Delivering tailored asthma family education in a pediatric emergency department setting: A pilot study

Marianna M. Sockrider, Stuart Abramson, Edward G Brooks, A. Chantal Caviness, Susan Pilney, Christine Koerner, Charles G. Macias

Research output: Contribution to journalArticle

48 Citations (Scopus)

Abstract

OBJECTIVE. Many children are brought to the pediatric emergency department (ED) with acute asthma symptoms. Emergency asthma care is costly, and many ED visits may be preventable. Families often do not have written asthma action plans and lack asthma self-managment skills. This study tests a tailored self-managment intervention delivered in the ED for families of children with asthma. The primary hypotheses were that the intervention group would have greater confidence to manage asthma 14 days postintervention and more well-asthma visits and fewer urgent care/ED visits at 9 and 12 months. METHODS. This randomized intervention/usual-care study was part of a larger ED asthma surveillance project in 4 urban pediatric ED sites. Asthma educators used a computer-based resource to tailor the intervention messages and provide a customized asthma action plan and educational summary. Children with acute asthma were enrolled during an ED visit, and follow-up telephone interviews were conducted during the next 9 months. The ED clinician classified the child's acute and chronic severity. RESULTS. To date, 464 subjects aged 1 to 18 years have been enrolled. The ED clinicians reported that 46% had intermittent and 54% had persistent chronic severity with 51% having mild acute severity episodes. The confidence level to prevent asthma episodes and keep them from getting worse was significantly higher in the intervention group at 14 days postintervention. More subjects in the intervention group reported well-asthma visits by 9 months. Return ED visits were significantly lower in the intervention group in those with intermittent asthma. Twelve-month follow-up is in process. CONCLUSIONS. The tailored ED self-management intervention demonstrates significant effects on caregiver self-confidence and well-visit follow-up. Additional evaluation is needed to determine what impact this intervention has long-term.

Original languageEnglish (US)
JournalPediatrics
Volume117
Issue number4
DOIs
StatePublished - 2006
Externally publishedYes

Fingerprint

Hospital Emergency Service
Asthma
Pediatrics
Education
Emergency Medical Services
Ambulatory Care
Self Care
Caregivers
Interviews

Keywords

  • Emergency care
  • Patient education
  • Pediatric asthma
  • Self-management

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Delivering tailored asthma family education in a pediatric emergency department setting : A pilot study. / Sockrider, Marianna M.; Abramson, Stuart; Brooks, Edward G; Caviness, A. Chantal; Pilney, Susan; Koerner, Christine; Macias, Charles G.

In: Pediatrics, Vol. 117, No. 4, 2006.

Research output: Contribution to journalArticle

Sockrider, Marianna M. ; Abramson, Stuart ; Brooks, Edward G ; Caviness, A. Chantal ; Pilney, Susan ; Koerner, Christine ; Macias, Charles G. / Delivering tailored asthma family education in a pediatric emergency department setting : A pilot study. In: Pediatrics. 2006 ; Vol. 117, No. 4.
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