The Effectiveness of Asthma Education Approaches for Children: Group versus Individual Education
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2017, Vol 1, Issue 3
Abstract
Objective: Childhood asthma is a common and potentially life-threatening condition and a leading cause of child admission to acute care and emergency services. The importance of educational methods for children and their parents about appropriate asthma management has been highlighted in many studies, but little is known about the effectiveness of educational methods. This study aims to evaluate the effectiveness of group education intervention on asthma in secondary care settings compared with face-to-face education for children (under 18) and their parents. Specifically, it assesses the number of emergency visits, hospital admissions, school absences, quality of life, mortality and cost to provide best evidence for future clinical research and practice. Data sources: MEDLINE, CINHAL, PsycINFO, EMBASE, Web of Science, and SCOPUS databases up to July 2013. Study selections: 15 RCTs identified and their methodological quality assessed using JBI-MAStRI checklist. Results: 15 of 927 studies included in the final review (with reviewer consensus) indicated a significant reduction in number of emergency visits and hospital admissions among those receiving face-to-face. Two studies highlighted the mean number of school absences; one study measured QoL of asthmatic children and their parents, four calculated the health cost of education and none considered mortality rates. Conclusion: Face-to-face education significantly reduces asthmatic children’semergency visits and hospital admissions.Despite several decades of advancement in the control and management of asthma, it remains a common worldwide health and socio-economic problem [1]. Statistically, an estimated 300 million are currently asthmatic globally [2]. Depending on the geographical region, the causes of childhood asthma are attributable to the adoption of Western lifestyle and urbanization [3]; and low rates of diagnosis in places such as Africa, the Indian Subcontinent and the Eastern Mediterranean. There are a number of efforts by way of research to track the dramatic changes in asthma incidences over time and place [4-6]. Across the board, the outcome of these studies is that asthma is particularly pronounced among children and adolescents.Asthma also imposes a significant burden on health related to quality of life (QoL). Asthma symptoms can be strongly linked with increased risk of emergency room (ER) visits, hospitalization, school absenteeism and absence from work. Asthma has a greater impact on the loss of productivity of children and adolescences [7]. It also has psychological impacts on the lives of sufferers, including depression, social withdrawal and increased levels of anxiety [8]. For instance, survey data in the US showed that children with asthma were more likely to experience limitations in their daily activities than other children with chronic illness [8].
Authors and Affiliations
Abeer Alatawi
Keywords
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- EP ID EP572645
- DOI 10.26717/BJSTR.2017.01.000306
- Views 148
- Downloads 0
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