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Parental education and guided self management of asthma or wheeze in pre-school children was not effective

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 QUESTION: What is the effectiveness of an educational intervention for parents of pre-school children who have had a recent episode of acute asthma?


Randomised {allocation concealed*}, blinded {clinicians, participants, data collectors, and outcome assessors},* controlled trial with 1 year of follow up.


2 children’s hospitals in England, UK (Leicester and Manchester).


200 children between 18 months and 5 years (median age 32 mo, 67% boys) were recruited at the time of admission to a children’s ward or at attendance at an accident and emergency department (AED) or children’s assessment unit (CAU) with a primary diagnosis of acute severe asthma or wheezing. Follow up was 94%.


Children were allocated to an intervention group (n=99) or a control group (n=101). The intervention included a general educational booklet about …

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  • Source of funding: NHS Executive Mother and Child Health Programme.

  • For correspondence: Professor M Silverman, University of Leicester, Leicester, UK. ms70{at}

  • * See glossary.

  • Information provided by author.