An education intervention for childhood asthma by Aboriginal and Torres Strait Islander health workers

a randomised controlled trial

Patricia Valery, Ian Brent Masters, Brett Taylor, Yancy Laifoo, Peter O'Rourke, Anne Chang

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Objective: To assess the outcomes of an education intervention for childhood asthma conducted by Australian Indigenous health care workers (IHCWs).
Design and setting: Randomised controlled trial in a primary health care setting on Thursday Island and Horn Island, and in Bamaga, Torres Strait region of northern Australia, April 2005 to March 2007. 
Participants: 88 children, aged 1-17 years, with asthma diagnosed by a respiratory physician (intervention group, 35; control group, 53; 98% Indigenous children). 
Interventions: Children were randomly allocated to: (i) three additional asthma education sessions with a trained IHCW, or (ii) no additional asthma education. Both groups were re-assessed at 12 months.
Main outcome measures: Primary endpoint: number of unscheduled visits to hospital or a doctor caused by asthma exacerbation. Secondary outcomes: measures of quality of life (QoL) and functional severity index; asthma knowledge and understanding of asthma action plans (AAPs); and school days missed because of wheezing. 
Results: The groups were comparable at baseline (except for asthma severity, which was adjusted for in the analysis). There were no significant differences in the primary outcome (number of unscheduled medical visits for asthma). School children in the intervention group missed fewer school days because of wheezing (100% < 7 days v 21% of those in the control group missed 7-14 days). Significantly more carers in the intervention group could answer questions about asthma medication, knew where their AAP was kept (84% v 56%), and were able to describe the plan (67% v 40%). In both the intervention and control groups (before-and-after comparison), there was a significantly reduced frequency of asthma exacerbations, as well as an improved QoL score and functional severity index, with no significant differences between the groups. 
Conclusions: A community-based asthma education program conducted by trained IHCWs improves some important asthma outcomes in Indigenous children with asthma. 
Trial registration: Australian Clinical Trials Registry ACTRN012605000718640.
Original languageEnglish
Pages (from-to)574-579
Number of pages6
JournalMedical Journal of Australia
Volume192
Issue number10
Publication statusPublished - 17 May 2010

Fingerprint

Asthma
Randomized Controlled Trials
Education
Health
Respiratory Sounds
Delivery of Health Care
Control Groups
Quality of Life
Outcome Assessment (Health Care)
Islands
Caregivers
Registries
Primary Health Care
Clinical Trials
Physicians

Cite this

Valery, Patricia ; Masters, Ian Brent ; Taylor, Brett ; Laifoo, Yancy ; O'Rourke, Peter ; Chang, Anne. / An education intervention for childhood asthma by Aboriginal and Torres Strait Islander health workers : a randomised controlled trial. In: Medical Journal of Australia. 2010 ; Vol. 192, No. 10. pp. 574-579.
@article{f8dc26b37a7349908fbdfdee9291a68d,
title = "An education intervention for childhood asthma by Aboriginal and Torres Strait Islander health workers: a randomised controlled trial",
abstract = "Objective: To assess the outcomes of an education intervention for childhood asthma conducted by Australian Indigenous health care workers (IHCWs).Design and setting: Randomised controlled trial in a primary health care setting on Thursday Island and Horn Island, and in Bamaga, Torres Strait region of northern Australia, April 2005 to March 2007. Participants: 88 children, aged 1-17 years, with asthma diagnosed by a respiratory physician (intervention group, 35; control group, 53; 98{\%} Indigenous children). Interventions: Children were randomly allocated to: (i) three additional asthma education sessions with a trained IHCW, or (ii) no additional asthma education. Both groups were re-assessed at 12 months.Main outcome measures: Primary endpoint: number of unscheduled visits to hospital or a doctor caused by asthma exacerbation. Secondary outcomes: measures of quality of life (QoL) and functional severity index; asthma knowledge and understanding of asthma action plans (AAPs); and school days missed because of wheezing. Results: The groups were comparable at baseline (except for asthma severity, which was adjusted for in the analysis). There were no significant differences in the primary outcome (number of unscheduled medical visits for asthma). School children in the intervention group missed fewer school days because of wheezing (100{\%} < 7 days v 21{\%} of those in the control group missed 7-14 days). Significantly more carers in the intervention group could answer questions about asthma medication, knew where their AAP was kept (84{\%} v 56{\%}), and were able to describe the plan (67{\%} v 40{\%}). In both the intervention and control groups (before-and-after comparison), there was a significantly reduced frequency of asthma exacerbations, as well as an improved QoL score and functional severity index, with no significant differences between the groups. Conclusions: A community-based asthma education program conducted by trained IHCWs improves some important asthma outcomes in Indigenous children with asthma. Trial registration: Australian Clinical Trials Registry ACTRN012605000718640.",
keywords = "beta 2 adrenergic receptor stimulating agent, Aborigine, absenteeism, adolescent, article, asthma, Australia, caregiver, child, childhood asthma, childhood disease, clinical trial, comparative study, controlled clinical trial, controlled study, disease exacerbation, disease severity, female, health care personnel, health care planning, human, knowledge, major clinical study, male, outcome assessment, patient education, physician, preschool child, primary health care, quality of life, randomized controlled trial, school, school child, wheezing, Absenteeism, Adolescent, Asthma, Child, Child, Preschool, Community Health Services, Humans, Infant, Oceanic Ancestry Group, Outcome Assessment (Health Care), Patient Education as Topic",
author = "Patricia Valery and Masters, {Ian Brent} and Brett Taylor and Yancy Laifoo and Peter O'Rourke and Anne Chang",
year = "2010",
month = "5",
day = "17",
language = "English",
volume = "192",
pages = "574--579",
journal = "Medical Journal of Australia",
issn = "0025-729X",
publisher = "Australasian Medical Publishing Company",
number = "10",

}

An education intervention for childhood asthma by Aboriginal and Torres Strait Islander health workers : a randomised controlled trial. / Valery, Patricia; Masters, Ian Brent; Taylor, Brett; Laifoo, Yancy; O'Rourke, Peter; Chang, Anne.

