Schmidt A, Greuter T, Möller A, Steiß J O
Zentrum für Kinderheilkunde und Jugendmedizin, Pädiatrische Pneumologie und Allergologie, Justus-Liebig-Universität Gießen.
Klinik für pädiatrische Pneumologie, Universitäts-Kinderkliniken Zürich.
Pneumologie. 2014 Apr;68(4):259-65. doi: 10.1055/s-0033-1358921. Epub 2013 Dec 3.
The effectiveness and practicality of the "Luftikids" (www.luftikids.de) structured, internet-based asthma refresher course was evaluated in a pilot study with 53 patients (ages 8 - 14 years). All patients had previously participated in either an inpatient or outpatient asthma education program. This prospective study examined the effect of a 4-week refresher course on parameters such as asthma symptoms (coughing, dyspnea), the number of unscheduled doctor's visits, use of on-demand medications, number of days absent from school, and asthma monitoring using the Asthma Control Questionnaire (ACQ) and lung function tests. The duration of program use and the number of logins was used to investigate acceptance of the game format. Data were collected at the beginning of the study and at 4 - 6 months after the end of the online refresher course.
Significant changes were shown with regard to the decrease in intensity of asthma symptoms such as coughing (p = 0.001) and dyspnea (p = 0.007), reduction in the number of unscheduled doctor's visits (p = 0.005), the use of on-demand medications (4.0 ± 6.5 vs. 1.5 ± 4.9, p = < 0.002), and the number of days absent from school (1.2 ± 2.0 vs. 0.4 ± 1.2, p = 0.003). No changes in lung function parameters were observed. The "Luftikids" program was used for an average of 302.5 ± 210.9 minutes, and the number of logins was 14 ± 9. From their self-evaluations, the children and adolescents derived "much" to "very much" benefit. Only 7.5% reported no effect.
Participation in the "Luftikids" internet-based asthma refresher course resulted in fewer asthma symptoms, a decrease in unscheduled doctor's visits, reduction in the use of on-demand medications, decrease in the number of days absent from school, and improved asthma knowledge. No effect in lung function could be demonstrated. The results support the effectiveness and good acceptance of an outpatient, internet-based asthma refresher course. Young asthma patients in particular can succeed with and be motivated by this form of refresher course.
在一项针对53名患者（年龄8 - 14岁）的试点研究中，对“Luftikids”（www.luftikids.de）这一基于互联网的结构化哮喘复习课程的有效性和实用性进行了评估。所有患者此前均参加过住院或门诊哮喘教育项目。这项前瞻性研究考察了为期4周的复习课程对哮喘症状（咳嗽、呼吸困难）、非计划就诊次数、按需使用药物的情况、缺课天数等参数的影响，以及使用哮喘控制问卷（ACQ）和肺功能测试进行哮喘监测的情况。通过课程使用时长和登录次数来调查对游戏形式的接受度。在研究开始时以及在线复习课程结束后的4 - 6个月收集数据。
在咳嗽（p = 0.001）和呼吸困难（p = 0.007）等哮喘症状强度降低、非计划就诊次数减少（p = 0.005）、按需使用药物情况（4.0 ± 6.5 vs. 1.5 ± 4.9，p = < 0.002）以及缺课天数（1.2 ± 2.0 vs. 0.4 ± 1.2，p = 0.003）方面均显示出显著变化。未观察到肺功能参数的变化。“Luftikids”课程的平均使用时长为302.5 ± 210.9分钟，登录次数为14 ± 9次。根据儿童和青少年的自我评价，他们从中获得了“很多”到“非常多”的益处。只有7.5%的人表示没有效果。
参与“Luftikids”基于互联网的哮喘复习课程可减少哮喘症状、减少非计划就诊次数、减少按需使用药物的情况、减少缺课天数，并提高哮喘知识水平。未证实对肺功能有影响。这些结果支持了门诊基于互联网的哮喘复习课程的有效性和良好接受度。尤其是年轻的哮喘患者能够通过这种形式的复习课程取得成效并受到激励。
