Department of Primary Care Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
NIHR Global Health Research Unit on Respiratory Health (RESPIRE), Usher Institute, University of Edinburgh, Edinburgh, UK.
NPJ Prim Care Respir Med. 2021 Apr 1;31(1):18. doi: 10.1038/s41533-021-00230-2.
A Cochrane review of school-based asthma interventions (combining all ages) found improved health outcomes. Self-management skills, however, vary according to age. We assessed effectiveness of primary school-based self-management interventions and identified components associated with successful programmes in children aged 6-12 years. We updated the Cochrane search (March 2020) and included the Global Health database. Two reviewers screened, assessed risk-of-bias and extracted data. We included 23 studies (10,682 participants); four at low risk-of-bias. Twelve studies reported at least one positive result for an outcome of interest. All 12 positive studies reported parental involvement in the intervention, compared to two-thirds of ineffective studies. In 10 of the 12 positive studies, parental involvement was substantial (e.g. attending sessions; phone/video communication) rather than being provided with written information. School-based self-management intervention can improve health outcomes and substantial parental involvement in school-based programmes seemed important for positive outcomes among primary school children.
一项针对基于学校的哮喘干预措施（涵盖所有年龄段）的 Cochrane 综述发现，这些干预措施改善了健康结果。然而，自我管理技能因年龄而异。我们评估了基于小学的自我管理干预措施的有效性，并确定了与 6-12 岁儿童成功计划相关的组成部分。我们更新了 Cochrane 搜索（2020 年 3 月）并纳入了全球健康数据库。两位审查员筛选、评估了偏倚风险并提取了数据。我们纳入了 23 项研究（10682 名参与者）；其中 4 项研究的偏倚风险较低。12 项研究报告了至少一项感兴趣的结果呈阳性。所有 12 项阳性研究都报告了父母参与干预，而无效研究中只有三分之二报告了这一点。在 12 项阳性研究中，有 10 项研究中的父母参与度较高（例如参加课程；电话/视频交流），而不是仅提供书面信息。基于学校的自我管理干预措施可以改善健康结果，而在基于学校的计划中让父母实质性地参与，似乎对小学生的积极结果很重要。
