Telephone coaching for parents of children with asthma: impact and lessons learned.
Arch Pediatr Adolesc Med
; 164(7): 625-30, 2010 Jul.
Article
em En
| MEDLINE
| ID: mdl-20603462
ABSTRACT
OBJECTIVE:
To determine whether an asthma coaching program can improve parent and child asthma-related quality of life (QOL) and reduce urgent care events.DESIGN:
Randomized controlled trial of usual care vs usual care with coaching. Comparisons were made between groups using mixed models.SETTING:
A Midwest city.PARTICIPANTS:
A community-based sample of 362 families with a child aged 5 to 12 years with persistent asthma. INTERVENTION A 12-month structured telephone coaching program in which trained coaches provided education and support to parents for 4 key asthma management behaviors. MAIN OUTCOMEMEASURES:
Parental and child QOL measured with a validated, interview-administered, 7-point instrument and urgent care events in a year (unscheduled office visits, after-hours calls, emergency department visits, or hospitalizations) determined by record audit.RESULTS:
Parental asthma-related QOL scores improved by an average of 0.67 units (95% confidence interval [CI], 0.49 to 0.84) in the intervention group and 0.28 units (95% CI, 0.10 to 0.46) in the control group. The difference between study groups was statistically significant (difference, 0.38; 95% CI, 0.14 to 0.63). No between-group difference was found in the change in the child's QOL (difference, -0.17; 95% CI, -0.47 to 0.12) or in the mean number of urgent care events per year (difference, 1.15; 95% CI, 0.82 to 1.61). The proportion of children with very poorly controlled asthma in the intervention group decreased compared with the control group (difference, 0.34; 95% CI, 0.21 to 0.48).CONCLUSIONS:
A telephone coaching program can improve parental QOL and can be implemented without additional physician training or practice redesign.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pais
/
Asma
/
Telefone
Tipo de estudo:
Clinical_trials
/
Evaluation_studies
/
Prognostic_studies
/
Qualitative_research
Limite:
Child
/
Humans
Idioma:
En
Ano de publicação:
2010
Tipo de documento:
Article