found positive results for some asthma treatment, and asthma treatment programmes and inconclusive results for at discharge. Subsequent re-admissions others. [6][7][8][9] Howland et al commented that many were significantly reduced in the interof the studies do not stand up to rigorous vention group from 25% to 8% in individual scientific scrutiny. 8 Limitations included small follow up periods that ranged from two to 14 months ( 2 =9.63; p=0.002). This re-sample sizes, lack of a control group, and a duction was not accompanied by any in-reliance on a select population of volunteers. crease in subsequent emergency room There was also substantial variation in the attendances nor, in the short term, by any asthma education programmes used and their increase in urgent community asthma duration. A more recently published me...

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Self-management psychology and the treatment of childhood asthma

Cited by 62 publications

References 15 publications

Evaluation of a parental training program for the management of childhood atopic dermatitis

Evaluation of a parental training program for the management of childhood atopic dermatitis

Outcome Expectancy and Self-Efficacy in Adolescent Asthma Self-Management

Impact of a nurse-led home management training programme in children admitted to hospital with acute asthma: a randomised controlled study

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