Evaluation of a school-based asthma education program for inner-city children☆,☆☆,★,★★
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Study population
Approval for conducting the study was obtained from the San Diego City Schools and the Institutional Review Board of Scripps Clinic and Research Foundation. The study population consisted of fourth grade student volunteers enrolled at four schools in the San Diego Unified School District. The demographics of the four schools have been previously presented.1 Students with current asthma-related symptoms were identified through a parent survey questionnaire, follow-up student questionnaire,
Asthma quiz, peak flowmeter technique, and inhaler technique
Improvement was demonstrated in asthma knowledge in 34 asthmatic students in the educated group. Results were analyzed by comparing baseline with posteducation scores. Mean scores for the asthma quiz improved from 9.9 (SEM = 0.44) to 13.7 (SEM = 0.30). The 32 students in this group available for pre- and posttesting also demonstrated improvement in peak flowmeter and inhaler technique. Peak flowmeter scores improved from 3.9 (SEM = 0.33) to 6.4 (SEM = 0.29), and inhaler technique scores
Discussion
Self-management education programs have evolved effective methods to inform subjects as to the nature of their disease and appropriate responses for control of their illness. Those programs that incorporate tools such as goal-setting and social reinforcement have proven more successful in promoting learning and behavioral change as opposed to those that involve passive learning. The potential utility of an educational/behavior modification approach to asthma stems from the improved ability of
Acknowledgements
We thank Judy Beck, RN, for her invaluable assistance in the initiation of this study at the San Diego City Schools. The cooperation of the administrative, nursing, and teaching staff at the school sites is also gratefully acknowledged.
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The boomerang effect of tuberculosis knowledge and self-efficacy on Chinese parents’ intention to seek timely treatment and adhere to doctors’ regimens
2021, Patient Education and CounselingCitation Excerpt :To the best of our knowledge, this is the first study that applied perceptual control theory to public health. Furthermore, the majority of theoretical work and empirical research on health knowledge and self-efficacy reveals that better health outcomes tend to be associated with high levels of health knowledge and self-efficacy [8–14,16,21–24]. Our results challenge this conclusion of “the more the better” by confirming that too much health knowledge and self-efficacy can have boomerang effects.
A systematic review of school-based interventions that include inhaler technique education
2017, Respiratory MedicineCitation Excerpt :Nurses (i.e., school, public health or asthma trained) implemented the asthma intervention in six of the nine (67%) studies [38,40–42,44,46]. The remaining 2 studies [43,45] used a volunteer facilitator and a school nurse practitioner to implement the intervention, respectively. Group instruction was the mode of delivery for most interventions, with three studies [39,41,46] using one-on-one instruction and one study [42] using both group and individual instruction.
Developing, Implementing, and Evaluating a School-Centered Asthma Program: Step-Up Asthma Program
2016, Journal of Allergy and Clinical Immunology: In PracticeSchool-Centered Asthma Programs
2016, Pediatric Allergy: Principles and Practice: Third EditionNational standards for asthma self-management education
2015, Annals of Allergy, Asthma and ImmunologyEstablishing school-centered asthma programs
2014, Journal of Allergy and Clinical Immunology
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From the Department of Molecular and Experimental Medicine, The Scripps Research Institute, La Jolla.
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Supported in part by grant AI 32834 from the National Institutes of Health and Scripps Clinic Department of Medicine grant 121203804.
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Reprint requests: Sandra Christiansen, MD, Scripps Clinic and Research Foundation, 10666 N. Torrey Pines Rd., La Jolla, CA 92037.
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