The effectiveness of psychosocial interventions designed to improve health-related quality of life (HRQOL) amongst asthmatic children and their families: a systematic review
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Asthmatic children are at risk of compromised health-related quality of life (HRQOL) compared with their healthy peers. This systematic review reports the range and effectiveness of psychosocial interventions designed to improve HRQOL amongst asthmatic children, adolescents, and their families.
Data sources included The Cochrane Airways Group Trials Register of trials, PubMed database, and reference lists from review articles.
Eighteen studies of psychosocial interventions were identified. Interventions were designed to improve HRQOL amongst a range of psychosocial, health care, school-related and clinical outcomes, and were delivered in numerous settings and formats. Four studies reported that interventions were effective for significant improvements in child overall HRQOL scores. These include asthma education (n = 2), asthma education plus problem solving (n = 1), and art therapy (n = 1).
Most interventions focussed on the delivery of asthma education to children, with the purpose of improving knowledge about asthma and disease management. There is limited evidence to suggest that interventions currently available are effective for significantly improving HRQOL amongst asthmatic children, adolescents, and their families. Most interventions lacked a theoretical basis and did not focus on family functioning variables. Multi-component interventions that incorporate asthma education along with strategies to assist families with implementing behaviour change towards improved asthma management are required. Future interventions should also attempt to address the wider context of family functioning likely to contribute to the family’s ability to engage in successful asthma management in order to improve HRQOL.
KeywordsHealth-related quality of life (HRQOL) Paediatric Asthma Psychosocial intervention Systematic review
Health-related quality of life
Randomised controlled trials
The ‘Roaring adventures of Puff’ Asthma Education Programme
The juniper paediatric asthma quality of life questionnaire
The juniper paediatric asthma caregiver quality of life questionnaire
The childhood asthma questionnaires
Pediatric quality of life inventory TM
School care and asthma management project
Social cognitive theory
Pre-disposing, reinforcing, and enabling causes in educational diagnosis and evaluation
Australian indigenous health care workers
Adapted paediatric asthma guidelines
Asthma education workshops
Open airways’ for pre-teens
Peer asthma action
Problem solving skills training
Interactive multi-media program for asthma control and tracking
Follow-up data collection
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