RNRCTJournal of pediatric nursing2019

Evaluation of a Peer-led Asthma Self-management Group Intervention for Urban Adolescents.

Annette Grape, Hyekyun Rhee, Pauleen Sanchez

PMID 30594886

WHAT IT FOUND

Peer-led and adult-led asthma education camps were rated equally by urban teens.

Both groups gained asthma knowledge, and teens found trained peer leaders acceptable teachers.

Key findings

01The peer-led and adult-led groups rated the camp program similarly on overall satisfaction.

02Asthma knowledge scores improved after camp in both groups, and the improvement did not differ between peer-led and adult-led groups.

03Campers rated peer leaders highest for knowledge and sincerity, and lowest for having a similar life.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

Many enrolled participants did not attend the camp, so the analyzed sample was smaller than planned and age/gender matching changed. Most campers were urban and African American or Black, so results may not apply to suburban, rural, or other racial groups. Satisfaction was self-reported, so high ratings could reflect participants saying what they thought was expected. The asthma knowledge test did not consistently measure one single knowledge area, so the score may not show what each teen learned. The day included both asthma education sessions and recreation activities for all groups, so it cannot show whether education, recreation, or the group setting drove the results. The study evaluated camp experience and knowledge only; it did not report asthma outcomes.

The easy way to misread this

Do not conclude that peer-led asthma education is better than adult educator-led education or that it improves asthma control. The camp ratings did not differ between groups, and the study did not report asthma outcomes.

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