Skills amongst parents of children with asthma: A pilot interventional study in primary care setting

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The increasing prevalence of childhood asthma has become a concern among health practitioners. Effective management emphasizes long-term management and inhaled therapy has become the mainstay home management for children. However, proper utilization of medication is pertinent in improving control. Proper asthma education is mandatory in improving skills and confidence amongst parents. To assess the skills of using the metered-dose inhaler (MDI) with a spacer among asthmatic children before and after educational intervention and to analyse any difficulties which may occur amongst the participants in executing the assessment steps. A cross-sectional clinic based study involving 85 parents and children with asthma. A standardized metered-dose inhaler-spacer checklist of eight steps of medication usage and five steps of cleaning the spacer were used as the assessment tools for pre and post intervention. The performance on using the inhaler-spacer and spacer cleaning knowledge pre and two months post intervention was evaluated. One point was given for each correct step and zero points for incorrect answers/steps. The mean score for skills of inhaler technique improved significantly after educational intervention (3-51 to 6.01, p < 0.0001) as did the mean score for parental knowledge of spacer cleaning technique (1.35 to 3.16, p 0.001). Analysis showed only a limited improvement even after an educational session in three steps of inhalation technique: step 5 (23.5% / 69.4%). step 6 (28.2%/ 68.2%) and step 7 (25.9% /61.2%). Parents with asthmatic children had poor skills in utilizing their children's medication. A short-term educational intervention was able to improve overall knowledge and skill but certain skills need more emphasizing and training.

Original languageEnglish
Pages (from-to)534-539
Number of pages6
JournalMedical Journal of Malaysia
Volume61
Issue number5
Publication statusPublished - Dec 2006
Externally publishedYes

Fingerprint

Primary Health Care
Metered Dose Inhalers
Asthma
Parents
Nebulizers and Vaporizers
Checklist
Inhalation
Education
Health
Therapeutics

Keywords

  • Asthma education
  • Childhood asthma
  • Inhaler
  • Skills
  • Spacers

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Skills amongst parents of children with asthma : A pilot interventional study in primary care setting. / Abd Aziz, Noorazah; Norzila, M. Z.; Hamid, M. Z A; Mohd Tohit @ Mohd Tauhid, Noorlaili.

In: Medical Journal of Malaysia, Vol. 61, No. 5, 12.2006, p. 534-539.

Research output: Contribution to journalArticle

@article{0e1e17d7819d4d659cefc672044b0ac0,
title = "Skills amongst parents of children with asthma: A pilot interventional study in primary care setting",
abstract = "The increasing prevalence of childhood asthma has become a concern among health practitioners. Effective management emphasizes long-term management and inhaled therapy has become the mainstay home management for children. However, proper utilization of medication is pertinent in improving control. Proper asthma education is mandatory in improving skills and confidence amongst parents. To assess the skills of using the metered-dose inhaler (MDI) with a spacer among asthmatic children before and after educational intervention and to analyse any difficulties which may occur amongst the participants in executing the assessment steps. A cross-sectional clinic based study involving 85 parents and children with asthma. A standardized metered-dose inhaler-spacer checklist of eight steps of medication usage and five steps of cleaning the spacer were used as the assessment tools for pre and post intervention. The performance on using the inhaler-spacer and spacer cleaning knowledge pre and two months post intervention was evaluated. One point was given for each correct step and zero points for incorrect answers/steps. The mean score for skills of inhaler technique improved significantly after educational intervention (3-51 to 6.01, p < 0.0001) as did the mean score for parental knowledge of spacer cleaning technique (1.35 to 3.16, p 0.001). Analysis showed only a limited improvement even after an educational session in three steps of inhalation technique: step 5 (23.5{\%} / 69.4{\%}). step 6 (28.2{\%}/ 68.2{\%}) and step 7 (25.9{\%} /61.2{\%}). Parents with asthmatic children had poor skills in utilizing their children's medication. A short-term educational intervention was able to improve overall knowledge and skill but certain skills need more emphasizing and training.",
keywords = "Asthma education, Childhood asthma, Inhaler, Skills, Spacers",
author = "{Abd Aziz}, Noorazah and Norzila, {M. Z.} and Hamid, {M. Z A} and {Mohd Tohit @ Mohd Tauhid}, Noorlaili",
year = "2006",
month = "12",
language = "English",
volume = "61",
pages = "534--539",
journal = "Medical Journal of Malaysia",
issn = "0300-5283",
publisher = "Malaysian Medical Association",
number = "5",

}

TY - JOUR

T1 - Skills amongst parents of children with asthma

T2 - A pilot interventional study in primary care setting

AU - Abd Aziz, Noorazah

AU - Norzila, M. Z.

