Cited by 578Asthma and respiratory diseasesOccupational exposure and asthmaChronic Obstructive Pulmonary Disease (COPD) Research

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Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis

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Guevara, James P, Wolf, Fredric M, Grum, Cyril M, Clark, Noreen M·2003·BMJ

DOI 10.1136/bmj.326.7402.1308PMC PMC161636

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Abstract

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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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
DOI: 10.1136/bmj.326.7402.1308
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 › Pulmonary and Respiratory Medicine › 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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Effects of educational interventions for self management of asthma in children and adolescents: systematic review and meta-analysis

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