Do school-based asthma education programs improve self-management and health outcomes?

Do school-based asthma education programs improve self-management and health outcomes?

MedLine Citation:	PMID: 19651589 Owner: NLM Status: MEDLINE
Abstract/OtherAbstract:	CONTEXT: Asthma self-management education is critical for high-quality asthma care for children. A number of studies have assessed the effectiveness of providing asthma education in schools to augment education provided by primary care providers. OBJECTIVE: To conduct a systematic review of the literature on school-based asthma education programs. METHODS: As our data sources, we used 3 databases that index peer-reviewed literature: MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cumulative Index to Nursing and Allied Health Literature. Inclusion criteria included publication in English and enrollment of children aged 4 to 17 years with a clinical diagnosis of asthma or symptoms consistent with asthma. RESULTS: Twenty-five articles met the inclusion criteria. Synthesizing findings across studies was difficult because the characteristics of interventions and target populations varied widely, as did the outcomes assessed. In addition, some studies had major methodologic weaknesses. Most studies that compared asthma education to usual care found that school-based asthma education improved knowledge of asthma (7 of 10 studies), self-efficacy (6 of 8 studies), and self-management behaviors (7 of 8 studies). Fewer studies reported favorable effects on quality of life (4 of 8 studies), days of symptoms (5 of 11 studies), nights with symptoms (2 of 4 studies), and school absences (5 of 17 studies). CONCLUSIONS: Although findings regarding effects of school-based asthma education programs on quality of life, school absences, and days and nights with symptoms were not consistent, our analyses suggest that school-based asthma education improves knowledge of asthma, self-efficacy, and self-management behaviors.

Authors:	Janet M Coffman; Michael D Cabana; Edward H Yelin
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Publication Detail:	Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Review Date: 2009-07-27
Journal Detail:	Title: Pediatrics Volume: 124 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2009 Aug
Date Detail:	Created Date: 2009-08-04 Completed Date: 2009-08-13 Revised Date: 2010-09-27
Medline Journal Info:	Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States
Other Details:	Languages: eng Pagination: 729-42 Citation Subset: AIM; IM
Affiliation:	Philip R Lee Institute for Health Policy Studies and Department of bFamily and Community Medicine, University of California, San Francisco, California 94118, USA. janet.coffman@ucsf.edu
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MeSH Terms
Descriptor/Qualifier:	Absenteeism Adolescent Asthma / psychology, therapy* Child Controlled Clinical Trials as Topic Female Health Education / methods* Health Knowledge, Attitudes, Practice Humans Male Quality of Life / psychology Randomized Controlled Trials as Topic School Health Services* Self Care / methods*, psychology Self Efficacy
Grant Support
ID/Acronym/Agency:	HL70771/HL/NHLBI NIH HHS; P60 AR053308-01/AR/NIAMS NIH HHS
Comments/Corrections
Comment In:	Pediatrics. 2009 Aug;124(2):793-5 [PMID: 19651593 ]

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