RESUMO
Systematic training of children and adolescents to cope with asthma has been practised in Germany for long years parallel to the development of training for adult asthmatics. An analysis conducted in mid-1992 revealed a considerable gap between the actual need for such training and the available training facilities. The analysis covered asthma training both for outpatients and inpatients including those referred to rehabilitation hospitals. The analysis revealed that there have been some achievements in the topics that were analysed (general framework of conditions for training, target groups of patients, agreement on the direction in which to proceed with regard to scope and aims, follow-up and aftercare, interdisciplinary exchange of ideas and actions, financing and government-piloted sponsorship by the compulsory health insurance bodies, qualification of the asthma pupils and evaluation), whereas in many cases these achievements are in the nature of a pilot study or of a matured model without meeting as yet the essential conditions for a full-range and adequate asthma training offer that can be realised in a sufficiently large area. However, a general consensus has been reached recently on medical contents of the training, on problems of methods and didactic approach and also on standards of evaluation. The paper expressing this general consensus was passed on the occasion of the 3rd Annual General Meeting of the Work Team for Asthma Training in Childhood and Adolescence. This means that the essential prerequisites for expanding the training programme from a local to a large-area programme have now been created.
