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Therapeutics
Review: self management education improves outcomes in children and adolescents with asthma

https://doi.org/10.1136/ebm.8.4.114

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    (2003) Cochrane Database Syst Rev 1, CD000326. Wolf FM, Guevara JP, Grum CM, Clark NM, Cates CJ.. Educational interventions for asthma in children.. ;(. ):. (latest version Aug 1, 2002).

    
 
 QUESTION: In children and adolescents with asthma, are self management education interventions effective at improving lung function and decreasing morbidity and healthcare use?

    Data sources

    Studies were identified by searching the Cochrane Airways Group’s and Cochrane Schizophrenia Group’s Special Registers of Controlled Trials (the Schizophrenia register comprises references from PsycLIT), and reviewing bibliographies of relevant articles.

    Study selection

    Studies were selected if they were randomised controlled trials (RCTs) or controlled clinical trials (CCTs) comparing an educational intervention designed to teach ≥1 self management strategy related to prevention, attack management, or social skills with usual care; measured objective outcomes; and patients were children or adolescents, 2–18 years of age.

    Data extraction

    Data were extracted on sample size, demographic characteristics of the patients, details of the intervention, study setting and quality, and outcomes. Outcomes included measures of lung function, morbidity and functional status, self perception, and healthcare use.

    Main results

    26 RCTs and 6 CCTs (altogether 3706 youth) met the selection criteria. The self management educational programmes evaluated in the trials differed by type of educational session (group sessions, individual session, or both), intensity (single session, …

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    Footnotes

    • Sources of funding: Fogerty International Center, National Institutes of Health; National Heart, Lung, and Blood Institute; Garfield Weston Foundation.

    • For correspondence: Professor F Wolf, University of Washington School of Medicine, Seattle, WA, USA.wolf{at}u.washington.edu

    • A modified version of this abstract appears in Evidence Based Nursing.