Jessica L Rice1, Kristen M Matlack2, Marsha D Simmons2, Jonathan Steinfeld2, Margaret A Laws3, Mark E Dovey2, Robyn T Cohen2. 1. St Christopher's Hospital for Children, Department of Pediatric Pulmonology, Philadelphia, USA. Electronic address: Jrice25@jhmi.edu. 2. St Christopher's Hospital for Children, Department of Pediatric Pulmonology, Philadelphia, USA. 3. Boston University School of Medicine, Department of Pediatrics, Boston, USA.
Abstract
OBJECTIVE: To evaluate the impact of LEAP, a volunteer-based, inpatient asthma education program for families of inner-city children with asthma. METHODS:711 children ages 2-17 yearsadmitted with status asthmaticus were randomized to receive usual care or usual care plus a supplemental education intervention. Both groups completed a baseline interview. Trained volunteer lay educators conducted individualized bedside education with the intervention group. Primary outcome was attendance at a post-hospitalization follow-up visit 7-10 days after discharge. Secondary outcomes included parent-reported asthma management behaviors, symptoms, and self-efficacy scores from a one month follow-up interview. RESULTS:Post-hospitalization asthma clinic attendance was poor (38%), with no difference between groups. Families randomized to the intervention group were more likely to report use of a controller (OR 2.4, 95% CI 1.3-4.2, p<0.01) and a valved-holding chamber (OR 2.9, 95% CI 1.1-7.4, p=0.03), and were more likely to have an asthma action plan at follow up (OR 2.0, 95% CI 1.3-3.0, p<0.01). Asthma self-efficacy scores were significantly improved among those who received the intervention (p=0.04). CONCLUSIONS: Inpatient asthma education by trained lay volunteers was associated with improved asthma management behaviors. PRACTICE IMPLICATIONS: This novel volunteer-based program could have widespread implications as a sustainable model for asthma education.
RCT Entities:
OBJECTIVE: To evaluate the impact of LEAP, a volunteer-based, inpatient asthma education program for families of inner-city children with asthma. METHODS: 711 children ages 2-17 years admitted with status asthmaticus were randomized to receive usual care or usual care plus a supplemental education intervention. Both groups completed a baseline interview. Trained volunteer lay educators conducted individualized bedside education with the intervention group. Primary outcome was attendance at a post-hospitalization follow-up visit 7-10 days after discharge. Secondary outcomes included parent-reported asthma management behaviors, symptoms, and self-efficacy scores from a one month follow-up interview. RESULTS: Post-hospitalization asthma clinic attendance was poor (38%), with no difference between groups. Families randomized to the intervention group were more likely to report use of a controller (OR 2.4, 95% CI 1.3-4.2, p<0.01) and a valved-holding chamber (OR 2.9, 95% CI 1.1-7.4, p=0.03), and were more likely to have an asthma action plan at follow up (OR 2.0, 95% CI 1.3-3.0, p<0.01). Asthma self-efficacy scores were significantly improved among those who received the intervention (p=0.04). CONCLUSIONS: Inpatient asthma education by trained lay volunteers was associated with improved asthma management behaviors. PRACTICE IMPLICATIONS: This novel volunteer-based program could have widespread implications as a sustainable model for asthma education.
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