Effectiveness of a preschool asthma education programme, compared to usual care, on the frequency of acute asthma events: a community-based cluster randomised trial.
Aim: To determine whether an asthma intervention delivered within preschools can improve asthma outcomes in children aged 2-5 years with asthma or a high probability of asthma.Methods: Between 2011 and 2013, we undertook a pragmatic, single-blind, cluster randomised trial in Auckland, New Zealand. W...
| Publicado en: | New Zealand Medical Journal Vol. 135; no. 1554; pp. 80 - 93 |
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| Autores principales: | , , , , , , , , , , , , , , , |
| Formato: | research randomized controlled trial Journal Article |
| Publicado: |
New Zealand Medical Journal
5/6/2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=156777076&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 156777076 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00288446 22X jtl: New Zealand Medical Journal issn: 00288446 maglogo: N pubinfo: dt: 5/6/2022 vid: 135 iid: 1554 pid: 5138 pub: New Zealand Medical Journal artinfo: ui: 156777076 156777076 NLM35728220 156777076 NLM35728220 156777076 ppf: 80 ppct: 13 formats: tig: atl: Effectiveness of a preschool asthma education programme, compared to usual care, on the frequency of acute asthma events: a community-based cluster randomised trial. aug: au: Walker, Natalie von Blaramberg, Taina Mackay, Janet McNaughton, Wendy Strickland, Janine Van Mil, Janice Moorcroft, Joanne Funnell, Caroline Smith, Lynne Bettle, Emma Power, Kylie Parore, Marama Parag, Varsha Bullen, Christopher Metcalfe, Scott Springford Springford Metcalfe, Scott affil: Associate Professor in Population Health, National Institute for Health Innovation, School of Population Health, The University of Auckland New Zealand sug: subj: Asthma Prevention and Control Asthma Epidemiology Child Human Single-Blind Studies Cost Benefit Analysis Child, Preschool New Zealand Quality of Life Comparative Studies Multicenter Studies Randomized Controlled Trials Evaluation Research Validation Studies Child: 6-12 years Child, Preschool: 2-5 years ab: Aim: To determine whether an asthma intervention delivered within preschools can improve asthma outcomes in children aged 2-5 years with asthma or a high probability of asthma.Methods: Between 2011 and 2013, we undertook a pragmatic, single-blind, cluster randomised trial in Auckland, New Zealand. We randomly assigned (1:1 ratio) preschools, and their children aged 2-5 years with asthma or a high probability of asthma, to receive an asthma intervention (a 12-month respiratory nurse-led asthma assessment using an evidence-based, web-based tool and a class-based asthma education programme for four months), or a control intervention (a class-based science education programme for four months). Both groups received standard asthma management by their primary care physician. The primary outcome was the proportion of children that had at least one unscheduled ("urgent") medical or ED attendance for asthma over 12 months.Results: We randomised 171 preschools, 85 to the intervention (341 children) and 86 to the control (334 children). We found no difference in the primary outcome (intervention: 216/341, 63% vs control: 181/334, 54%: adjusted Odds Ratio=1.36, 95% Confidence Interval=0.95-1.94, p=0.095). However, compared with the control group, the intervention group had improved and sustained asthma control and fewer asthma symptoms over 12 months.Conclusions: Combining asthma education with a nurse-led, evidence-based asthma assessment and education intervention led to sustained improvements in asthma control in this preschool population, but its effect on acute events remains unclear. pubtype: Academic Journal doctype: research randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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