Effects of Asthma Education on Children's Use of Acute Care Services: A Meta-analysis (original) (raw)

Asthma Education and its Impact on Emergency Department Visits by Asthmatic Children

The Medical Journal of Cairo University, 2021

Background: Bronchial asthma is a public health problem in all countries irrespective of their level of development, being generally under-diagnosed and undertreated, and most asthma-related deaths commonly occurs in low-income and lower-middle income countries. Children rely heavily on their parents for asthma management. Therefore, asthma education needs to target the entire family. There is a need for ongoing asthma education, increased sensitivity to complex home management, and family-centered interventions by caregivers of asthmatic children that enhance communication and collaboration between caregivers and providers. Aim of Study: This study is aiming at evaluating the effects of an educational asthma program on the frequent visits to the emergency department by asthmatic children and identifying factors associated with frequent emergency department visits. Patients and Methods: This was one arm Interventional clinical trial study has been conducted at pediatric chest clinic...

Impact of an asthma management program on hospitalizations and emergency department visits

Jornal de pediatria

To assess the frequency of hospitalizations and emergency department visits of children and adolescents before and after the enrollment in an asthma program. Medical records of 608 asthmatics younger than 15 years were assessed retrospectively. The frequency of hospitalizations and emergency department visits caused by exacerbations were evaluated before and after enrollment in an asthma program. Patients were treated with medications and a wide prophylactic management program based on the Global Initiative for Asthma (GINA). The before asthma program (BAP) period included 12 months before enrollment, whereas the after asthma program (AAP) period ranged from 12 to 56 months after enrollment. In the BAP period, there were 895 hospitalizations and 5,375 emergency department visits, whereas in the AAP period, there were 180 and 713, respectively. This decrease was significant in all statistical analyses (p = 0.000). Compliance with the GINA recommendations led to a significant decrease...

The Effectiveness of Asthma Education Approaches for Children: Group Versus Individual Education

BJSTR, 2017

Objective: Childhood asthma is a common and potentially life-threatening condition and a leading cause of child admission to acute care and emergency services. The importance of educational methods for children and their parents about appropriate asthma management has been highlighted in many studies, but little is known about the effectiveness of educational methods. This study aims to evaluate the effectiveness of group education intervention on asthma in secondary care settings compared with face-to-face education for children (under 18) and their parents. Specifically, it assesses the number of emergency visits, hospital admissions, school absences, quality of life, mortality and cost to provide best evidence for future clinical research and practice.Data sources: MEDLINE, CINHAL, PsycINFO, EMBASE, Web of Science, and SCOPUS databases. Study selections: 15 RCTs identified and their methodological quality assessed using JBI-MAStRI checklist. Results: 15 of 927 studies included in the final review (with reviewer consensus) indicated a significant reduction in number of emergency visits and hospital admissions among those receiving face-to-face. Two studies highlighted the mean number of school absences; one study measured QoL of asthmatic children and their parents, four calculated the health cost of education and none considered mortality rates. Conclusion: Face-to-face education significantly reduces asthmatic children’s emergency visits and hospital admissions.

Education of parents about paediatric asthma: effects of a protocol on medical consumption

Patient Education and Counseling, 1995

Asthma is a very common chronic disease among preschool children in primary health care. Research has shown that planned and systematic patient education positively affects the management of asthma by parents. This study focuses on the question of whether an asthma patient education protocol that is used by general practitioners (GPs) has an effect on medical care consumption. The treatment group consisted of 28 GPs, representing 47 asthmatic infants. The control group contained 18 GPs, representing 38 patients. Data were collected from medical records (with a written instrument) for a 12-month period preceding and after the intervention period in which the education protocol was tested. Results indicated that sociodemographic variables and pretest data on asthma severity and medical care utilization were largely comparable for patients in both study groups. Furthermore, the treatment group showed a significantly greater decrease than the control group from pre-to post-test measurement in the number of contacts with the GP and the number of emergency visits to the physician's office.