Highlights
- •Family-based asthma education significantly enhanced the quality of life scores in children with asthma and their parents.
- •This improvement remained at 12-month follow-up.
- •In the experimental group, children had quality of life improvement regardless of their asthma phenotype.
- •Children in the experimental group showed better forced expiratory maneuvers than those in the control group.
- •In both groups, children with allergic asthma did not have improved pulmonary function.
- •Potential attention should be given to children with allergic asthma through special training programs.
Abstract
Purpose
Patient education is fundamental in asthma management, especially at pediatric age.
It is increasingly recognized as effective in reducing the burden of the disease,
but is less clear in improving the quality of life of children with asthma and their
parents. This study assessed the effect of an asthma therapeutic education program
on pulmonary function and quality of life in children with asthma and their parents.
Design and methods
A monocentric randomized controlled trial conducted in Farhat Hached University Hospital
of Sousse (Tunisia) from May 2018 to September 2019. Thirty-seven families in the
experimental group and 39 families in the control group received allocated intervention
at baseline. Thirty-four families in each group completed the study at the 12-month
follow-up.
Results
The intervention significantly improved quality of life scores of children and their
parents (all p < 0.05). Children in the experimental group had significantly better forced expiratory
maneuver than children in the control group. Nonetheless, the FEV1/FVC ratio did not
show any significant difference in the experimental and control group (p = 0.9; p = 0.14, respectively).
Conclusions
This study demonstrated that a long-term family-based asthma education program resulted
in better pulmonary function and QOL of children and parents enrolled in the intervention
group, particularly children with non-allergic asthma.
Practice implications
Family-based asthma education can reduce the burden of allergic and non-allergic asthma
on children and their parents through improving their quality of life. Also, the pulmonary
function of children with non-allergic asthma was improved due to My Asthma Therapeutic
Education intervention.
Keywords
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Article info
Publication history
Published online: June 29, 2020
Accepted:
April 6,
2020
Received in revised form:
April 6,
2020
Received:
December 20,
2019
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
