Evaluation of the feasibility of a school-based asthma management programme in Taiwan

Suh Hwa Maa, Yue Cune Chang, Chun Liang Chou, Shu Chuan Ho, Te Fang Sheng, Karen MacDonald, Yanping Wang, Yu Ming Shen, Ivo Abraham

研究成果: 雜誌貢獻文章

5 引文 (Scopus)

摘要

Aims and objectives.: To investigate the feasibility of a school-based asthma management programme for middle school children. Background.: Asthma rates are increasing among school-aged children. Successful asthma treatment in children depends in part on clear communication and effective education. Design.: This feasibility study employed a one-group only longitudinal design with four time points over 18 months. Methods.: Nineteen female and twelve male (n = 31) seventh-grade children with asthma (13 SD 0·71 years) were identified using a six-stage asthma case-finding approach. Teachers and school staff were trained in the principles and methods of the proposed school-based asthma management programme. An individualised guided asthma self-management programme was developed for each child by a clinical team at a major academic medical centre. We assisted teachers in implementing the school programme; building a support network and monitoring children's activities. Outcome measures included lung function tests (at 0, six, 12 and 18 months), disease-related symptoms, psychosocial status and impact of asthma on learning (at 0 and 18 months). School provided data on academic achievement and school absences at 0, six, 12 and 18 months. Results.: Significant improvements were noted at six, 12 and 18 months on forced vital capacity (FVC)% of predicted (p = 0·001, 0·015, 0·015, respectively), forced expiratory volume in one second (FEV1)% of predicted (p = 0·001, 0·006, 0·088, respectively) and FEV1/FVC% of predicted (p = 0·001, 0·015, 0·099, respectively). There was a trend towards improved asthma symptoms (p = 0·050) and a significant decrease in positive perception of curriculum (p = 0·017) at 18 months after adjustment for covariates. Conclusions.: This programme was associated with respiratory benefits on physiological asthma markers commonly, with a trend for symptom control. Academic and psychosocial outcomes are subject of further inquiry. Relevance to clinical practice.: School-based asthma management holds promise as a feasible clinical option for middle school children with asthma in the Taiwanese school system.
原文英語
頁(從 - 到)2415-2423
頁數9
期刊Journal of Clinical Nursing
19
發行號17-18
DOIs
出版狀態已發佈 - 2010
對外發佈Yes

指紋

Taiwan
Asthma
Vital Capacity
Respiratory Function Tests
Forced Expiratory Volume
Feasibility Studies
Self Care
Curriculum
Communication
Outcome Assessment (Health Care)
Learning
Education

Keywords

  • Asthma
  • Feasibility
  • Nurses
  • School nursing
  • Taiwan

ASJC Scopus subject areas

  • Nursing(all)

引用此文

Evaluation of the feasibility of a school-based asthma management programme in Taiwan. / Maa, Suh Hwa; Chang, Yue Cune; Chou, Chun Liang; Ho, Shu Chuan; Sheng, Te Fang; MacDonald, Karen; Wang, Yanping; Shen, Yu Ming; Abraham, Ivo.

於: Journal of Clinical Nursing, 卷 19, 編號 17-18, 2010, p. 2415-2423.

研究成果: 雜誌貢獻文章

Maa, SH, Chang, YC, Chou, CL, Ho, SC, Sheng, TF, MacDonald, K, Wang, Y, Shen, YM & Abraham, I 2010, 'Evaluation of the feasibility of a school-based asthma management programme in Taiwan', Journal of Clinical Nursing, 卷 19, 編號 17-18, 頁 2415-2423. https://doi.org/10.1111/j.1365-2702.2010.03283.x
Maa, Suh Hwa ; Chang, Yue Cune ; Chou, Chun Liang ; Ho, Shu Chuan ; Sheng, Te Fang ; MacDonald, Karen ; Wang, Yanping ; Shen, Yu Ming ; Abraham, Ivo. / Evaluation of the feasibility of a school-based asthma management programme in Taiwan. 於: Journal of Clinical Nursing. 2010 ; 卷 19, 編號 17-18. 頁 2415-2423.
@article{842e807eeabf4bd987561163adb1f303,
title = "Evaluation of the feasibility of a school-based asthma management programme in Taiwan",
abstract = "Aims and objectives.: To investigate the feasibility of a school-based asthma management programme for middle school children. Background.: Asthma rates are increasing among school-aged children. Successful asthma treatment in children depends in part on clear communication and effective education. Design.: This feasibility study employed a one-group only longitudinal design with four time points over 18 months. Methods.: Nineteen female and twelve male (n = 31) seventh-grade children with asthma (13 SD 0·71 years) were identified using a six-stage asthma case-finding approach. Teachers and school staff were trained in the principles and methods of the proposed school-based asthma management programme. An individualised guided asthma self-management programme was developed for each child by a clinical team at a major academic medical centre. We assisted teachers in implementing the school programme; building a support network and monitoring children's activities. Outcome measures included lung function tests (at 0, six, 12 and 18 months), disease-related symptoms, psychosocial status and impact of asthma on learning (at 0 and 18 months). School provided data on academic achievement and school absences at 0, six, 12 and 18 months. Results.: Significant improvements were noted at six, 12 and 18 months on forced vital capacity (FVC){\%} of predicted (p = 0·001, 0·015, 0·015, respectively), forced expiratory volume in one second (FEV1){\%} of predicted (p = 0·001, 0·006, 0·088, respectively) and FEV1/FVC{\%} of predicted (p = 0·001, 0·015, 0·099, respectively). There was a trend towards improved asthma symptoms (p = 0·050) and a significant decrease in positive perception of curriculum (p = 0·017) at 18 months after adjustment for covariates. Conclusions.: This programme was associated with respiratory benefits on physiological asthma markers commonly, with a trend for symptom control. Academic and psychosocial outcomes are subject of further inquiry. Relevance to clinical practice.: School-based asthma management holds promise as a feasible clinical option for middle school children with asthma in the Taiwanese school system.",
keywords = "Asthma, Feasibility, Nurses, School nursing, Taiwan, Asthma, Feasibility, Nurses, School nursing, Taiwan",
author = "Maa, {Suh Hwa} and Chang, {Yue Cune} and Chou, {Chun Liang} and Ho, {Shu Chuan} and Sheng, {Te Fang} and Karen MacDonald and Yanping Wang and Shen, {Yu Ming} and Ivo Abraham",
year = "2010",
doi = "10.1111/j.1365-2702.2010.03283.x",
language = "English",
volume = "19",
pages = "2415--2423",
journal = "Journal of Clinical Nursing",
issn = "0962-1067",
publisher = "Wiley-Blackwell",
number = "17-18",

