University of Rochester School of Nursing, 601 Elmwood Ave, Box SON, Rochester, NY, 14642, USA.
University of Rochester Medical Center, Department of Biostatistics and Computational Biology, 601 Elmwood Ave, Box 630, Rochester, NY, 14642, USA.
Patient Educ Couns. 2021 Jun;104(6):1415-1422. doi: 10.1016/j.pec.2020.11.039. Epub 2020 Dec 3.
To examine the long-term effects of a peer-led asthma self-management program on urban adolescent peer leaders with asthma.
This longitudinal study includes 51 adolescents (16-20 years) enrolled in an asthma self-management program implemented at a one-day camp as peer leaders. Study outcomes, including quality of life, asthma control, asthma knowledge, and attitudes toward asthma were collected for 15 months post-intervention. Mixed-effects models were conducted to estimate time effects, and effect sizes were calculated for each model.
Of 51 enrolled, 41 completed the training, of which 35 successfully participated in the camp program. A total of 17 peer leaders withdrew between enrollment and 15-months follow-up. Quality of life, asthma control, and knowledge significantly improved after peer leader training and remained elevated for 15 months, while significant improvement in attitudes emerged immediately after camp, in which they served as leaders, and sustained for 15 months.
This study demonstrates the long-term positive effects of a peer-led program on a wide range of asthma outcomes in urban adolescent peer leaders.
A peer-led approach to asthma education providing peer leaders with intense training and leadership experience can be effective and sustainable in improving asthma outcomes among urban adolescents.
研究同伴主导的哮喘管理计划对城市青少年哮喘同伴领导者的长期影响。
本纵向研究纳入了 51 名（16-20 岁）参加为期一天的哮喘自我管理夏令营作为同伴领导者的青少年哮喘患者。在干预后 15 个月内收集了包括生活质量、哮喘控制、哮喘知识和哮喘态度在内的研究结局。采用混合效应模型估计时间效应，并计算每个模型的效应大小。
在 51 名入组者中，有 41 名完成了培训，其中 35 名成功参加了营地项目。共有 17 名同伴领导者在入组和 15 个月随访之间退出。同伴领导培训后，生活质量、哮喘控制和知识显著改善，并持续 15 个月，而在担任领导的营地后，态度立即出现显著改善，并持续 15 个月。
本研究表明，同伴主导的计划对城市青少年哮喘同伴领导者的广泛哮喘结局具有长期积极影响。
同伴主导的哮喘教育方法为同伴领导者提供强化培训和领导经验，可有效且可持续地改善城市青少年的哮喘结局。