In: Medical Journal of Australia, Vol. 192, No. 10, 17.05.2010, p. 574-579.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - An education intervention for childhood asthma by Aboriginal and Torres Strait Islander health workers

T2 - a randomised controlled trial

AU - Valery, Patricia

AU - Masters, Ian Brent

AU - Taylor, Brett

AU - Laifoo, Yancy

AU - O'Rourke, Peter

AU - Chang, Anne

PY - 2010/5/17

Y1 - 2010/5/17

N2 - Objective: To assess the outcomes of an education intervention for childhood asthma conducted by Australian Indigenous health care workers (IHCWs).Design and setting: Randomised controlled trial in a primary health care setting on Thursday Island and Horn Island, and in Bamaga, Torres Strait region of northern Australia, April 2005 to March 2007. Participants: 88 children, aged 1-17 years, with asthma diagnosed by a respiratory physician (intervention group, 35; control group, 53; 98% Indigenous children). Interventions: Children were randomly allocated to: (i) three additional asthma education sessions with a trained IHCW, or (ii) no additional asthma education. Both groups were re-assessed at 12 months.Main outcome measures: Primary endpoint: number of unscheduled visits to hospital or a doctor caused by asthma exacerbation. Secondary outcomes: measures of quality of life (QoL) and functional severity index; asthma knowledge and understanding of asthma action plans (AAPs); and school days missed because of wheezing. Results: The groups were comparable at baseline (except for asthma severity, which was adjusted for in the analysis). There were no significant differences in the primary outcome (number of unscheduled medical visits for asthma). School children in the intervention group missed fewer school days because of wheezing (100% < 7 days v 21% of those in the control group missed 7-14 days). Significantly more carers in the intervention group could answer questions about asthma medication, knew where their AAP was kept (84% v 56%), and were able to describe the plan (67% v 40%). In both the intervention and control groups (before-and-after comparison), there was a significantly reduced frequency of asthma exacerbations, as well as an improved QoL score and functional severity index, with no significant differences between the groups. Conclusions: A community-based asthma education program conducted by trained IHCWs improves some important asthma outcomes in Indigenous children with asthma. Trial registration: Australian Clinical Trials Registry ACTRN012605000718640.

AB - Objective: To assess the outcomes of an education intervention for childhood asthma conducted by Australian Indigenous health care workers (IHCWs).Design and setting: Randomised controlled trial in a primary health care setting on Thursday Island and Horn Island, and in Bamaga, Torres Strait region of northern Australia, April 2005 to March 2007. Participants: 88 children, aged 1-17 years, with asthma diagnosed by a respiratory physician (intervention group, 35; control group, 53; 98% Indigenous children). Interventions: Children were randomly allocated to: (i) three additional asthma education sessions with a trained IHCW, or (ii) no additional asthma education. Both groups were re-assessed at 12 months.Main outcome measures: Primary endpoint: number of unscheduled visits to hospital or a doctor caused by asthma exacerbation. Secondary outcomes: measures of quality of life (QoL) and functional severity index; asthma knowledge and understanding of asthma action plans (AAPs); and school days missed because of wheezing. Results: The groups were comparable at baseline (except for asthma severity, which was adjusted for in the analysis). There were no significant differences in the primary outcome (number of unscheduled medical visits for asthma). School children in the intervention group missed fewer school days because of wheezing (100% < 7 days v 21% of those in the control group missed 7-14 days). Significantly more carers in the intervention group could answer questions about asthma medication, knew where their AAP was kept (84% v 56%), and were able to describe the plan (67% v 40%). In both the intervention and control groups (before-and-after comparison), there was a significantly reduced frequency of asthma exacerbations, as well as an improved QoL score and functional severity index, with no significant differences between the groups. Conclusions: A community-based asthma education program conducted by trained IHCWs improves some important asthma outcomes in Indigenous children with asthma. Trial registration: Australian Clinical Trials Registry ACTRN012605000718640.

KW - beta 2 adrenergic receptor stimulating agent

KW - Aborigine

KW - absenteeism

KW - adolescent

KW - article

KW - asthma

KW - Australia

KW - caregiver

KW - child

KW - childhood asthma

KW - childhood disease

KW - clinical trial

KW - comparative study

KW - controlled clinical trial

KW - controlled study

KW - disease exacerbation

KW - disease severity

KW - female

KW - health care personnel

KW - health care planning

KW - human

KW - knowledge

KW - major clinical study

KW - male

KW - outcome assessment

KW - patient education

KW - physician

KW - preschool child

KW - primary health care

KW - quality of life

KW - randomized controlled trial

KW - school

KW - school child

KW - wheezing

KW - Absenteeism

KW - Adolescent

KW - Asthma

KW - Child

KW - Child, Preschool

KW - Community Health Services

KW - Humans

KW - Infant

KW - Oceanic Ancestry Group

KW - Outcome Assessment (Health Care)

KW - Patient Education as Topic

UR - http://www.scopus.com/inward/record.url?scp=77952726055&partnerID=8YFLogxK

M3 - Article

VL - 192

SP - 574

EP - 579

JO - Medical Journal of Australia

JF - Medical Journal of Australia

SN - 0025-729X

IS - 10

ER -