Internet-enabled interactive multimedia asthma education program:: A randomized trial
Internet-enabled interactive multimedia asthma education program:: A randomized trial
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DOI：
10.1542/peds.111.3.503
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发表时间：
2003-03-01
期刊：
影响因子：
8
通讯作者：
Madsen, RW
中科院分区：
文献类型：
--
作者：
Krishna, S;Francisco, BD;Madsen, RW
Objective.目的：探讨通过网络互动式多媒体哮喘教育项目能否改善哮喘儿童的健康状况。228名哮喘儿童就诊于儿科肺科门诊，随机分为对照组和干预组。两组的儿童和照顾者都接受了基于国家哮喘教育和预防计划的传统患者教育。干预组参与者通过哮喘控制和跟踪的交互式多媒体程序接受额外的自我管理教育。在首次访视、3个月和12个月时收集儿童哮喘护理知识调查、儿童哮喘护理者生活质量问卷、哮喘症状史、肺功能测定和卫生服务利用数据。哮喘控制和跟踪的交互式多媒体程序显著增加了儿童和照顾者的哮喘知识，减少了哮喘症状天数（每年81 vs 51），并减少了干预组参与者的急诊次数（每年1.93 vs 0.62）。干预组儿童在访视3时使用的吸入性皮质类固醇的平均日剂量也显著较低（434 μ g vs 754 μ g [倍氯米松当量]）。所有7- 17岁儿童的哮喘知识与较少的紧急就诊（r = 0.37）和较少使用速效药物（r = 0.30）相关。以互动式多媒体教育补充传统的气喘照护，可显著提高气喘知识，减轻儿童气喘负担。
Objective. To determine whether health outcomes of children who have asthma can be improved through the use of an Internet-enabled interactive multimedia asthma education program.Methods. Two hundred twenty-eight children with asthma visiting a pediatric pulmonary clinic were randomly assigned to control and intervention groups. Children and caregivers in both groups received traditional patient education based on the National Asthma Education and Prevention Program. Intervention group participants received additional self-management education through the Interactive Multimedia Program for Asthma Control and Tracking. Pediatric Asthma Care Knowledge Survey, Pediatric Asthma Caregiver's Quality of Life Questionnaire, asthma symptom history, spirometry, and health services utilization data were collected at the initial visit and at 3 and 12 months.Results. Interactive Multimedia Program for Asthma Control and Tracking significantly increased asthma knowledge of children and caregivers, decreased asthma symptom days (81 vs 51 per year), and decreased number of emergency department visits (1.93 vs 0.62 per year) among the intervention group participants. The intervention group children were also using a significantly lower average daily dose of inhaled corticosteroids (434 vs 754 mug [beclomethasone equivalents]) at visit 3. Asthma knowledge of all 7- to 17-year-old children correlated with fewer urgent physician visits (r = 0.37) and less frequent use of quick-relief medicines (r = 0.30).Conclusions. Supplementing conventional asthma care with interactive multimedia education can significantly improve asthma knowledge and reduce the burden of childhood asthma.