What are the components of effective chronic condition self-management education interventions for children with asthma, cystic fibrosis, and diabetes? A systematic review.
Patient Educ Couns
; 102(4): 607-622, 2019 04.
Article
em En
| MEDLINE
| ID: mdl-30471988
ABSTRACT
OBJECTIVE:
To articulate the components of educational interventions that help children learn about managing their asthma, cystic fibrosis, or diabetes, relevant to their age/developmental status.METHODS:
A systematic review of chronic condition self-management (CCSM) educational interventions that included age/developmentally appropriate components, published before 27 January 2018, including evidence level and quality assessments. Teaching approaches were extracted and translated into practical components.RESULTS:
Twenty education interventions were identified, published across 30 studies. Most studies (n = 20/30) were based on the theories of Piaget and Bandura. Similar teaching approaches were used across conditions, incorporating sequenced curriculum and a variety of active elements. Age/developmentally appropriate interventions resulted in improvements in the CCSM capabilities of children. Outcomes were improved when compared with usual care. For very young children, educational interventions were directed at parents/families. As children reached school age, interventions increasingly became child-focused, promoting autonomy. Integrated play and reinforcement were common. Adolescent interventions placed greater emphasis on communication, problem-solving, and role division.CONCLUSION:
Eight key components were identified structured and sequenced curricula; reinforcement; active participation; collaboration; autonomy; feedback; multiple exposures; and, problem-solving. Different components are relevant to specific life stages. PRACTICE IMPLICATIONS Clinicians require age/developmentally appropriate practical education tools to provide effective paediatric health care.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Autocuidado
/
Educação de Pacientes como Assunto
/
Doença Crônica
/
Autogestão
Idioma:
En
Ano de publicação:
2019
Tipo de documento:
Article