title: Improvement of rural children's asthma self-management by lay health educators.
abstract: BACKGROUND
  The purpose of the present analysis is to examine changes in rural children's asthma self-management after they received lay health educator (LHE)-delivered classes.
  
  
  METHODS
  Elementary schools were randomly assigned to the treatment or attention-control condition and their participating students received either asthma education or general health promotion education, respectively. The triethnic sample was composed of 183 children (46% Hispanic, 29.5% non-Hispanic white, 22% African American, and 2.6% other categories) who had a mean age of 8.78 years (SD = 1.24). The time frame from baseline to postintervention was 12 weeks.
  
  
  RESULTS
  Repeated measures analysis of variance found main effects in changes in scores for children's asthma knowledge, asthma self-management, self-efficacy for managing asthma symptoms, and metered dose inhaler (MDI) technique and significant group interaction effects for the treatment intervention on the measures of children's asthma knowledge, asthma self-management, and MDI technique.
  
  
  CONCLUSIONS
  The delivery of an asthma health education intervention by trained LHEs to school-aged children was an effective means for improving children's knowledge and skills in asthma self-management.
authors.affiliation: School of Nursing, The University of Texas at Austin, Austin, TX 78701-1499, USA. horner@mail.utexas.edu
authors.forename: Sharon D
authors.initials: SD
authors.lastname: Horner
authors.forename: Rachel T
authors.initials: RT
authors.lastname: Fouladi
mesh_terms: D000328:Adult; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage*; D001249:Asthma / Q000188:drug therapy*; D002648:Child; D003150:Community Health Workers; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D008507:Medically Underserved Area; D010353:Patient Education as Topic / Q000379:methods*; D012423:Rural Health; D012572:School Health Services; D012648:Self Care / Q000379:methods*; D000078329:Workforce
chemical_list: D018927:Anti-Asthmatic Agents
references.citation: Holist Nurs Pract. 2003 Sep-Oct;17(5):231-8
references.pmid: 14596372
references.citation: Prev Chronic Dis. 2005 Jan;2(1):A20
references.pmid: 15670473
references.citation: Patient Educ Couns. 1986 Mar;8(1):27-38
references.pmid: 10276475
references.citation: J Pediatr Nurs. 1987 Dec;2(6):381-91
references.pmid: 3694438
references.citation: Clin Excell Nurse Pract. 2001 May;5(3):168-74
references.pmid: 11381358
references.citation: J Pediatr. 2005 Feb;146(2):177-82
references.pmid: 15689902
references.citation: Arch Pediatr Adolesc Med. 2003 Jan;157(1):81-8
references.pmid: 12517200
references.citation: Am J Public Health. 2004 Oct;94(10):1695-703
references.pmid: 15451735
references.citation: Tob Control. 2004 Mar;13(1):90-2
references.pmid: 14985605
references.citation: Pediatrics. 1984 Oct;74(4):478-86
references.pmid: 6384911
references.citation: J Asthma. 1999;36(1):115-28
references.pmid: 10077141
references.citation: J Asthma. 2005 Dec;42(10):813-21
references.pmid: 16393717
references.citation: J Sch Health. 1986 Sep;56(7):267-71
references.pmid: 3640126
references.citation: J Spec Pediatr Nurs. 2004 Jul-Sep;9(3):95-102
references.pmid: 15553551
references.citation: J Asthma. 1998;35(2):165-71
references.pmid: 9576142
references.citation: J Sch Health. 2006 Aug;76(6):283-90
references.pmid: 16918856
references.citation: J Sch Health. 2006 Aug;76(6):227-34
references.pmid: 16918844
references.citation: Prev Med. 1998 Nov-Dec;27(6):821-9
references.pmid: 9922064
references.citation: J Ambul Care Manage. 1999 Oct;22(4):33-44
references.pmid: 11184887
references.citation: Public Health Nurs. 2001 Jul-Aug;18(4):225-35
references.pmid: 11468062
references.citation: Ann Allergy Asthma Immunol. 2000 Jul;85(1):28-34
references.pmid: 10923601
references.citation: Patient Educ Couns. 1991 Feb;17(1):35-47
references.pmid: 1997997
references.citation: J Dev Behav Pediatr. 1980 Sep;1(3):128-32
references.pmid: 7229057
references.citation: J Spec Pediatr Nurs. 2006 Apr;11(2):80-9
references.pmid: 16635187
references.citation: Public Health Nurs. 1994 Jun;11(3):145-9
references.pmid: 8898552
references.citation: Paediatr Drugs. 2001;3(5):321-8
references.pmid: 11393325