title: Improvement in asthma management practices in child care services: an evaluation of a staff education program.
abstract: OBJECTIVE
  The aim of this study was to identify the strengths and weaknesses of asthma management in child care services in the Hunter region and to develop, implement and evaluate a health education program to address the deficiencies.
  
  
  METHODS
  A questionnaire was sent to the 190 child care services in the Hunter region in 1997 to assess their asthma management practices. Results of the survey were used to develop a two-hour training workshop for child care staff in the management of asthma. District-based workshops were conducted for 535 child care staff (representing 140 services) over two years. Participants completed pre- and post-workshop knowledge and confidence questionnaires. The survey was repeated in 2000.
  
  
  RESULTS
  The baseline survey identified potential for substantial improvement in the management of asthma in child care services and in the training of staff. Training workshops significantly improved asthma knowledge and confidence in managing asthma (p<0.0001). The follow-up survey showed that an additional 50% (p<0.0001) of all child care services had implemented recommended asthma management practices.
  
  
  CONCLUSIONS
  The program was effective in achieving vast improvements in the knowledge and confidence that child care staff require to manage asthma and has led to the broad dissemination and adoption of the appropriate policies and procedures for the management of asthma in child care services.
authors.affiliation: John Hunter Children's Hospital, New South Wales. juliana.hazell@hnehealth.nsw.gov.au
authors.forename: Juliana
authors.initials: J
authors.lastname: Hazell
authors.forename: Richard L
authors.initials: RL
authors.lastname: Henry
authors.forename: J Lynn
authors.initials: JL
authors.lastname: Francis
mesh_terms: D001249:Asthma / Q000628:therapy*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D019468:Disease Management; D006282:Health Personnel / Q000193:education*; D006801:Humans; D013192:Staff Development / Q000458:organization & administration*