Impact of a Standardized Asthma Education Program for Children Ages 8-12 Years Old with Moderate to Severe Persistent Asthma on Health Outcomes: A Pilot Study
Review TypeNone: Degree-based Submission
Repository Posting Date2020-01-10T19:19:50Z
Author(s)Bowen, Felesia Renee
Author DetailsFelesia Renee Bowen, PhD, RN
Lead Author Sigma AffliationGamma Omicron at-Large
Level of EvidenceRandomized Controlled Trial
Research ApproachPilot/Exploratory Study
Asthma is one of the most common chronic diseases of childhood causing significant physical, emotional and financial burden. The purpose of this study was to pilot recruitment strategies, instruments and experimental protocols to determine the feasibility of conducting a larger randomized control trial (RCT) and to evaluate educational, behavioral and physiological health outcomes for children ages 8 to 12 years of age with moderate to severe persistent asthma. The 30 subjects in this pilot were recruited at the time of hospital and emergency department admissions, randomized to standard care or care plus the Open Airways program, and assessed at three time points with a knowledge test, quality of life and disease control questionnaires, and spirometry to determine measures of large and small airway function. Subjects in the intervention group demonstrated significant and sustained improvement in asthma knowledge and their quality of life trended toward significance in the emotional subdomain. There was improvement over time within both groups on all health outcome measures except spirometry but repeated measures analysis of variance showed no significant difference between groups for measurable lung function, quality of life or level of asthma control. Both groups experienced high levels of tobacco exposure with and without other environmental pollutants. The pilot study validated methods applicable to a larger RCT and suggested protocol revisions in intervention content, monitoring of control group, and timing of data collection. This study is innovative in that it focused on recruiting and intervening with urban children who have moderate to severe persistent asthma and it measured lung function and quality of life as well in addition to knowledge relative to a standardized educational intervention developed and widely used for children with milder disease. Incorporating the protocol refinements suggested in a larger RTC can potentially establish empirical evidence for an intervention tailored to the needs of children who are more seriously impacted by asthma and harder to reach for delivery of effective interventions.
DescriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3420787; ProQuest document ID: 750057896. The author still retains copyright.
Degree GrantorColumbia University
NotesThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
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