Changes in asthma self-management knowledge in inner city adolescents following developmentally sensitive self-management training.
Jennifer R Mammen, Hyekyun Rhee, Shannska Atis and 1 others
PMID 29129307WHAT IT FOUND
In 33 inner-city adolescent peer leaders, knowledge scores after 12 hours of asthma training were 36.33 of 46 points, up from 21.37 before.
Self-efficacy improved; attitude did not.
Key findings
01Mean total asthma knowledge scores were 21.37/46 before training (n=39) and 36.33/46 after training (n=36). In 33 participants with both tests, the paired change was significant (t=10.34, p<.0001, d=1.68).
02Self-efficacy scores improved from 60.14 to 62.74 on a 14 to 70 point scale (t=2.51, p=0.017, d=0.36).
03Attitude towards asthma changed from 3.65 to 3.89 on a 1 to 5 point scale but did not reach statistical significance (d=0.35).
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
There was no control group, so the study cannot show that the curriculum alone caused the change. Participants were purposefully selected peer leaders nominated for well-managed asthma and leadership, so they may not represent typical adolescents with asthma. Assessments were done immediately after training, so it is unknown whether improvements lasted or changed asthma control. Nine of 42 initiators did not complete both pre and post tests, and missing data differed by site. Training was in English and targeted inner-city adolescents, so results may not apply to other languages or cultures. Final evaluation was written, not performance-based, so it measured knowledge rather than ability to deliver teaching.
Declared interests
The supplied text does not include a conflicts-of-interest statement. The publication types note research support from NIH, extramural.
The easy way to misread this
Do not read this as proof that the curriculum improves asthma control or real-world self-management. It was a single-group pre-post test in selected peer leaders, and only immediate knowledge, self-efficacy, and attitude scores were measured.