ERIC Number: EJ912215
Record Type: Journal
Publication Date: 2008-Dec
Pages: 14
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0268-1153
EISSN: N/A
Can Schools Promote the Health of Children with Asthma?
McWhirter, Jenny; McCann, Donna; Coleman, Helen; Calvert, Marguerite; Warner, John
Health Education Research, v23 n6 p917-930 Dec 2008
This report describes the evaluation of a whole-school intervention to improve morbidity and psychosocial well-being in pupils with asthma. In all, 193 children with asthma (7-9 years) from 23 primary/junior schools in the south of England participated. Schools (n = 12) randomly assigned to the intervention group (IV) received a staff asthma training session, advice on asthma policy and practice and an emergency [beta][subscript 2]-agonist inhaler with spacer. Pupils participated in an asthma lesson. Staff and pupils in non-intervention (NI) schools (n = 11) received no asthma-oriented input. While wheeze reports improved for all children with asthma, only the IV group showed lower requirement for medication (P = 0.01), clinically significant improvement (P less than 0.05) in activity related quality of life (QOL) and increased self-esteem (SE: social P = 0.01; athletic P = 0.05; behaviour P = 0.001) in girls. SE decreased for NI girls but there was no change for non-asthmatic peers in NI or IV schools which had similar baseline levels of SE and QOL. There was a marginal improvement in the establishment of asthma policies/practices and no change in school absence or staff knowledge. The significantly increased peer group understanding of asthma seen in the intervention schools may have mediated increased well-being in the IV group. Primary schools are a potentially important context for improving asthma morbidity and psychosocial well-being of children with asthma. (Contains 2 tables and 5 figures.)
Descriptors: Intervention, Elementary School Students, Quality of Life, Diseases, Questionnaires, Peer Groups, Foreign Countries, Students, Child Health, Health Promotion, Well Being, Drug Therapy, Self Esteem
Oxford University Press. Great Clarendon Street, Oxford OX2 6DP, UK. Tel: +44-1865-353907; Fax: +44-1865-353485; e-mail: jnls.cust.serv@oxfordjournals.org; Web site: http://her.oxfordjournals.org/
Publication Type: Journal Articles; Reports - Research
Education Level: Elementary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: United Kingdom (England)
Grant or Contract Numbers: N/A