}

TY - JOUR

T1 - Evaluation of the feasibility of a school-based asthma management programme in Taiwan

AU - Maa, Suh Hwa

AU - Chang, Yue Cune

AU - Chou, Chun Liang

AU - Ho, Shu Chuan

AU - Sheng, Te Fang

AU - MacDonald, Karen

AU - Wang, Yanping

AU - Shen, Yu Ming

AU - Abraham, Ivo

PY - 2010

Y1 - 2010

N2 - Aims and objectives.: To investigate the feasibility of a school-based asthma management programme for middle school children. Background.: Asthma rates are increasing among school-aged children. Successful asthma treatment in children depends in part on clear communication and effective education. Design.: This feasibility study employed a one-group only longitudinal design with four time points over 18 months. Methods.: Nineteen female and twelve male (n = 31) seventh-grade children with asthma (13 SD 0·71 years) were identified using a six-stage asthma case-finding approach. Teachers and school staff were trained in the principles and methods of the proposed school-based asthma management programme. An individualised guided asthma self-management programme was developed for each child by a clinical team at a major academic medical centre. We assisted teachers in implementing the school programme; building a support network and monitoring children's activities. Outcome measures included lung function tests (at 0, six, 12 and 18 months), disease-related symptoms, psychosocial status and impact of asthma on learning (at 0 and 18 months). School provided data on academic achievement and school absences at 0, six, 12 and 18 months. Results.: Significant improvements were noted at six, 12 and 18 months on forced vital capacity (FVC)% of predicted (p = 0·001, 0·015, 0·015, respectively), forced expiratory volume in one second (FEV1)% of predicted (p = 0·001, 0·006, 0·088, respectively) and FEV1/FVC% of predicted (p = 0·001, 0·015, 0·099, respectively). There was a trend towards improved asthma symptoms (p = 0·050) and a significant decrease in positive perception of curriculum (p = 0·017) at 18 months after adjustment for covariates. Conclusions.: This programme was associated with respiratory benefits on physiological asthma markers commonly, with a trend for symptom control. Academic and psychosocial outcomes are subject of further inquiry. Relevance to clinical practice.: School-based asthma management holds promise as a feasible clinical option for middle school children with asthma in the Taiwanese school system.

AB - Aims and objectives.: To investigate the feasibility of a school-based asthma management programme for middle school children. Background.: Asthma rates are increasing among school-aged children. Successful asthma treatment in children depends in part on clear communication and effective education. Design.: This feasibility study employed a one-group only longitudinal design with four time points over 18 months. Methods.: Nineteen female and twelve male (n = 31) seventh-grade children with asthma (13 SD 0·71 years) were identified using a six-stage asthma case-finding approach. Teachers and school staff were trained in the principles and methods of the proposed school-based asthma management programme. An individualised guided asthma self-management programme was developed for each child by a clinical team at a major academic medical centre. We assisted teachers in implementing the school programme; building a support network and monitoring children's activities. Outcome measures included lung function tests (at 0, six, 12 and 18 months), disease-related symptoms, psychosocial status and impact of asthma on learning (at 0 and 18 months). School provided data on academic achievement and school absences at 0, six, 12 and 18 months. Results.: Significant improvements were noted at six, 12 and 18 months on forced vital capacity (FVC)% of predicted (p = 0·001, 0·015, 0·015, respectively), forced expiratory volume in one second (FEV1)% of predicted (p = 0·001, 0·006, 0·088, respectively) and FEV1/FVC% of predicted (p = 0·001, 0·015, 0·099, respectively). There was a trend towards improved asthma symptoms (p = 0·050) and a significant decrease in positive perception of curriculum (p = 0·017) at 18 months after adjustment for covariates. Conclusions.: This programme was associated with respiratory benefits on physiological asthma markers commonly, with a trend for symptom control. Academic and psychosocial outcomes are subject of further inquiry. Relevance to clinical practice.: School-based asthma management holds promise as a feasible clinical option for middle school children with asthma in the Taiwanese school system.

KW - Asthma

KW - Feasibility

KW - Nurses

KW - School nursing

KW - Taiwan

KW - Asthma

KW - Feasibility

KW - Nurses

KW - School nursing

KW - Taiwan

UR - http://www.scopus.com/inward/record.url?scp=77955977101&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=77955977101&partnerID=8YFLogxK

U2 - 10.1111/j.1365-2702.2010.03283.x

DO - 10.1111/j.1365-2702.2010.03283.x

M3 - Article

C2 - 20920069

AN - SCOPUS:77955977101

VL - 19

SP - 2415

EP - 2423

JO - Journal of Clinical Nursing

JF - Journal of Clinical Nursing

SN - 0962-1067

IS - 17-18

ER -