Johnson C Erwin, Johnson Tilynn, Clark Hugh, Schirwian Kent, Thomas Olivia
Mt. Sinai School of Medicine, One Gustave L. Levy Place, New York, New York 10029-6574, USA.
J Asthma. 2006 Jan-Feb;43(1):9-18. doi: 10.1080/02770900500446831.
Asthma education programs are reportedly effective for children and adolescents. Urban and minority children continue to have poor asthma outcomes and limited access to asthma education programs. The purpose of this study was to determine whether a library-based asthma education program, the Columbus Ohio Partnership for Inner-City Asthma Education (COPICAE), offered to urban and minority children (with their parents) could improve asthma-related outcomes and reduce billing claims for asthma-related hospital visits. A prospective/observational study was conducted to evaluate asthma-related outcomes of 87 children who completed 6 hours of asthma education using telephone follow-up at 12 and 24 months with a scored Living With Asthma Survey (LWAS). Hospital billing claims for asthma as the primary diagnosis were compared over a 24-month period for 64 children who completed 6 hours of asthma education with an age and zip code match control. Two separate focus groups with Spanish-speaking and English-speaking parents who completed 6 hours of asthma education with their children obtained parental perspectives about the asthma education classes. LWAS follow-up data were obtained on 67% of the participants at year 1 and 43% at year 2. Compared to pre-intervention mean scores, there were decreases in scores to all LWAS items. Parents reported improvements in compliance with asthma medication use and overall control of their child's asthma. Parents also found the information from the asthma education classes to be "beneficial." Total asthma-related billing claims for children who completed 6 hours of asthma education decreased 63.2%, while those for age and zip code matched controls increased 0.7%. Inner-city and minority children (with their parents) who attended 6 hours of asthma education offered in a public library showed improvements in asthma-related outcomes over a 24-month period and decreased billing claims for asthma-related hospital visits. Parents found 6 hours of asthma education to be beneficial in gaining basic knowledge about asthma and improving their child's illness control and self-esteem in living with asthma.
据报道，哮喘教育项目对儿童和青少年有效。城市儿童和少数族裔儿童的哮喘治疗效果仍然较差，且获得哮喘教育项目的机会有限。本研究的目的是确定一项以图书馆为基础的哮喘教育项目，即俄亥俄州哥伦布市市内哮喘教育合作组织（COPICAE），为城市儿童和少数族裔儿童（及其父母）提供该项目是否能改善与哮喘相关的结果，并减少与哮喘相关的医院就诊费用报销申请。进行了一项前瞻性/观察性研究，以评估87名完成6小时哮喘教育的儿童的哮喘相关结果，在12个月和24个月时通过电话随访，并使用哮喘生活调查（LWAS）评分。将64名完成6小时哮喘教育的儿童在24个月期间以年龄和邮政编码匹配的对照组作为主要诊断的哮喘医院费用报销申请进行了比较。两个分别由说西班牙语和英语的父母组成的焦点小组，他们与孩子一起完成了6小时的哮喘教育，获取了父母对哮喘教育课程的看法。在第1年获得了67%参与者的LWAS随访数据，在第2年获得了43%参与者的LWAS随访数据。与干预前的平均得分相比，所有LWAS项目的得分均有所下降。家长报告说，哮喘药物使用的依从性和孩子哮喘的总体控制情况有所改善。家长们还发现哮喘教育课程提供的信息“很有帮助”。完成6小时哮喘教育的儿童的哮喘相关总费用报销申请减少了63.2%，而年龄和邮政编码匹配的对照组则增加了0.7%。在公共图书馆参加6小时哮喘教育的市内儿童和少数族裔儿童（及其父母）在24个月期间哮喘相关结果有所改善，与哮喘相关的医院就诊费用报销申请减少。家长们发现6小时的哮喘教育有助于获得有关哮喘的基本知识，并改善孩子对疾病的控制以及哮喘生活中的自尊。
