Review: self management education improves outcomes in children and adolescents with asthma
QUESTION: Do self management educational interventions improve lung function and decrease morbidity and healthcare use in children and adolescents with asthma?
Studies were identified by searching the Cochrane Airways Group’s and Cochrane Schizophrenia Group’s Special Registers of Controlled Trials and reviewing bibliographies of relevant articles.
Studies were selected if they were randomised controlled trials (RCTs) or controlled clinical trials (CCTs) comparing an educational intervention designed to teach ≥1 self management strategy related to prevention, attack management, or social skills with usual care; measured objective outcomes; and patients were children or adolescents (2–18 y).
Data were extracted on sample size, patient demographic characteristics, details of the intervention, setting, study quality, and outcomes (lung function, morbidity and functional status, self perception, and healthcare use).
26 RCTs and 6 CCTs met the selection criteria (3706 children and adolescents). The self management educational programmes evaluated in individual trials differed by type of session (group, individual, or both), intensity (single session, 2 sessions, or ≥3 sessions), self management strategy (peak flow or symptom based strategy), and length of the intervention (mean 3.8 mo, range 1–12). Whereas all trials focused on asthma …