Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis
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OBJECTIVE: To determine the effectiveness of educational programmes for the self management of asthma in children and adolescents. DATA SOURCES: Databases of the Cochrane Airways Group, PsychINFO, reference lists of review papers, and eligible studies. REVIEW METHODS: Eligible studies were published randomised controlled trials or controlled clinical trials of educational programmes for the self management of asthma in children and adolescents that reported lung function, morbidity, self perception of asthma control, or utilisation of healthcare services. Eligible studies were abstracted, assessed for methodological quality, and pooled with fixed effects and random effects models. RESULTS: 32 of 45 identified trials were eligible, totalling 3706 patients aged 2 to 18 years. Education in asthma was associated with improved lung function (standardised mean difference 0.50, 95% confidence interval 0.25 to 0.75) and self efficacy (0.36, 0.15 to 0.57) and reduced absenteeism from school (-0.14, -0.23 to -0.04), number of days of restricted activity (-0.29, -0.33 to -0.09), and number of visits to an emergency department (-0.21, -0.33 to -0.09). When pooled by the fixed effects model but not by the random effects model, education was also associated with a reduced number of nights disturbed by asthma. The effect on morbidity was greatest among programmes with strategies based on peak flow, interventions targeted at the individual, and participants with severe asthma. CONCLUSIONS: Educational programmes for the self management of asthma in children and adolescents improve lung function and feelings of self control, reduce absenteeism from school, number of days with restricted activity, number of visits to an emergency department, and possibly number of disturbed nights. Educational programmes should be considered a part of the routine care of young people with asthma.
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There is evidence that self-management interventions for CA can help to improve disease outcomes.
“There is evidence that self-management interventions for CA can help to improve disease outcomes 15, 16 .”
From A Systematic review of self-management interventions for children and adolescents with inflammatory bowel disease (2019) · cites this paper as [15]
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- Authors
- Guevara, J. P., Wolf, F. M., Grum, C. M., & Clark, N. M.
- Affiliations
- University of Pennsylvania (US)
- University of Washington (US)
- University of Michigan (US)
- Corresponding author
- Guevara, James P
- ORCID
- Guevara, James P
- Venue
- BMJ
- Publisher
- BMJ
- Published
- 2003-06-12
- Volume
- 326
- Issue
- 7402
- Pages
- 1308-1309
- ISSN
- 0007-1447 (ISSN-L)
- 0959-8138
- 1468-5833
- PMC
- PMC161636
- OpenAlex
- W2132995536
- Cited by
- 578
- References
- 20
- Citations by year
- 2026: 2 · 2025: 8 · 2024: 17 · 2023: 15 · 2022: 16 · 2021: 16 · 2020: 24 · 2019: 27 · 2018: 24 · 2017: 35 · 2016: 22 · 2015: 20 · 2014: 27 · 2013: 27 · 2012: 25
- FWCI
- 3.08
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.bmj.com/company/legal-information/terms-conditions/legal-information/tdm-licencepolicy (tdm)
- Locations
- BMJ (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5k07hl003046-05)
- National Heart, Lung, and Blood Institute (1 K07 HL 03046)
- National Institute of Mental Health (K23MH065696)
- Fogarty International Center (1 F06 TW 02123, F06TW002123)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Keywords
- asthma, self-management education, children, adolescents, lung function, self-efficacy, school absenteeism, emergency department visits, peak expiratory flow, asthma control, asthma morbidity
- MeSH terms
- Adolescent, Asthma, Child, Forced Expiratory Volume, Humans, Patient Education as Topic, Self Care, Randomized Controlled Trials as Topic
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