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
View File(s)
- Author(s)
- Details
-
Felesia Renee Bowen, PhD, RN
- Sigma Affiliation
- Gamma Omicron at-Large
Visitor Statistics
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Country | Visits |
---|
Top Visiting Cities
City | Visits |
---|
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Bowen, Felesia Renee by View
Title | Page Views |
---|
Popular Works for Bowen, Felesia Renee by Download
Title | Downloads |
---|
View Citations
Citations
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.
This 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.
This 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.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Randomized Controlled Trial |
Research Approach | Pilot/Exploratory Study |
Keywords | Asthmatic Children; Children with Chronic Disease; Effects of Health Care |
Grantor | Columbia University |
Advisor | Byrne, Mary |
Level | Doctoral-Other |
Year | 2010 |
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Related items
Showing items related by title, author, creator and subjects.
-
Improving asthma outcomes with a community-based asthma specialty clinic
Bowen, Felesia ReneeThis presentation will describe a novel nurse-developed program designed to improve asthma outcomes in urban children. Program barriers and facilitators will be also be discussed. -
A nurse practitioner-led, community-based project to improve the oral health of preschool children
Bowen, Felesia Renee; Byrne, Mary W.; Woodring, Barbara C. (2017-10-17)Participants will learn how to form an interprofessional team for the purpose of community service learning. This poster provides an example of how to bring academic providers, students and community together to increase ... -
Future Time Perspective and Asthma Self-Management in Adolescents: A Scoping Review
Bowen, Felesia Renee; Delrosso, Nicoletta (2017-09-26)This project demonstrates how the scoping review (SR) methodology of Colquhoun et al was used to explore the relationship between future time perspective and asthma self-management in adolescents. The SR revealed that there ... -
Comparison of three teaching methods on four-through-seven year old children's understanding of the lungs in relation to a peak flow meter in the management of asthma: A pilot study
Schmidt, Cheryl K.The purpose of this study was to compare the effects of three teaching methods on 4-through-7-year-old children's understanding of the lungs in relation to a peak flow meter in the management of asthma. Nineteen children, ... -
Trauma-informed education and nursing students: A cross-sectional study
Bowen, Felesia ReneeMental health disorders are a leading cause of disability in the U.S., and 25% of U.S. children experienced a traumatic event. Nursing students are exposed to material that can re-traumatize and impede educational success. ...