Self-management teaching programs and morbidity of pediatric asthma: A meta-analysis
Journal of Allergy and Clinical ImmunologyPublished 1 January 1995
Anne‐Claude Bernard‐Bonnin, Sylvie Stachenko, Diane Bonin, Christiane Charette, Élisabeth Rousseau
Citations212
SJR quartileQ1
SJR score3.94
SNIP2.56
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TL;DR
Self-management teaching programs do not seem to reduce morbidity, and future programs should focus more on intermediate outcomes such as behavior.
Abstract
Self-management teaching programs do not seem to reduce morbidity, and future programs should focus more on intermediate outcomes such as behavior.
Keywords
Health Professions
Computers Environment and Urban SystemsStatistical power analysis for the behavioral sciences
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Journal of Educational StatisticsStatistical Methods for Meta-Analysis
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Journal of Chronic DiseasesBias in analytic research
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This chapter focuses on the bias in analytic research, which is a general trend toward fewer study subjects but more study authors was also noted.
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Data from the 1988 US National Health Interview Survey on Child Health was used to determine national estimates of school outcomes and mean number of absences for children with asthma (CWA) compared to well children without current health conditions and the role of health status among asthmatic children.
PubMedA randomized trial of A.C.T. (asthma care training) for kids.
228 Citations1984Lewis Ce, G. Rachelefsky +3 more
Health Education QuarterlyA School Health Education Program for Children with Asthma Aged 8-11 Years
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PEDIATRICSEducational Intervention by Computer in Childhood Asthma: A Randomized Clinical Trial Testing the Use of a New Teaching Intervention in Childhood Asthma
183 Citations1986David H. Rubin, John M. Leventhal +5 more
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PEDIATRICSControlled Trial of a Home and Ambulatory Program for Asthmatic Children
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A 2-year randomized, controlled trial involving 95 children measured the impact of a comprehensive home and ambulatory program for pediatric asthma management using objective outcome measures to improve objective measures of illness severity.
Journal of Epidemiology & Community HealthThe potential and limitations of meta-analysis.
121 Citations1991Tim D. Spector, Simon G. Thompson
The differing applications and limitations of meta analysis are discussed, with a review of the analytic methods used and the problems and biases encountered.
Journal of Developmental & Behavioral PediatricsA Health Education Program for Children with Asthma
112 Citations1980Guy S. Parcel, Philip R. Nader +1 more
Results indicate that educational objectives for children with asthma can be met through a structured educational program, conducted in small groups.
CHEST JournalAsthma Self-Management Education
109 Citations1989Noreen M. Clark
This article summarizes the implications of recent research findings for cardiopulmonary specialists and immunologists and outlines the role of specialists in furthering a national effort to improve asthma selfmanagement.
Journal of AsthmaLiving with Asthma
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The roots of Living with Asthma are traced from the Children's Asthma Research Institute and Hospital (CARIH), a residential treatment center in Denver, Colorado; the program proved highly effective in significantly improving the knowledge of asthma in parents and their children, and in developing positive attitudes in both groups.
PubMedTrends in rates of admission to hospital and death from asthma among children and young adults in Canada during the 1980s.
101 Citations1993Kate Wilkins, Y Mao
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JAMAChanging patterns of asthma hospitalization among children: 1979 to 1987
98 Citations1990Peter J. Gergen
CHEST JournalThe Impact of Pediatric Asthma Education on Morbidity
72 Citations1988Jonathan Howland, Howard Bauchner +1 more
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Pediatric Asthma Allergy & ImmunologyA Critique of 19 Self-Management Programs for Childhood Asthma: Part I. Development and Evaluation of the Programs
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When asthma management skills were performed, children and their parents could make a contribution to preventing and managing attacks, to reducing asthma-related health care costs, and to accepting greater responsibility for the management of childhood asthma.
American Journal of Public HealthThe effect of a patient education program on emergency room use for inner-city children with asthma.
64 Citations1990M C Shields, Kenneth W. Griffin +1 more
An educational program for children with asthma designed to reduce emergency room (ER) use enrolled all eligible children within a health maintenance organization (HMO) who had used the hospital or ER for asthma during the pre-enrollment period and randomized them into two groups.
Journal of Allergy and Clinical ImmunologySelf-management psychology and the treatment of childhood asthma
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The Medical Journal of AustraliaEffects of intervention on medication compliance in children with asthma
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Journal of AsthmaReview Article: Asthma Self-Management Programs: Premises, Not Promises
52 Citations1988Edwin L. Klingelhofer, M. Eric Gershwin
Archives of Disease in ChildhoodAsthma education by community child health nurses.
