Pilot testing Okay with Asthma™: A digital story for psychosocial asthma management
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Tami Hodges Wyatt, PhD, RN, CNE, CHSE, ANEF, FAAN
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Asthma, an obstructive airway disease characterized by recurrent episodes of breathlessness and wheezing, is the most prevalent chronic illness among children in the United States. An estimated 7.7 million American children have asthma. Health experts suggest that cognitive, emotional, and behavioral variables contribute to its severity. To date, asthma education programs have focused on asthma triggers, behaviors to manage asthma, and asthma medications; however, they have not addressed the emotional component of children's experience with asthma. This is important because the way children feel about their asthma, or their attitude, affects what they learn and how they apply it. The research reported here tested the effectiveness of an educational program for school-aged children with asthma that included not only traditional content to manage asthma but also psychosocial management strategies. Okay with Asthma™, a digital story and story writing program, was developed for children with asthma between the ages of 8–11 years, based on Gagne's conditions of learning theory and Egan's learning through story model.
The research tested the effects of Okay with Asthma™ on children's attitude toward having asthma and their knowledge of asthma. Using a one-group pretest-posttest non-experimental design, 35 children with moderate to severe asthma, who were enrolled in Albemarle county public schools completed a pretest to measure knowledge and attitude, then completed Okay with Asthma™. At 1-week and 2-week post intervention, participants completed the knowledge and attitude measures again.
Children had significant improvements in asthma knowledge scores at 1-week and 2-week evaluation and significant improvements in attitude scores 2 weeks after completing the program. Children with severe asthma showed the greatest improvement in knowledge and attitude scores. The participant's learning style had no effect on the child's knowledge and attitude score indicating Okay with Asthma™ is well suited for children with varying learning styles. Since the goal of this project was to develop an educational program for children with asthma, it is recommended that school nurses incorporate Okay with Asthma™ in their current asthma education program and refer children and families to the program at http://okay-with-asthma.org.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3097283; ProQuest document ID: 305303249. 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 | Non-Experimental |
Research Approach | Pretest-Posttest |
Keywords | Children; Asthma; Asthma Management; Illness Educational Programs |
Grantor | University of Virginia |
Advisor | Hauenstein, Emily; Farell, Sarah |
Level | PhD |
Year | 2003 |
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