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Randomized Controlled Trial
. 2008 Sep;78(9):506-13.
doi: 10.1111/j.1746-1561.2008.00336.x.

Improvement of rural children's asthma self-management by lay health educators

Sharon D Horner  1 , Rachel T Fouladi
Affiliations
Randomized Controlled Trial

Improvement of rural children's asthma self-management by lay health educators

Sharon D Horner et al. J Sch Health. 2008 Sep.

Abstract

Background: The purpose of the present analysis is to examine changes in rural children's asthma self-management after they received lay health educator (LHE)-delivered classes.

Methods: Elementary schools were randomly assigned to the treatment or attention-control condition and their participating students received either asthma education or general health promotion education, respectively. The triethnic sample was composed of 183 children (46% Hispanic, 29.5% non-Hispanic white, 22% African American, and 2.6% other categories) who had a mean age of 8.78 years (SD = 1.24). The time frame from baseline to postintervention was 12 weeks.

Results: Repeated measures analysis of variance found main effects in changes in scores for children's asthma knowledge, asthma self-management, self-efficacy for managing asthma symptoms, and metered dose inhaler (MDI) technique and significant group interaction effects for the treatment intervention on the measures of children's asthma knowledge, asthma self-management, and MDI technique.

Conclusions: The delivery of an asthma health education intervention by trained LHEs to school-aged children was an effective means for improving children's knowledge and skills in asthma self-management.

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References

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