52 Citations1986EA Mitchell, Vernice Ferguson +1 more
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Journal of Psychosomatic ResearchThe impact of a self-administered behavioral intervention program on pediatric asthma
47 Citations1985Richard F. Rakos, Mark V. Grodek +1 more
The demonstration of important, but modest, benefits from a low-cost, easily disseminated, self-administered intervention is discussed in the context of self-help treatment in general.
PubMedEffectiveness of a nurse-managed program for children with chronic asthma.
42 Citations1988Jennie Sartain Alexander, Robert E. Younger +2 more
Compared with the 12-month period prior to enrollment, the CNS group subjects demonstrated a significant reduction in the frequency of emergency room (ER) visits, as well as a significant increase in the number of outpatient department visits in both groups.
Journal of Allergy and Clinical ImmunologyThe application of theory in childhood asthma self-help programs
35 Citations1983John G. Bruhn
The key common elements in the examined theories on adherence behavior are integrated and organized into a paradigm for the family determinants of the self-management of chronic illness.
Health Education QuarterlyA Study of a Self-Care Rehabilitation Program in Pediatric Asthma
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A comparison of asthma episodes during the 3 months before and after training showed a statistically significant decrease in the number of episodes but no change in severity in the preschool, school study, and school control groups, suggesting that the family record keeping required of all subjects may have a beneficial effect.
Pediatric Asthma Allergy & ImmunologyA Critique of 19 Self-Management Programs for Childhood Asthma: Part II. Comments Regarding the Scientific Merit of the Programs
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A majority of the 19 educational and self-management programs for childhood asthma failed to satisfy a number of specific criteria ranging from failure to confirm the diagnosis of asthma to failure to apply acceptable standards for evaluating treatment effects.
Issues in Comprehensive Pediatric NursingEffects of Self-Care Instruction on Asthmatic Children
22 Citations1984Linda S. Kubl, Muriel S. McClellan
A pretest-posttest control group design was used with a sample composed of 28 second, third, and fourth grade asthmatic children drawn from 12 schools in a southwestern United States school district to investigate the effects of a nursing instructional program designed to promote self-care in astHmatic children.
Journal of Paediatrics and Child HealthEducation in childhood asthma: A preliminary study of need and efficacy
20 Citations1986Peter Van Asperen, EVA JANDERA +3 more
It is shown that knowledge can be improved by an educational program for parents of children with asthma but have not been able to demonstrate an effect on short‐term morbidity.
PubMedA Bristol experience: benefits and cost of an 'asthma nurse' visiting the homes of asthmatic children.
20 Citations1989F. Carswell, Elizabeth Robinson +2 more
During the six months the asthma nurse visited these homes, the children developed and sustained, higher peak expiratory flow rates than 43 control asthmatics.
Elsevier eBooksParametric Estimation of Effect Size from a Series of Experiments
16 Citations1985Larry V. Hedges, Ingram Olkin
Health Education QuarterlyControlled Studies of Childhood Asthma Self-Management in Italy Using the "Open Airways" and "Living with Asthma" Programs: A Preliminary Report
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Results show that large epidemiological studies are necessary to better understand how effective self-management programs for asthma can be and how to increase their acceptability for those families who need them most and that one of the main problems is enrollment.
SAGE Publications eBooksAssessing interventions : traditional and innovative methods
12 Citations1992Fred Tudiver
Examination of Primary Care Interventions in the Future: Theory and Practice Options for Nurses in the Primary Care Setting and Principles and Approaches using Measures of Self-Report to Assess Interventions.
Children s Health CareThe Effectiveness of a Family Asthma Program for Children and Parents
11 Citations1991David K. Carson, James R. Council +1 more
An evaluation of a Family Asthma Program revealed significant gains in relevant knowledge and management skills for parents, but not 4- to 12-year-old children with asthma.
Prevention in Human ServicesThe Effectiveness of a Self-Teaching Asthma Self-Management Training Program for School Age Children and Their Families
11 Citations1987Jonathan H. Weiss, Jared A. Hermalin
The hypothesis that an inexpensive, self-teaching asthma management training program, usable in the home environment, will be well received and prove beneficial to children with asthma and their families is tested and the results supported the hypothesis.
PubMedEvaluation of a sound-slide program for patient education.
10 Citations1975Sly Rm
The slide show was found to be as effective a method of presenting the information freeing the doctors for counseling on different aspects of the allergy program and more specific problems.