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针对患有食物过敏的学龄儿童家长的基于移动网络的食物过敏和过敏反应管理教育项目的开发与评估:一项随机对照试验

Development and Evaluation of a Mobile Web-based Food Allergy and Anaphylaxis Management Educational Program for Parents of School-aged Children with Food Allergy: A Randomized Controlled Trial.

作者信息

Kwen Hwayoung, Oh Pok-Ja

机构信息

Department of Nursing, NYU Langone Health, NY, USA.

College of Nursing, Sahmyook University, Republic of Korea.

出版信息

Asian Nurs Res (Korean Soc Nurs Sci). 2022 Dec;16(5):265-274. doi: 10.1016/j.anr.2022.10.002. Epub 2022 Nov 2.

Abstract

PURPOSE

This study aimed to develop a mobile web-based food allergy (FA) and anaphylaxis management educational program for parents of school-aged children with food allergies and evaluate its effectiveness.

METHODS

A mobile program was developed based on a web-based teaching-learning system model. Its effectiveness was subsequently evaluated using a parallel, randomized controlled pre- and post-test design. This study included 73 parents of school-aged children with food allergies. These parents were randomly assigned to either the experimental (n = 37) or control (n = 36) groups. The experimental group participated in a 2-week mobile web-based educational program that covered major topics in FA and anaphylaxis management. These topics included an understanding of food allergies and anaphylaxis, learning techniques for using an epinephrine auto-injector, and developing an emergency action plan. An educational booklet was provided to the control group. Participants completed a pre-test and two post-test questionnaires to evaluate the impact of the program. The assessment tools were the Food Allergy Knowledge Test, Food Allergy Self-Efficacy for Parents, and Food Management and Adaptation Scale. The data were analyzed using descriptive statistics, a test of homogeneity for the pre-test, an independent t-test, and repeated measures ANOVA.

RESULTS

The experimental group experienced greater improvement in the knowledge of FA (post-intervention t = 14.51, p < .001; 2 weeks post-intervention, t = 16.15, p < .001), FA self-efficacy (post-intervention t = 77.99, p < .001; 2 weeks post-intervention, t = 76.09, p < .001), and practice behavior in FA management (post-intervention t = 28.10, p < .001; 2 weeks post-intervention, t = 27.98, p < .001) after web-based FA education.

CONCLUSION

This study revealed improvements in the knowledge, self-efficacy, and practice behaviors of parents regarding FA and anaphylaxis management. Therefore, the mobile web-based educational program can contribute to the effective management of food allergies and anaphylaxis for parents of school-aged children. CRIS registration: KCT0007491.

摘要

目的

本研究旨在为患有食物过敏的学龄儿童家长开发一个基于移动网络的食物过敏(FA)和过敏反应管理教育项目,并评估其效果。

方法

基于网络教学系统模型开发了一个移动项目。随后采用平行、随机对照的前后测设计对其效果进行评估。本研究纳入了73名患有食物过敏的学龄儿童家长。这些家长被随机分为实验组(n = 37)或对照组(n = 36)。实验组参加了一个为期2周的基于移动网络的教育项目,该项目涵盖了FA和过敏反应管理的主要主题。这些主题包括对食物过敏和过敏反应的理解、使用肾上腺素自动注射器的学习技巧以及制定应急行动计划。向对照组提供了一本教育手册。参与者完成了一份前测问卷和两份后测问卷,以评估该项目的影响。评估工具包括食物过敏知识测试、家长食物过敏自我效能感量表以及食物管理与适应量表。数据采用描述性统计、前测的同质性检验、独立t检验和重复测量方差分析进行分析。

结果

实验组在接受基于网络的FA教育后,在FA知识(干预后t = 14.51,p <.001;干预后2周,t = 16.15,p <.001)、FA自我效能感(干预后t = 77.99,p <.001;干预后2周,t = 76.09,p <.001)以及FA管理的实践行为(干预后t = 28.10,p <.001;干预后2周,t = 27.98,p <.001)方面有更大的改善。

结论

本研究揭示了家长在FA和过敏反应管理方面的知识、自我效能感和实践行为有所改善。因此,基于移动网络的教育项目可为学龄儿童家长有效管理食物过敏和过敏反应做出贡献。CRIS注册号:KCT0007491。

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