title: Medication education program for Indian children with asthma: A feasibility stud.
abstract: OBJECTIVE
  It is postulated that children with asthma who receive an interactive, comprehensive, culturally relevant education program would improve their asthma knowledge (AK), asthma control, and adherence compared with children receiving usual care. The aim of this study was to develop, implement, and evaluate the efficacy of a culturally relevant asthma education intervention for children with asthma and their parents in India.
  
  
  METHODS
  Children with asthma (7-12 years) and their parents were recruited from an outpatient clinic in a Chest Diseases Hospital in New Delhi, and were randomly assigned to either an intervention or usual care group. At baseline, outcome data collected included pediatric asthma caregiver quality of life (PACQL, primary outcome), AK, asthma control, adherence, inhaler technique, action plan ownership, and goal achievement. These data were collected again at 1 and 6 months after baseline. Outcomes were compared within and between groups using ANOVA techniques.
  
  
  RESULTS
  Forty parent-child pairs were recruited. Of these, 24 pairs of children with asthma and their parents received the educational intervention. The PACQL significantly improved from baseline to 6 months in the intervention (5.87 ± 0.94-7.00 ± 0.03) versus the usual care group (5.90 ± 0.52-6.34 ± 0.56) (P < 0.001). Other outcomes such as the parents' and child's AK, child's asthma control and inhaler technique were significantly improved in the intervention group across the study. All the participants possessed a written asthma action plan at the end of the intervention. Eighty-five goals were set by children with asthma across all the visits and were achieved by completion.
  
  
  CONCLUSIONS
  An asthma educator delivered interactive program simultaneously involving children with asthma and their parents, improved quality of life, empowered and promoted better self-management skills.
authors.affiliation: Faculty of Pharmacy, The University of Sydney, New South Wales, Australia.
authors.forename: C
authors.initials: C
authors.lastname: Grover
authors.forename: N
authors.initials: N
authors.lastname: Goel
authors.forename: C
authors.initials: C
authors.lastname: Armour
authors.forename: P P
authors.initials: PP
authors.lastname: Van Asperen
authors.forename: S N
authors.initials: SN
authors.lastname: Gaur
authors.forename: R J
authors.initials: RJ
authors.lastname: Moles
authors.forename: B
authors.initials: B
authors.lastname: Saini
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000188:drug therapy / Q000503:physiopathology* / Q000523:psychology; D017028:Caregivers / Q000193:education* / Q000523:psychology; D002648:Child; D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D006266:Health Education / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007194:India; D008297:Male; D017063:Outcome Assessment, Health Care; D010290:Parents / Q000193:education* / Q000523:psychology; D010353:Patient Education as Topic / Q000379:methods*; D015397:Program Evaluation; D011788:Quality of Life / Q000523:psychology*; D012648:Self Care