AU - Hamid, M. Z A

AU - Mohd Tohit @ Mohd Tauhid, Noorlaili

PY - 2006/12

Y1 - 2006/12

N2 - The increasing prevalence of childhood asthma has become a concern among health practitioners. Effective management emphasizes long-term management and inhaled therapy has become the mainstay home management for children. However, proper utilization of medication is pertinent in improving control. Proper asthma education is mandatory in improving skills and confidence amongst parents. To assess the skills of using the metered-dose inhaler (MDI) with a spacer among asthmatic children before and after educational intervention and to analyse any difficulties which may occur amongst the participants in executing the assessment steps. A cross-sectional clinic based study involving 85 parents and children with asthma. A standardized metered-dose inhaler-spacer checklist of eight steps of medication usage and five steps of cleaning the spacer were used as the assessment tools for pre and post intervention. The performance on using the inhaler-spacer and spacer cleaning knowledge pre and two months post intervention was evaluated. One point was given for each correct step and zero points for incorrect answers/steps. The mean score for skills of inhaler technique improved significantly after educational intervention (3-51 to 6.01, p < 0.0001) as did the mean score for parental knowledge of spacer cleaning technique (1.35 to 3.16, p 0.001). Analysis showed only a limited improvement even after an educational session in three steps of inhalation technique: step 5 (23.5% / 69.4%). step 6 (28.2%/ 68.2%) and step 7 (25.9% /61.2%). Parents with asthmatic children had poor skills in utilizing their children's medication. A short-term educational intervention was able to improve overall knowledge and skill but certain skills need more emphasizing and training.

AB - The increasing prevalence of childhood asthma has become a concern among health practitioners. Effective management emphasizes long-term management and inhaled therapy has become the mainstay home management for children. However, proper utilization of medication is pertinent in improving control. Proper asthma education is mandatory in improving skills and confidence amongst parents. To assess the skills of using the metered-dose inhaler (MDI) with a spacer among asthmatic children before and after educational intervention and to analyse any difficulties which may occur amongst the participants in executing the assessment steps. A cross-sectional clinic based study involving 85 parents and children with asthma. A standardized metered-dose inhaler-spacer checklist of eight steps of medication usage and five steps of cleaning the spacer were used as the assessment tools for pre and post intervention. The performance on using the inhaler-spacer and spacer cleaning knowledge pre and two months post intervention was evaluated. One point was given for each correct step and zero points for incorrect answers/steps. The mean score for skills of inhaler technique improved significantly after educational intervention (3-51 to 6.01, p < 0.0001) as did the mean score for parental knowledge of spacer cleaning technique (1.35 to 3.16, p 0.001). Analysis showed only a limited improvement even after an educational session in three steps of inhalation technique: step 5 (23.5% / 69.4%). step 6 (28.2%/ 68.2%) and step 7 (25.9% /61.2%). Parents with asthmatic children had poor skills in utilizing their children's medication. A short-term educational intervention was able to improve overall knowledge and skill but certain skills need more emphasizing and training.

KW - Asthma education

KW - Childhood asthma

KW - Inhaler

KW - Skills

KW - Spacers

UR - http://www.scopus.com/inward/record.url?scp=34147160226&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=34147160226&partnerID=8YFLogxK

M3 - Article

C2 - 17623952

AN - SCOPUS:34147160226

VL - 61

SP - 534

EP - 539

JO - Medical Journal of Malaysia

JF - Medical Journal of Malaysia

SN - 0300-5283

IS - 5

ER -