Testing the Feasibility of a Behavioural-educational Pilot Intervention to Prevent Paediatric Asthma uk Emergency Admissions

Abstract

Background: A behavioural-educational pilot intervention was designed to prevent paediatric asthma emergency admissions to promote behaviour change towards effective self-management. The self-regulatory model, self-efficacy theory and intervention mapping were used. Methods: 15 participants (aged 2-16) with asthma were recruited from out-patient clinics (Birmingham Children´s Hospital). Survey, self-report and feedback data was collected (7 children and 15 participants´ parents) at baseline, 3months and 6months follow-ups. Findings: There were significant differences in ACT scores for parents ((2,n=15)=12.26, p=.002)) and children, ((2,n=7)=10.33, p=.006), and in parent PACQLQ scores ((2,n=15)=12.25, p=.002)). However there were non-significant differences in children´s miniPAQLQ scores ((2, n=7)=3.71, p=.156), Parent Asthma Self-Efficacy scores ((2,n=15)=5.22, p=.074)) and Child Asthma Self-Efficacy scores ((2,n=7)=2.55, p=.280)). Discussion: This theory-based intervention successfully tackled self-management behaviours. Feasibility, fidelity and quality of the pilot were good. Participants appreciated the extra contact; however a better tool for self-reporting is needed