The influence of health education on family management of childhood asthma

Brazil, Kevin; McLean, Leslie D.; Abbey, David S.; Musselman, Carol

doi:10.1016/s0738-3991(96)00913-5

Cited by 20 publications

(8 citation statements)

References 22 publications

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“…2000) and intense interaction among family members (Bussing & Burket 1993). Research on families of school age children with asthma has shown that asthma management interventions are helpful to families (Hunter & Bryant 1994, Brazil et al. 1997, Klinnert et al.…”

Section: Introductionmentioning

confidence: 99%

Hardiness in families of young children with asthma

Svavarsdóttir¹,

Rayens²

2005

Journal of Advanced Nursing

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Focused interventions for families with young children with asthma should be developed to enable them to feel more confident in using their resources to meet their demands and increase parents' general well-being and family adaptation. Research is needed to develop and test such interventions, particularly with diverse participant samples, encompassing not only a variety of ethnicities, but also a range of children's ages.

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Section: Introductionmentioning

confidence: 99%

Hardiness in families of young children with asthma

Svavarsdóttir¹,

Rayens²

2005

Journal of Advanced Nursing

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“…Only six trials in our review adopted this design. 79,98,99,111,178,191 Meta-regression is possible, but has limited utility in moderate-to-small data sets as a result of a lack of available power. The variability that we observed in intervention descriptions also challenges its use.…”

Section: Discussionmentioning

confidence: 99%

Self-care support for children and adolescents with long-term conditions: the REfOCUS evidence synthesis

Bee

Pedley

Rithalia

et al. 2018

Health Serv Deliv Res

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BackgroundSelf-care support (e.g. education, training, peer/professional support) is intended to enhance the self-care capacities of children and young people, while simultaneously reducing the financial burden facing health-care systems.ObjectivesTo determine which models of self-care support for long-term conditions (LTCs) are associated with significant reductions in health utilisation and costs without compromising outcomes for children and young people.DesignSystematic review with meta-analysis.PopulationChildren and young people aged 0–18 years with a long-term physical or mental health condition (e.g. asthma, depression).InterventionSelf-care support in health, social care, educational or community settings.ComparatorUsual care.OutcomesGeneric/health-related quality of life (QoL)/subjective health symptoms and health service utilisation/costs.DesignRandomised/non-randomised trials, controlled before-and-after studies, and interrupted time series designs.Data sourcesMEDLINE, EMBASE, PsycINFO, Cumulative Index to Nursing and Allied Health Literature, ISI Web of Science, NHS Economic Evaluation Database, The Cochrane Library, Health Technology Assessment database, Paediatric Economic Database Evaluation, IDEAS, reference scanning, targeted author searches and forward citation searching. All databases were searched from inception to March 2015.MethodsWe conducted meta-analyses, simultaneously plotting QoL and health utilisation effects. We conducted subgroup analyses for evidence quality, age, LTC and intervention (setting, target, delivery format, intensity).ResultsNinety-seven studies reporting 114 interventions were included. Thirty-seven studies reported adequate allocation concealment. Fourteen were UK studies. The vast majority of included studies recruited children and young people with asthma (n = 66, 68%). Four per cent of studies evaluated ‘pure’ self-care support (delivered through health technology without additional contact), 23% evaluated facilitated self-care support (≤ 2 hours’/four sessions’ contact), 65% were intensively facilitated (≥ 2 hours’/four sessions’ contact) and 8% were case management (≥ 2 hours’ support with multidisciplinary input). Self-care support was associated with statistically significant, minimal benefits for QoL [effect size (ES) –0.17, 95% confidence interval (CI) –0.23 to –0.11], but lacked clear benefit for hospital admissions (ES –0.05, 95% CI –0.12 to 0.03). This finding endured across intervention intensities and LTCs. Statistically significant, minimal reductions in emergency use were observed (ES –0.11, 95% CI –0.17 to –0.04). The total cost analysis was limited by the small number of data. Subgroup analyses revealed statistically significant, minimal reductions in emergency use for children aged ≤ 13 years (ES –0.10, 95% CI –0.17 to –0.04), children and young people with asthma (ES –0.12, 95% CI –0.18 to –0.06) and children and young people receiving ≥ 2 hours per four sessions of support (ES –0.10, 95% CI –0.17 to –0.03). Preliminary evidence suggested that interventions that include the child or young person, and deliver some content individually, may optimise QoL effects. Face-to-face delivery may help to maximise emergency department effects. Caution is required in interpreting these findings.LimitationsIdentification of optimal models of self-care support is challenged by the size and nature of evidence available. The emphasis on meta-analysis meant that a minority of studies with incomplete but potentially relevant data were excluded.ConclusionsSelf-care support is associated with positive but minimal effects on children and young people’s QoL, and minimal, but potentially important, reductions in emergency use. On current evidence, we cannot reliably conclude that self-care support significantly reduces health-care costs.Future workResearch is needed to explore the short- and longer-term effects of self-care support across a wider range of LTCs.Study registrationThis study is registered as PROSPERO CRD42014015452.FundingThe National Institute for Health Research Health Services and Delivery Research programme.

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“…Camp description Alaniz, 1995Seeler, 1990Alaniz, 1999Sosin, 1991Parrish, 1980Tinstman, 1981Silvers, 1992Consultant, 1993Welch, 2002 Training of volunteer staff Beder, 2000 Use of camp health services Bloch, 2001 Increase in child knowledge Meng, 1998 Penza-Clyve, 2003Plante, 2001Weisberg, 1995Robinson, 1985Brazil, 1997 Increase in parent knowledge Weisberg. 1995Robinson, 1985Brazil, 1997 Decrease in family stress Brazil, 1997 Increased family communication 1 This study by Brazil, 1997 compared an in-patient asthma program to a 3-week out-patient day camp. While both groups reportedly improved on all outcome measures, the only statistically significant difference between the two groups was on the child's attitude toward their disease.…”

Section: Key Stakeholder Interviewsmentioning

confidence: 99%

“…4 Note: Hazzard, 1986 found no statistically significant differences between the control and intervention groups on any of the outcome measures. 5 Parent-related rating of children's asthma-related behavior was defined as frequency of symptoms, tolerance of exercise, frequency of relaxation, breathing exercises, cooperation in taking medications, and frequency of parent-child conflict). * There was no significant difference found related to that outcome measure.…”

Section: Key Stakeholder Interviewsmentioning

confidence: 99%

Assessing the Value of Children's Asthma Camps

Nesvold

Fena

Herman³

2006

Journal of Asthma

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The Consortium of Children's Asthma Camps Directors commissioned a study to determine the value of asthma camps. This study aimed to identify the opportunities and the Consortium's role in this future direction. A multi-method, retrospective study was conducted with the following findings: camper demographics; camps provide a unique experience; there is moderate to high level of published evidence regarding children's asthma camps; camps are managed by organizations with extensive experience and by minimal paid staff; and the components of asthma education are fairly consistent across camps, while the duration of education, curricula used, and use of asthma action plans are not.

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The influence of health education on family management of childhood asthma

Cited by 20 publications

References 22 publications

Hardiness in families of young children with asthma

Hardiness in families of young children with asthma

Self-care support for children and adolescents with long-term conditions: the REfOCUS evidence synthesis

Assessing the Value of Children's Asthma Camps

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