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Effect of asthma education on health outcomes in children: a systematic review

BACKGROUND: It remains unknown whether child-oriented asthma education is associated with better health outcomes. This meta-analysis investigated the effects of asthma education on hospitalisation and emergency department and clinic visits. METHODS: We searched the Cochrane Library, PubMed and EMBAS...

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Autores principales: Liu, Wen-Yi, Jiesisibieke, Zhu Liduzi, Tung, Tao-Hsin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685736/
https://www.ncbi.nlm.nih.gov/pubmed/35197244
http://dx.doi.org/10.1136/archdischild-2021-323496
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author Liu, Wen-Yi
Jiesisibieke, Zhu Liduzi
Tung, Tao-Hsin
author_facet Liu, Wen-Yi
Jiesisibieke, Zhu Liduzi
Tung, Tao-Hsin
author_sort Liu, Wen-Yi
collection PubMed
description BACKGROUND: It remains unknown whether child-oriented asthma education is associated with better health outcomes. This meta-analysis investigated the effects of asthma education on hospitalisation and emergency department and clinic visits. METHODS: We searched the Cochrane Library, PubMed and EMBASE for relevant studies from inception to 4 July 2021, and selected studies that reported hospitalisation or emergency department or clinic visits as outcomes. The participants were only children. Two authors independently selected the studies, assessed the quality of the included studies and retrieved the data. A third senior author was engaged to resolve disagreements. Fifteen longitudinal studies were included for the systematic review and meta-analysis. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 was used as the standard of reporting (PRISMA registration ID is 284509). FINDINGS: Compared with the control group, the asthma education group had 54% lower hospitalisation risk (95% CI 0.32 to 0.66), and 31% lower emergency department visit risk (95% CI 0.59 to 0.81). Sensitivity analysis showed that the asthma education group had a reduced clinic visit risk (risk ratio (RR)=0.80, 95% CI 0.67 to 0.97). Subgroup analysis showed that asthma education involving both children and parents/guardians was associated with fewer hospitalisations (RR=0.38, 95% CI 0.24 to 0.59) and emergency department visits (RR=0.69, 95% CI 0.57 to 0.83). Asthma education in hospitals or non-hospitals can reduce the risk of hospitalisation and emergency department visits. However, only education in the hospitals was associated with the reduction of clinical visits (RR=0.45, 95% CI 0.22 to 0.92). INTERPRETATION: Education is effective for controlling asthma, especially for reducing hospitalisation and emergency department and clinic visits. Education involving both children and parents/guardians is more effective than that involving only children. The setting of asthma education does not impact its effect to a large extent.
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spelling pubmed-96857362022-11-25 Effect of asthma education on health outcomes in children: a systematic review Liu, Wen-Yi Jiesisibieke, Zhu Liduzi Tung, Tao-Hsin Arch Dis Child Original Research BACKGROUND: It remains unknown whether child-oriented asthma education is associated with better health outcomes. This meta-analysis investigated the effects of asthma education on hospitalisation and emergency department and clinic visits. METHODS: We searched the Cochrane Library, PubMed and EMBASE for relevant studies from inception to 4 July 2021, and selected studies that reported hospitalisation or emergency department or clinic visits as outcomes. The participants were only children. Two authors independently selected the studies, assessed the quality of the included studies and retrieved the data. A third senior author was engaged to resolve disagreements. Fifteen longitudinal studies were included for the systematic review and meta-analysis. Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 was used as the standard of reporting (PRISMA registration ID is 284509). FINDINGS: Compared with the control group, the asthma education group had 54% lower hospitalisation risk (95% CI 0.32 to 0.66), and 31% lower emergency department visit risk (95% CI 0.59 to 0.81). Sensitivity analysis showed that the asthma education group had a reduced clinic visit risk (risk ratio (RR)=0.80, 95% CI 0.67 to 0.97). Subgroup analysis showed that asthma education involving both children and parents/guardians was associated with fewer hospitalisations (RR=0.38, 95% CI 0.24 to 0.59) and emergency department visits (RR=0.69, 95% CI 0.57 to 0.83). Asthma education in hospitals or non-hospitals can reduce the risk of hospitalisation and emergency department visits. However, only education in the hospitals was associated with the reduction of clinical visits (RR=0.45, 95% CI 0.22 to 0.92). INTERPRETATION: Education is effective for controlling asthma, especially for reducing hospitalisation and emergency department and clinic visits. Education involving both children and parents/guardians is more effective than that involving only children. The setting of asthma education does not impact its effect to a large extent. BMJ Publishing Group 2022-12 2022-02-23 /pmc/articles/PMC9685736/ /pubmed/35197244 http://dx.doi.org/10.1136/archdischild-2021-323496 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Original Research
Liu, Wen-Yi
Jiesisibieke, Zhu Liduzi
Tung, Tao-Hsin
Effect of asthma education on health outcomes in children: a systematic review
title Effect of asthma education on health outcomes in children: a systematic review
title_full Effect of asthma education on health outcomes in children: a systematic review
title_fullStr Effect of asthma education on health outcomes in children: a systematic review
title_full_unstemmed Effect of asthma education on health outcomes in children: a systematic review
title_short Effect of asthma education on health outcomes in children: a systematic review
title_sort effect of asthma education on health outcomes in children: a systematic review
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9685736/
https://www.ncbi.nlm.nih.gov/pubmed/35197244
http://dx.doi.org/10.1136/archdischild-2021-323496
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