A randomized, controlled trial of an interactive educational computer package for children with asthma.
Pediatrics
; 117(4): 1046-54, 2006 Apr.
Article
en En
| MEDLINE
| ID: mdl-16585298
ABSTRACT
OBJECTIVE:
The purpose of this study was to evaluate the impact and acceptability of an educational multimedia program designed to promote self-management skills in children with asthma.METHODS:
We conducted a randomized, controlled trial with measures at baseline and 1- and 6-month follow-up. The trial was conducted in pediatric outpatient respiratory clinics in 3 United Kingdom hospitals. Participants included 101 children aged 7 to 14 years under the care of hospital-based asthma services. The children were randomly assigned to receive an asthma information booklet alone or the booklet plus The Asthma Files, an interactive CD-ROM for children with asthma. Asthma knowledge was the primary outcome measure. Other measures included asthma locus of control, lung function, use of oral steroids, and school absence.RESULTS:
At the 1-month follow-up (n = 99), children in the computer group had improved knowledge compared with the control group and a more internal locus of control. There were no differences in objective lung-function measures, hospitalizations, or oral steroid use. The study participants were positive in their evaluation of the intervention. At the 6-month follow-up (n = 90), significantly fewer children in the intervention group had required oral steroids and had had time off school for asthma in the previous 6 months. The difference did not reach statistical significance in the intention-to-treat analysis for both steroid use and school absence.CONCLUSION:
The Asthma Files was found to be an effective and popular health education tool for promoting asthma self-management skills within pediatric care.
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Bases de datos:
MEDLINE
Asunto principal:
Asma
/
Autocuidado
/
Educación del Paciente como Asunto
/
DC-I
Tipo de estudio:
Clinical_trials
Límite:
Child
/
Female
/
Humans
/
Male
Idioma:
En
Revista:
Pediatrics
Año:
2006
Tipo del documento:
Article
País de afiliación:
Reino Unido