Task-shifting to improve asthma education for Malawian children: a qualitative analysis.
Task-shifting to improve asthma education for Malawian children: a qualitative analysis.
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DOI：
10.1186/s12960-021-00576-1
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发表时间：
2021-03-02
影响因子：
4.5
通讯作者：
Limbani F
中科院分区：
文献类型：
--
作者：
Nkhalamba L;Rylance S;Muula AS;Mortimer K;Limbani F
哮喘教育是长期哮喘管理的关键组成部分，在资源有限的环境中具有挑战性，临床工作人员短缺。任务转移教育角色，奠定（非临床）的工作人员是一个潜在的解决方案。我们对马拉维儿童进行了一项增强哮喘护理干预的随机对照试验，其中包括将哮喘教育任务重新分配给非专业教育工作者。在这项质性的子研究中，我们探讨了哮喘儿童，他们的家庭和外行教育者的经验，以评估的可接受性，促进者和障碍，以及感知价值的任务转移哮喘教育干预。我们进行了六个焦点小组的讨论，包括15名儿童和28名照顾者，并与四名外行教育工作者和一名高级护士进行了个别访谈。翻译的成绩单由三名研究人员独立编码，并确定了关键主题。在干预之前，参与者报告了哮喘护理的挑战，包括忙碌，有时是敌对的临床环境，缺乏信息和药物供应不稳定。教育课程受到好评：参与者报告对哮喘及其治疗有了更多的了解，并有信心控制症状。外行教育者赞赏干预前的培训，书面指导方针，并获得临床支持。照料者的教育水平低带来了挑战，需要采取开放、非批判和个性化的方法。哮喘教育可以成功地由外行教育工作者提供足够的培训，监督和支持，使患者，他们的家庭和社区受益。更广泛的实施可以帮助解决人力资源短缺问题，并支持在实现全民健康覆盖方面取得进展。试验注册RCT已在泛非临床试验注册中心注册：PACTR 201807211617031在线版本包含补充材料，可在10. 1186/s12960-021-00576-1获得。
Asthma education, a key component of long-term asthma management, is challenging in resource-limited settings with shortages of clinical staff. Task-shifting educational roles to lay (non-clinical) staff is a potential solution. We conducted a randomised controlled trial of an enhanced asthma care intervention for children in Malawi, which included reallocation of asthma education tasks to lay-educators. In this qualitative sub-study, we explored the experiences of asthmatic children, their families and lay-educators, to assess the acceptability, facilitators and barriers, and perceived value of the task-shifting asthma education intervention. We conducted six focus group discussions, including 15 children and 28 carers, and individual interviews with four lay-educators and a senior nurse. Translated transcripts were coded independently by three researchers and key themes identified. Prior to the intervention, participants reported challenges in asthma care including the busy and sometimes hostile clinical environment, lack of access to information and the erratic supply of medication. The education sessions were well received: participants reported greater understanding of asthma and their treatment and confidence to manage symptoms. The lay-educators appreciated pre-intervention training, written guidelines, and access to clinical support. Low education levels among carers presented challenges, requiring an open, non-critical and individualised approach. Asthma education can be successfully delivered by lay-educators with adequate training, supervision and support, with benefits to the patients, their families and the community. Wider implementation could help address human resource shortages and support progress towards Universal Health Coverage. Trial registration The RCT was registered in the Pan African Clinical Trials Registry: PACTR201807211617031 The online version contains supplementary material available at 10.1186/s12960-021-00576-1.
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影响因子：
0.8
作者：
Chikaphupha, Kingsley R.;Kok, Maryse C.;Theobald, Sally
通讯作者：
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影响因子：
11.1
作者：
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通讯作者：
Witter, Sophie
DOI：
10.5588/ijtld.14.0170
发表时间：
2014-11-01
影响因子：
4
作者：
Asher, I.;Pearce, N.
通讯作者：
Pearce, N.
影响因子：
8.1
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Joshi R;Thrift AG;Smith C;Praveen D;Vedanthan R;Gyamfi J;Schwalm JD;Limbani F;Rubinstein A;Parker G;Ogedegbe O;Plange-Rhule J;Riddell MA;Thankappan KR;Thorogood M;Goudge J;Yeates KE
通讯作者：
Yeates KE
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S