Advertisement

Canadian Journal of Public Health

, Volume 92, Issue 1, pp 30–34 | Cite as

Assessing the Efficacy of a School-Based Asthma Education Program for Children: A Pilot Study

  • Nancy L. Young
  • Anne M. Foster
  • Patricia C. Parkin
  • Joseph Reisman
  • Ian MacLusky
  • Milton Gold
  • William Feldman
Article

Abstract

Background: Asthma diminishes the health-related quality of life for many school-aged children. This study sought to explore the effect of a School-Based Asthma Education Program (SBAEP) on quality of life.

Methods: Children with asthma who attended grades 1 - 5 at two selected schools were requested to participate in this pilot study. Participants at one school were provided with a SBAEP, those at another school (control group) were provided with written educational material about asthma. The children completed the Paediatric Asthma Quality of Life Questionnaire (PAQLQ) before and one month after the educational interventions.

Results: There were clinically important improvements in the SBAEP group in quality of life, specifically in the symptom subdomain.

Conclusions: The “Air Force” SBAEP appears to result in a favourable trend in quality of life for children. A larger scale trial is required following revisions to the program.

Résumé

Contexte: L’asthme réduit la qualité de vie de nombreux enfants d’âge scolaire. Notre étude portait sur l’effet d’un « programme de sensibilisation à l’asthme en milieu scolaire » (PSAMS) sur la qualité de vie.

Conclusions: Nous avons demandé à des enfants asthmatiques de la 1e à la 5e année fréquentant deux écoles de participer à une étude pilote. Les participants d’une des écoles avaient été dotés d’un PSAMS; ceux de l’autre (le groupe témoin) avaient reçu du matériel pédagogique écrit sur l’asthme. Avant ces interventions pédagogiques et un mois après, les enfants ont rempli un questionnaire sur leur qualité de vie.

Conclusions: Nous avons constaté des améliorations cliniques importantes dans la qualité de vie du groupe PSAMS, particulièrement pour l’élément « symptômes ».

Conclusions: Le programme (« Air Force ») semble avoir un effet positif sur la qualité de vie des enfants. Après les révisions qui y seront apportées, il faudrait mener un essai à plus grande échelle.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Sorrells VD, Chung W, Schlumpberger JM. The impact of a summer camp experience on asthma education and morbidity in children. J Family Practice 1995;41:465–68.Google Scholar
  2. 2.
    Statistical Report on the Health of Canadians, Report on the National Population Survey, 1999, Ottawa: Health Canada.Google Scholar
  3. 3.
    Krahn MD, Berka C, Langlois P, Detsky AS. Direct and indirect costs of asthma in Canada, 1990. CMAJ 1996;154(6):821–31.PubMedPubMedCentralGoogle Scholar
  4. 4.
    Capen CL, Dedlow ER, Robillard RH, et al. The team approach to pediatric education. Pediatric Nursing 1994;20(3):231–37.PubMedGoogle Scholar
  5. 5.
    Parkin PC, Macarthur C, Saunders N, et al. Development of a clinical asthma score for use in hospitalized children between 1 and 5 years of age. J Clin Epidemiol 1996;49(8):821–25.CrossRefGoogle Scholar
  6. 6.
    Blaiss MS. Outcomes analysis in asthma. JAMA 1997;298(22):1874–80.CrossRefGoogle Scholar
  7. 7.
    Owen G. Providing Asthma Education: One community’s approach: Building partnerships-practical aspects and early outcomes. Can Respiratory J 1996;3:38A–40A.Google Scholar
  8. 8.
    Garrett J, Fenwick JM, Taylor G, et al. Prospective controlled evaluation of the effect of community based asthma education centre in a multicultural working class neighbourhood. Thorax 1994;49:976–83.CrossRefGoogle Scholar
  9. 9.
    Evans D, Mellins RB. Educational programs for children with asthma. Pediatrician 1991;18:317–23.PubMedGoogle Scholar
  10. 10.
    Ronchetti R, Indinnimeo L, Bonci E, et al. Asthma self-management programmes in a population of Italian children: A multicentric study. European Respirology J 1997;10:1248–53.CrossRefGoogle Scholar
  11. 11.
    Toelle BG, Peat JK, Salome CM, et al. Evaluation of a community-based asthma management program in a population sample of school children. Med J Australia 1993;158(11):742–44.PubMedGoogle Scholar
  12. 12.
    Bernard-Bonnin A, Stachenko S, Bonin D, et al. Self-management teaching programs and morbidity of pediatric asthma: A meta-analysis. J Allergy and Clinical Immunology 1995;95(1):34–41.CrossRefGoogle Scholar
  13. 13.
    Evans D, Clark NM, Feldman CH, et al. School health education program for children with asthma aged 8–11 year. Health Educ Q 1987;14(3):267–79.CrossRefGoogle Scholar
  14. 14.
    Christianson SC, Martin SB, Schleicher NC, et al. Evaluation of a school-based asthma education program for inner city children. J Allergy and Clinical Immunology 1997;100(5):613–17.CrossRefGoogle Scholar
  15. 15.
    Juniper EF, Guyatt GH, Feeny DH, et al. Measuring quality of life in children with asthma. Quality of Life Research 1996;5:35–46.CrossRefGoogle Scholar
  16. 16.
    Young NL. Measurement of Capability and Performance in Paediatric Orthopaedics: Development of a Physical Function Scale [MSc Thesis]. University of Toronto, 1994.Google Scholar
  17. 17.
    Young NL, Yoshida KK, Williams JI, Wright JG. The role of children in reporting their physical disability. Archives of Physical Medicine and Rehabilitation 1995;76(10):913–18.CrossRefGoogle Scholar
  18. 18.
    Young NL. Evaluation of Paediatric Physical Disability & Exploration of Contributing Factors [PhD Thesis]. University of Toronto, 1997.Google Scholar
  19. 19.
    Young NL, Williams JI, Yoshida K, Wright JG. Measurement properties of the Activities Scale for Kids (ASK). J Clin Epidemiol 2000;53(2):125–37.CrossRefGoogle Scholar
  20. 20.
    Juniper EF, Guyatt GH, Willan A, Griffith LE. Determining a minimal important change in a disease-specific Quality of Life Questionnaire. J Clin Epidemiol 1994;47(1):81–87.CrossRefGoogle Scholar

Copyright information

© The Canadian Public Health Association 2001

Authors and Affiliations

  • Nancy L. Young
    • 1
  • Anne M. Foster
    • 1
  • Patricia C. Parkin
    • 1
  • Joseph Reisman
    • 2
  • Ian MacLusky
    • 2
  • Milton Gold
    • 2
  • William Feldman
    • 1
  1. 1.Paediatric Outcomes Research TeamThe Hospital for Sick Children & University of TorontoTorontoCanada
  2. 2.Division of Respiratory MedicineThe Hospital for Sick Children & University of TorontoCanada

Personalised recommendations