Evaluation of the feasibility of a school-based asthma management programme in Taiwan

Suh Hwa Maa, Yue Cune Chang, Chun Liang Chou, Shu Chuan Ho, Te Fang Sheng, Karen MacDonald, Yanping Wang, Yu Ming Shen, Ivo L Abraham

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Aims and objectives.: To investigate the feasibility of a school-based asthma management programme for middle school children. Background.: Asthma rates are increasing among school-aged children. Successful asthma treatment in children depends in part on clear communication and effective education. Design.: This feasibility study employed a one-group only longitudinal design with four time points over 18 months. Methods.: Nineteen female and twelve male (n = 31) seventh-grade children with asthma (13 SD 0·71 years) were identified using a six-stage asthma case-finding approach. Teachers and school staff were trained in the principles and methods of the proposed school-based asthma management programme. An individualised guided asthma self-management programme was developed for each child by a clinical team at a major academic medical centre. We assisted teachers in implementing the school programme; building a support network and monitoring children's activities. Outcome measures included lung function tests (at 0, six, 12 and 18 months), disease-related symptoms, psychosocial status and impact of asthma on learning (at 0 and 18 months). School provided data on academic achievement and school absences at 0, six, 12 and 18 months. Results.: Significant improvements were noted at six, 12 and 18 months on forced vital capacity (FVC)% of predicted (p = 0·001, 0·015, 0·015, respectively), forced expiratory volume in one second (FEV1)% of predicted (p = 0·001, 0·006, 0·088, respectively) and FEV1/FVC% of predicted (p = 0·001, 0·015, 0·099, respectively). There was a trend towards improved asthma symptoms (p = 0·050) and a significant decrease in positive perception of curriculum (p = 0·017) at 18 months after adjustment for covariates. Conclusions.: This programme was associated with respiratory benefits on physiological asthma markers commonly, with a trend for symptom control. Academic and psychosocial outcomes are subject of further inquiry. Relevance to clinical practice.: School-based asthma management holds promise as a feasible clinical option for middle school children with asthma in the Taiwanese school system.

Original languageEnglish (US)
Pages (from-to)2415-2423
Number of pages9
JournalJournal of Clinical Nursing
Volume19
Issue number17-18
DOIs
StatePublished - 2010
Externally publishedYes

Fingerprint

Taiwan
Asthma
Vital Capacity
Respiratory Function Tests
Forced Expiratory Volume
Feasibility Studies
Self Care
Curriculum
Communication
Outcome Assessment (Health Care)
Learning
Education

Keywords

  • Asthma
  • Feasibility
  • Nurses
  • School nursing
  • Taiwan

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Evaluation of the feasibility of a school-based asthma management programme in Taiwan. / Maa, Suh Hwa; Chang, Yue Cune; Chou, Chun Liang; Ho, Shu Chuan; Sheng, Te Fang; MacDonald, Karen; Wang, Yanping; Shen, Yu Ming; Abraham, Ivo L.

In: Journal of Clinical Nursing, Vol. 19, No. 17-18, 2010, p. 2415-2423.

Research output: Contribution to journalArticle

Maa, SH, Chang, YC, Chou, CL, Ho, SC, Sheng, TF, MacDonald, K, Wang, Y, Shen, YM & Abraham, IL 2010, 'Evaluation of the feasibility of a school-based asthma management programme in Taiwan', Journal of Clinical Nursing, vol. 19, no. 17-18, pp. 2415-2423. https://doi.org/10.1111/j.1365-2702.2010.03283.x
Maa, Suh Hwa ; Chang, Yue Cune ; Chou, Chun Liang ; Ho, Shu Chuan ; Sheng, Te Fang ; MacDonald, Karen ; Wang, Yanping ; Shen, Yu Ming ; Abraham, Ivo L. / Evaluation of the feasibility of a school-based asthma management programme in Taiwan. In: Journal of Clinical Nursing. 2010 ; Vol. 19, No. 17-18. pp. 2415-2423.
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