Effectiveness of a school-and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school-age students

被引:30
作者
Kintner, Eileen K. [1 ]
Cook, Gwendolyn [2 ]
Marti, C. Nathan [3 ]
Allen, April [4 ]
Stoddard, Debbie [5 ]
Harmon, Phyllis [6 ]
Gomes, Melissa [7 ]
Meeder, Linda [8 ]
Van Egeren, Laurie A. [9 ]
机构
[1] Univ Texas Austin, Sch Nursing, Austin, TX 78712 USA
[2] Univ Texas Austin, Sch Nursing, Comparison Asthma Programs Sch, Austin, TX 78712 USA
[3] Univ Texas Austin, Div Stat & Sci Computat, Austin, TX 78712 USA
[4] Allegiance Hlth, Cardiopulm Rehabil, Jackson, MI USA
[5] Michigan State Univ, E Lansing, MI 48824 USA
[6] Univ Texas Austin, Sch Nursing, Comparison Asthma Programs Sch, Austin, TX 78712 USA
[7] Lansing Sch Dist, Lansing, MI USA
[8] Michigan Dept Community Hlth, Lansing, MI USA
[9] Michigan State Univ, Off Univ Outreach & Engagement, E Lansing, MI 48824 USA
基金
美国国家卫生研究院;
关键词
Adaptation; adjustment; condition management; episode management; health promotion; intervention; pediatric; prevention; quality of life; randomized control trial; risk reduction; self-management; COUNSELING PROGRAM; CHILDREN;
D O I
10.1111/jspn.12099
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
PurposeThe purpose was to evaluate the effectiveness of Staying Healthy-Asthma Responsible & Prepared, an academic asthma health education and counseling program, on fostering the use of effective asthma self-care behaviors. Design and MethodsThis was a phase III, two-group, cluster randomized, single-blinded, longitudinal design-guided study. Caregivers of 205 fourth- and fifth-grade students completed the asthma health behaviors survey at preintervention, and 1, 12, and 24 months postintervention. Analysis involved multilevel modeling. ResultsAll students demonstrated improvement in episode management, risk reduction/prevention, and health promotion behaviors; Staying Healthy-Asthma Responsible & Prepared students demonstrated increased improvement in episode management and risk reduction/prevention behaviors. Practice ImplicationsWorking with schoolteachers, nurses can improve the use of effective asthma self-care behaviors.
引用
收藏
页码:62 / 75
页数:14
相关论文
共 29 条
  • [1] Fitting Linear Mixed-Effects Models Using lme4
    Bates, Douglas
    Maechler, Martin
    Bolker, Benjamin M.
    Walker, Steven C.
    [J]. JOURNAL OF STATISTICAL SOFTWARE, 2015, 67 (01): : 1 - 48
  • [2] Probing interactions in fixed and multilevel regression: Inferential and graphical techniques
    Bauer, DJ
    Curran, PJ
    [J]. MULTIVARIATE BEHAVIORAL RESEARCH, 2005, 40 (03) : 373 - 400
  • [3] Bronfenbrenner U., 1979, ECOLOGY HUMAN DEV
  • [4] School-based asthma programs
    Bruzzese, Jean-Marie
    Evans, David
    Kattan, Meyer
    [J]. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY, 2009, 124 (02) : 195 - 200
  • [5] An evaluation of open airways for schools:: Using college students as instructors
    Bruzzese, JM
    Markman, LB
    Appel, D
    Webber, M
    [J]. JOURNAL OF ASTHMA, 2001, 38 (04) : 337 - 342
  • [6] Burnham KP., 2002, MODEL SELECTION MULT
  • [7] Effect of a comprehensive school-based asthma program on symptoms, parent management, grades, and absenteeism
    Clark, NM
    Brown, R
    Joseph, CLM
    Anderson, EW
    Litt, ML
    Valerio, MA
    [J]. CHEST, 2004, 125 (05) : 1674 - 1679
  • [8] THE REVISED ASTHMA PROBLEM BEHAVIOR CHECKLIST
    CREER, TL
    WIGAL, JK
    TOBIN, DL
    KOTSES, H
    SNYDER, SE
    WINDER, JA
    [J]. JOURNAL OF ASTHMA, 1989, 26 (01) : 17 - 29
  • [9] A SCHOOL-HEALTH EDUCATION-PROGRAM FOR CHILDREN WITH ASTHMA AGED 8-11 YEARS
    EVANS, D
    CLARK, NM
    FELDMAN, CH
    RIPS, J
    KAPLAN, D
    LEVISON, MJ
    WASILEWSKI, Y
    LEVIN, B
    MELLINS, RB
    [J]. HEALTH EDUCATION QUARTERLY, 1987, 14 (03): : 267 - 279
  • [10] Gelman Andrew, 2006, Data analysis using regression and multilevel/hierarchical models, DOI [10.1017/CBO9780511790942, DOI 10.1017/CBO9780511790942]