title: Educating Asthmatic Children in European Ambulatory Pediatrics: Facts and Insights.
abstract: The aim of this study was to assess the role of European ambulatory pediatricians in caring for asthmatic children, especially in terms of their therapeutic education. We developed a survey that was observational, declarative, retrospective and anonymous in nature. 436 ambulatory pediatricians in Belgium, France, Germany, Italy, Luxembourg and Slovenia were asked to participate in the survey providing information on three children over 6 years old suffering from persistent asthma, who had been followed for at least 6 months. We considered the pediatricians' profile, and their role in the therapeutic education of children. 277 pediatricians (64%) responded: 81% were primary care pediatricians; 46% participated in networks; 4% had specific training in Therapeutic Patient Education; 69% followed more than 5 asthmatic children per month, and over long periods (7 ± 4 years). The profiles of 684 children were assessed. Answers diverged concerning the provision of a Personalized Action Plan (60-88%), training the child to measure and interpret his Peak Expiratory Flow (31-99%), and the prescription of pulmonary function tests during the follow-up programme of consultations (62-97%). Answers converged on pediatricians' perception of their role in teaching children about their condition and its treatment (99%), about inhalation techniques (96%), and in improving the children's ability to take preventive measures when faced with risk situations (97%). This study highlights the role of European pediatricians in caring for asthmatic children, and their lack of training in Therapeutic Patient Education. Programmes and tools are required in order to train ambulatory pediatricians in Therapeutic Patient Education, and such resources should be integrated into primary health care, and harmonized at the European level.
authors.affiliation: European Confederation of Primary Care Pediatricians (ECPCP), 11 quai Général Sarrail, 69006 Lyon, France; Association Française de Pédiatrie Ambulatoire, pediatric office, 32 avenue Desrousseaux, 59370 Mons-en-Baroeul, France.
authors.forename: Marie Noëlle
authors.initials: MN
authors.lastname: Robberecht
authors.affiliation: Centre d'Investigation Clinique -9301-Inserm, CHRU, F-59037 Lille, France; Inserm U995, IFR 114, Univ Nord de France, F-59037 Lille, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Beghin
authors.affiliation: Clinique de Pédiatrie, Hopital Jeanne de Flandre, Av Eugène Avinée, F-59037 Lille, France.
authors.forename: Antoine
authors.initials: A
authors.lastname: Deschildre
authors.affiliation: Clinique de Pédiatrie, Hopital Jeanne de Flandre, Av Eugène Avinée, F-59037 Lille, France.
authors.forename: Valérie
authors.initials: V
authors.lastname: Hue
authors.affiliation: European Confederation of Primary Care Pediatricians (ECPCP), 11 quai Général Sarrail, 69006 Lyon, France; Associazione Culturale Pediatri, via Montiferru, 6-09070 Narbolia (OR), Italy.
authors.forename: Laura
authors.initials: L
authors.lastname: Reali
authors.affiliation: European Confederation of Primary Care Pediatricians (ECPCP), 11 quai Général Sarrail, 69006 Lyon, France; Delovna slupina za primarno pediatrijo, Zdravstveni dom velenje Vodnikova 1, 3320 Velenje, Slovenia.
authors.forename: Vesna
authors.initials: V
authors.lastname: Plevnik-Vodušek
authors.affiliation: European Confederation of Primary Care Pediatricians (ECPCP), 11 quai Général Sarrail, 69006 Lyon, France; Pediatric Department Hôpital St Pierre- Université Libre de Bruxelles (ULB)- Rue Haute 322 à 1000, Bruxelles, Belgique.
authors.forename: Marilena
authors.initials: M
authors.lastname: Moretto
authors.affiliation: European Confederation of Primary Care Pediatricians (ECPCP), 11 quai Général Sarrail, 69006 Lyon, France; Société Luxembourgeoise de Pédiatrie, Center of Pediatrics, Val Sainte Croix, Luxembourg.
authors.forename: Sigurlaug
authors.initials: S
authors.lastname: Agustsson
authors.affiliation: European Confederation of Primary Care Pediatricians (ECPCP), 11 quai Général Sarrail, 69006 Lyon, France; Société Luxembourgeoise de Pédiatrie, Center of Pediatrics, Val Sainte Croix, Luxembourg.
authors.forename: Emile
authors.initials: E
authors.lastname: Tockert
authors.affiliation: European Confederation of Primary Care Pediatricians (ECPCP), 11 quai Général Sarrail, 69006 Lyon, France; Berufsverband der Kinder-und Jugendärzte, Köhlerstr. 23, Berlin, Germany.
authors.forename: Elke
authors.initials: E
authors.lastname: Jäger-Roman
authors.affiliation: Centre d'Investigation Clinique -9301-Inserm, CHRU, F-59037 Lille, France.
authors.forename: Dominique
authors.initials: D
authors.lastname: Deplanque
authors.affiliation: Clinique de Pédiatrie, Hopital Jeanne de Flandre, Av Eugène Avinée, F-59037 Lille, France.
authors.forename: Abolfazl
authors.initials: A
authors.lastname: Najaf-Zadeh
authors.affiliation: Clinique de Pédiatrie, Hopital Jeanne de Flandre, Av Eugène Avinée, F-59037 Lille, France; EA 2694, Université Droit et Santé Lille (UDSL), Univ Lille Nord de France, Lille, France.
authors.forename: Alain
authors.initials: A
authors.lastname: Martinot
mesh_terms: D000293:Adolescent; D000554:Ambulatory Care Facilities / Q000706:statistics & numerical data; D001249:Asthma / Q000628:therapy*; D002648:Child; D005060:Europe; D006306:Health Surveys; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods / Q000706:statistics & numerical data; D010818:Practice Patterns, Physicians' / Q000706:statistics & numerical data; D011320:Primary Health Care; D012189:Retrospective Studies