title: Watch, Discover, Think, and Act: evaluation of computer-assisted instruction to improve asthma self-management in inner-city children.
abstract: An interactive multimedia computer game to enhance self-management skills and thereby improve asthma outcomes in inner city children with asthma was evaluated. Subjects aged 6-17 were recruited from four pediatric practices and randomly assigned to the computer intervention condition or to the usual-care comparison. The main character in the game could match the subject on gender and ethnicity. Characteristics of the protagonist's asthma were tailored to be like those of the subject. Subjects played the computer game as part of regular asthma visits. Time between pre- and post-test varied from 4 to 15.6 months (mean, 7.6 months). Analysis of covariance, with pre-test scores, age, and asthma severity as covariates, found that the intervention was associated with fewer hospitalizations, better symptom scores, increased functional status, greater knowledge of asthma management, and better child self-management behavior for those in the intervention condition. Interactions with covariates were found and discussed in terms of variable efficacy of the intervention.
authors.affiliation: Center for Helath Promotion Research and Development, University of Texas Health Science Center at Houston 77225, USA. lkb@sph.uth.tmc.edu
authors.forename: L K
authors.initials: LK
authors.lastname: Bartholomew
authors.forename: R S
authors.initials: RS
authors.lastname: Gold
authors.forename: G S
authors.initials: GS
authors.lastname: Parcel
authors.forename: D I
authors.initials: DI
authors.lastname: Czyzewski
authors.forename: M M
authors.initials: MM
authors.lastname: Sockrider
authors.forename: M
authors.initials: M
authors.lastname: Fernandez
authors.forename: R
authors.initials: R
authors.lastname: Shegog
authors.forename: P
authors.initials: P
authors.lastname: Swank
mesh_terms: D001249:Asthma / Q000517:prevention & control*; D002648:Child; D003194:Computer-Assisted Instruction / Q000592:standards*; D006801:Humans; D010353:Patient Education as Topic / Q000592:standards*; D015397:Program Evaluation; D012648:Self Care; D014505:Urban Population