An education intervention for childhood asthma by local Aboriginal and Torres Strait Islander Health Workers

当地原住民和托雷斯海峡岛民卫生工作者对儿童哮喘进行的教育干预

• 批准号: nhmrc : 389838
• 负责人: A/Pr Ian Masters
• 金额: $ 6.5万
• 依托单位: Queensland Institute of Medical Research
• 依托单位国家: 澳大利亚
• 项目类别: NHMRC Project Grants
• 财政年份: 2006
• 资助国家: 澳大利亚
• 起止时间: 2006-01-01 至 2006-12-31
• 项目状态: 已结题
• 来源: https://researchdata.edu.au/an-education-intervention-health-workers/82679
• 关键词: education; intervention; childhood; asthma; local

There are only a few studies on asthma in Aboriginal and Torres Strait Islander children, and those are restricted to prevalence and hospitalisation data. We have previously shown that the prevalence of childhood asthma in the Torres is similar to that of mainstream Australia and that children of this region generally have more severe asthma than children seen in urban areas. Using a model of care appropriate for Aboriginal and Torres Strait Islander people, with the involvement of local Indigenous health care workers, we have adapted an asthma information package. With Study 1, we will examine the effect of local health care workers using this education package to educate children about their asthma. Our hypotheses is that children who receive additional asthma education by health worker have better asthma control. So we propose a randomized controlled trial of a culturally appropriate education intervention with children diagnosed with asthma. Enrolled children will be allocated by chance to one of the two regimes: (1) additional asthma education intervention: children will receive a personalised booklet (containing individual data eg. growth, photo of the child, health worker visits etc) that will be used during the medical consultation. They will also have 3 visits from the health worker for their asthma. (2) no additional intervention (they will receive usual information about asthma at the consultation and no health worker visit). With Study 2 we will examine the natural history of children with asthma and asthma-like symptoms and with symptoms suggestive of sleep breathing problems. Two groups of children previously seen by this team (5 years ago) will be clinically reassessed. Our hypothesis is that short to medium term history of asthma in Indigenous children in the Torres Strait is similar to non-Indigenous Australian children where there is a general improvement with age.

关于土著和托雷斯海峡岛民儿童哮喘的研究很少，而且仅限于患病率和住院数据。我们之前的研究表明，托雷斯地区的儿童哮喘患病率与澳大利亚主流地区相似，该地区的儿童通常比城市地区的儿童哮喘更严重。我们采用一种适合土著和托雷斯海峡岛民的护理模式，在当地土著保健工作者的参与下，修改了一套哮喘信息包。在研究1中，我们将检验当地卫生保健工作者使用该教育包对儿童进行哮喘教育的效果。我们的假设是，接受卫生工作者额外的哮喘教育的儿童有更好的哮喘控制。因此，我们提出了一项随机对照试验，对诊断为哮喘的儿童进行文化上适当的教育干预。入组儿童将随机分配到以下两种方案中的一种：(1)额外的哮喘教育干预：儿童将收到一本个性化的小册子（包含个人数据）。将在医疗咨询期间使用的成长、儿童照片、卫生工作者访问等资料。卫生工作者还将对他们进行3次哮喘检查。(2)没有额外的干预（他们将在咨询时获得关于哮喘的常规信息，没有卫生工作者访问）。在研究2中，我们将检查患有哮喘和哮喘样症状以及有睡眠呼吸问题症状的儿童的自然史。该小组以前见过的两组儿童（5年前）将进行临床重新评估。我们的假设是，托雷斯海峡土著儿童的中短期哮喘病史与非土著澳大利亚儿童相似，随着年龄的增长，哮喘总体上有所改善。