Abstract
back(80) Effectiveness of Nurse-led Evidence Based Mobile Childhood Asthma Education
Dr. Sze-Ka NG1, Prof. JPK CHAU2, Prof. AWK CHAN2, Ms. MY SHEK1, Ms. Ting-Yan LI1, Ms. Po-King MA1
1United Christian Hospital, Hong Kong SAR, 2The Chinese University of Hong Kong, Hong Kong SAR
Background
The prevalence of childhood asthma is increasing and warrants admission in recent years because of uncontrolled asthma. Restricted face-to-face education session because of multiple career joint child care or encouraging social distancing during the COVID-19 pandemic. An nurse-led mobile asthma educational program (MAEP) was thus developed based on the results of an integrative review and guided by health belief model theoretical framework.
Methods
A single-blind, child-parent dyads were randomised in a two arm to receive 45 mins MAEP (N=56) or usual care (N=56). Both participating children (ages 4 to 11) alongside their asthma medication treatment. Participants were assessed at baseline, after intervention, at 8 weeks and at 6 months using the Knowledge, attitude and Practice Questionnaire, Venham Picture Test (VPT), Childhood Asthma Control Test (CACT), and the episodes of unscheduled visits and readmissions.
Results
One hundred and twelve eligible child-parent dyads were recruited with 5.4% attrition rate (73.2% male, mean 5.04 years for participating children). The Knowledge, Attitude and Practice was found to be improved in intervention group (95% confidence interval =3.15, 5.10) at post-intervention and (95% CI =2.78, 5.13) at 8 weeks. Unscheduled visits (95% CI =-1.47, -0.86) readmissions (95% CI =-0.64, -0.11) and anxiety level (95% CI =-1.50, 0.10) were found statistical significant between two groups.
Conclusions
A nurse-led mobile asthma educational program was effective on improving Knowledge, Attitude and Practice among parents and reducing the unscheduled visits for asthma exacerbations among children. The role of advanced practice nurse in health education was demonstrated. The results of this study serve as the evidence for future study on educational intervention for adolescents with asthma.