title: Criteria for the differential indication of asthma education versus asthma instruction for families of preschoolers: results from the randomized DIAT2 study (Differential Indication of Asthma Trainings in Toddlers).
abstract: BACKGROUND
  Asthma management of preschoolers is more improved by a family oriented psycho-educational program provided by a multi-professional team than by a short instruction alone. For some families however an instruction could be sufficient. Criteria to assign education or instruction to asthmatic schoolchildren (DIA) have been evaluated . This paper describes the use of those criteria in the Preschoolers' and parents' asthma education trial (P (2)AET) .
  
  
  METHODS
  DIA at study entry were available of 233 children (aged 2-5 [mean 3.9] years) participating in the randomised controlled P (2)AET (education, instruction, waiting group). Children had been included after having at least 3 obstructive episodes in their life plus chronic or recurrent wheeze in the 6 months before the start of the study. 74 % were on inhaled corticosteroids.
  
  
  METHODS
  Logistic regression procedures were used to assess the predictive value of DIA and possible confounders on the success of the interventions (education and instruction).
  
  
  RESULTS
  Regarding the outcome "better in asthma management test" education is superior to instruction (OR 5.2; CI 1.7-16). DIA "quarrel about inhalation" indicates an even greater advantage of education (OR 19; CI 2-176). An equal high advantage was found, when there was NO "need for peer support" (OR 11; CI 2-64).
  
  
  CONCLUSIONS
  Families with asthmatic preschoolers displaying dysfunctional interaction, which can only be corrected in an educational process, should be provided with the psycho-educational program promptly.
authors.affiliation: St. Josefskrankenhaus, Abteilung für Kinder und Jugendmedizin, St. Hedwig Sautierstraße 1, Freiburg, Germany. johannes.forster@rkk-sjk.de
authors.forename: J
authors.initials: J
authors.lastname: Forster
authors.forename: G
authors.initials: G
authors.lastname: Ihorst
authors.forename: T
authors.initials: T
authors.lastname: Spindler
authors.forename: R
authors.initials: R
authors.lastname: Jaeschke
authors.forename: R
authors.initials: R
authors.lastname: Szczepanski
mesh_terms: D000280:Administration, Inhalation; D000305:Adrenal Cortex Hormones / Q000008:administration & dosage; D000402:Airway Obstruction / Q000523:psychology / Q000628:therapy; D018927:Anti-Asthmatic Agents / Q000008:administration & dosage; D001249:Asthma / Q000188:drug therapy / Q000523:psychology / Q000628:therapy*; D017028:Caregivers / Q000193:education* / Q000523:psychology; D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D017145:Models, Educational; D010174:Pamphlets; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods*; D011446:Prospective Studies; D012135:Respiratory Sounds
chemical_list: D000305:Adrenal Cortex Hormones; D018927:Anti-Asthmatic Agents