HEALTH EDUCATION IN SELF-MANAGEMENT OF CHILDHOOD ASTHMA

尽管儿童哮喘的医疗治疗取得了重大进展， 它们的广泛应用面临着主要障碍。我们的预赛 研究表明，在自我管理实践中进行健康教育 包括使用基于家庭的健康记录可以对 克服这些障碍，改善护理。目前的建议是 基于两个主要假设：(1)健康教育技术将 提高家庭有效管理哮喘的能力，改善家庭生活质量 儿童的健康和正常运作的能力，并实现减少 不适当的医疗保健；(2)使用与儿童一起保存的医疗记录 任何时候(家庭健康记录)都将有助于哮喘的治疗 无论是在家里还是在急诊室，都可以减少医疗费用。 这一建议包括两个主要的教育和示范研究 项目(方案A和方案B)，由五个相互关联的项目组成 可以整合到未来肺中心的框架中。我们有 五个目标：1)检验健康教育的效果 急诊室和学校环境中的计划；2)制作培训 有助于广泛复制该计划的材料；3) 消除以前认识到的阻碍患者参与 健康教育计划；4)提高对哮喘自我的认识 卫生专业人员和学校工作人员的管理以及5)至 加强对哮喘的家庭护理，并通过使用 家庭护理记录。哮喘儿童将从 医院急诊室和诊所、社区诊所和社区 学校。他们将通过以下方式参加教育计划 试验组和对照组。对结果的客观衡量将是 旨在评估我们的健康教育的成效 计划(自我管理计划和家庭卫生服务记录) 由家庭和卫生专业人员管理哮喘。这些研究 这些项目还将展示这些卫生保健的广泛适用性 传统医疗保健提供系统中的教育方案和 在社区环境中。这些计划的最终影响将是 以具有成本效益的方式改善哮喘儿童的健康。

Despite significant advances in the medical treatment of childhood asthma, there are major barriers to their widespread application. Our preliminary studies indicate that health education in self management practices including the use of home based health records can have a major effect on overcoming these barriers and improving care. The current proposal is based on two major hypotheses: (1) health education techniques will increase the ability of families to manage asthma effectively, improve the child's health and ability to function normally and achieve reductions in inappropriate health care; (2) use of a medical record kept with the child at all times (the home health record) will facilitate treatment of asthma both at home and in the emergency room and reduce costs of health care. This proposal consists of two major education and demonstration research projects (Programs A and B) and is composed of five interrelated projects that can be integrated into the framework of a future lung center. We have five objectives: 1) to test the effectiveness of the health education program in emergency room and scholl settings; 2) to produce training materials that will facilitate widespread replication of the program; 3) to eliminate previously recognized barriers to patient participation in the health education program; 4) to foster increased knowledge of asthma self management among health professionals and school personnel and 5) to enhance home care of asthma and to reduce costs of health care by use of the home care record. Children with asthma will be recruited from the hospital emergency rooms and clinics, neighborhood clinics and community schools. They will be enrolled in the educational program using experimental and control groups. Objective measures of outcome will be made to provide an evaluation of the effectiveness of our health education programs (the self management program and the home helath record) on the management of asthma by families and health professionals. These research projects will also demonstrate the widespread applicability of these health education programs both in the traditional health care delivery system and in community settings. The ultimate impact of these programs will be to improve the health of childern with asthma in cost effective ways.