Changes in asthma self-management knowledge in inner city adolescents following developmentally sensitive self-management training.
Patient Educ Couns
; 101(4): 687-695, 2018 04.
Article
em En
| MEDLINE
| ID: mdl-29129307
ABSTRACT
OBJECTIVE:
To evaluate efficacy of a developmentally sensitive curriculum for improving asthma self-management knowledge, attitude, and self-efficacy in adolescents.METHODS:
Fourty-two inner-city adolescents (ages 16-20) participated in a 12hour asthma self-management training program. Self-management knowledge, attitude toward asthma, and asthma-related self-efficacy were measured using short-answer tests before and after training. T-Tests were used to evaluate impact and effect sizes were calculated.RESULTS:
Mean pretest knowledge was 21.37/46 points; mean posttest was 36.33/46 points. Change from pre- to posttest was highly significant (t=10.34; p<0.0001), with a large effect size (d=1.68). Females improved more than males (18.66±8.58 vs. 12.29±8.13, p=0.039). Greatest effects were seen in awareness of long-term consequences of uncontrolled asthma (d=2.04), ability to recognize symptoms of life-threatening asthma (d=1.61), correctly monitor symptoms (d=1.49), and tell if asthma was uncontrolled (d=1.39). Asthma self-efficacy also improved significantly (p=0.017), particularly confidence in ability to correctly manage asthma, however improvements in attitude did not achieve statistical significance.CONCLUSION:
Developmentally appropriate training is effective in increasing critical self-management knowledge and self-efficacy in inner city adolescents, particularly females. PRACTICE IMPLICATIONS Providers should screen carefully for symptoms and educate using developmentally appropriate training materials on ways to correctly monitor and manage symptom.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Asma
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Autocuidado
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Conhecimentos, Atitudes e Prática em Saúde
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Educação de Pacientes como Assunto
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Autogestão
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article