Asthma affects approximately 4.2 million children under 18 years of age - it is the most common chronic illness of childhood. Preventive anti-inflammatory therapy and inhaled beta2 agonists are now used earlier in the management plan to reduce the frequency and severity of symptom occurrence. In spite of these treatment advances, asthma has increased among children under 18 years from 2.7 million affected in 1988 to 4.2 million in 1995. Factors that may contribute to rising asthma prevalence include lack of knowledge on the part of parents and children which can result in ineffective asthma management behaviors. The long-term objective to reduce asthma morbility in children. The purpose of the study is to: 1) Determine the effect of an asthma health education program for parents and their school-age children on the children s asthma morbidity (asthma illness days, ED visits, school absences, hospital stays). 2) Evaluate changes in parents' and children s management behaviors (asthma management behaviors, environmental management strategies) after being provided with an asthma health education program. A pilot intervention study is proposed with a convenience sample of predominantly low-income Mexican American, African American, and Anglo American families with asthmatic school-age children in 3rd to 5th grades. The asthma health education program is designed to increase children's and parents knowledge and management of asthma. Children participate in 6 bi-weekly classes over 3 weeks during school hours, followed by one review class six months later. Parent education materials will be mailed to the home at the end of year-1. Data will be gathered over 2 years to determine the effectiveness of the intervention on reducing asthma morbidity, and promoting asthma knowledge and management behaviors by comparing pre-and post-intervention data.

Agency
National Institute of Health (NIH)
Institute
National Institute of Nursing Research (NINR)
Type
Academic Research Enhancement Awards (AREA) (R15)
Project #
1R15NR004475-01A1
Application #
2671135
Study Section
Special Emphasis Panel (ZRG4-NURS (02))
Program Officer
Bryan, Yvonne E
Project Start
1998-09-01
Project End
2001-08-31
Budget Start
1998-09-01
Budget End
2001-08-31
Support Year
1
Fiscal Year
1998
Total Cost
Indirect Cost
Name
University of Texas Austin
Department
Type
Schools of Nursing
DUNS #
City
Austin
State
TX
Country
United States
Zip Code
78712
Horner, Sharon D (2006) Home visiting for intervention delivery to improve rural family asthma management. J Community Health Nurs 23:213-23
Horner, Sharon D; Fouladi, Rachel T (2003) Home asthma management for rural families. J Spec Pediatr Nurs 8:52-61
Horner, Sharon D; Surratt, Dawn; Smith, Susan B (2002) The impact of asthma risk factors on home management of childhood asthma. J Pediatr Nurs 17:211-21
Horner, S D; Surratt, D; Juliusson, S (2000) Improving readability of patient education materials. J Community Health Nurs 17:15-23