INFLUENCING ASTHMA CARE BY CHILDREN AND THEIR PARENTS

描述（改编自研究者摘要）：哮喘影响 大约420万18岁以下的儿童-这是最多的 儿童常见的慢性病。 预防性抗炎治疗 吸入性β 2受体激动剂现在在管理计划中使用较早， 降低症状发生的频率和严重程度。 尽管有这些 治疗进展，哮喘在18岁以下儿童中的发病率从 2.7 1988年受影响的人数从1988年的100万增加到1995年的420万。 因素可能 导致哮喘患病率上升的原因包括缺乏知识 这可能导致哮喘管理无效 行为。 降低儿童哮喘发病率的长期目标。 本研究的目的是：1）确定哮喘健康的影响 为父母及其学龄儿童提供的关于儿童的教育方案 的哮喘发病率（哮喘患病天数，艾德就诊，缺课， 住院）。 2)评估父母和子女管理的变化 行为（哮喘管理行为，环境管理策略） 在接受了哮喘健康教育项目后， 一个试点 干预研究提出了一个方便的样本，主要是 低收入墨西哥裔美国人、非洲裔美国人和英美裔美国人家庭 患有哮喘的学龄儿童在三到五年级。 哮喘健康 教育计划旨在增加儿童和家长的知识 和哮喘的管理。 孩子们参加6个双周班， 三周的上课时间，六个月后上一堂复习课。 家长教育材料将在第一年年底邮寄到家里。 将在2年内收集数据，以确定 干预降低哮喘发病率，提高哮喘知识 和管理行为进行比较。

DESCRIPTION (Adapted from the Investigator's Abstract): Asthma affects approximately 4.2 million children under 18 years of age - it is the most common chronic illness of childhood. Preventive anti-inflammatory therapy and inhaled beta2 agonists are now used earlier in the management plan to reduce the frequency and severity of symptom occurrence. In spite of these treatment advances, asthma has increased among children under 18 years from 2.7 million affected in 1988 to 4.2 million in 1995. Factors that may contribute to rising asthma prevalence include lack of knowledge on the part of parents and children which can result in ineffective asthma management behaviors. The long-term objective to reduce asthma morbility in children. The purpose of the study is to: 1) Determine the effect of an asthma health education program for parents and their school-age children on the children s asthma morbidity (asthma illness days, ED visits, school absences, hospital stays). 2) Evaluate changes in parents' and children s management behaviors (asthma management behaviors, environmental management strategies) after being provided with an asthma health education program. A pilot intervention study is proposed with a convenience sample of predominantly low-income Mexican American, African American, and Anglo American families with asthmatic school-age children in 3rd to 5th grades. The asthma health education program is designed to increase children's and parents knowledge and management of asthma. Children participate in 6 bi-weekly classes over 3 weeks during school hours, followed by one review class six months later. Parent education materials will be mailed to the home at the end of year-1. Data will be gathered over 2 years to determine the effectiveness of the intervention on reducing asthma morbidity, and promoting asthma knowledge and management behaviors by comparing pre-and post-intervention data.