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Journal of the National Medical Association logoLink to Journal of the National Medical Association
. 1999 Aug;91(8 Suppl):40S–44S.

Pediatric asthma self-management: current concepts.

L D Robinson Jr 1
PMCID: PMC2608481  PMID: 12653391

Abstract

The concept of asthma self-management began in asthma camps in the 1970s. Today all asthma camps are required to provide an educational asthma self-management program. The interaction between children and educators is brief, and if the children do not continue in an associated program after camp, the benefits may be lost. Open Airways, the first program developed specifically for minority children, has been the prototype for community asthma self-management. School-based intervention programs have incorporated asthma education into the health curriculum. Some asthma education programs include an emphasis on the environment. Another approach is to develop intervention projects with parents, as in the Head Start program. This program has been very effective in increasing early recognition of asthma and decreasing recidivism in a high-risk population. Another type of project addressed the reading ability and reading comprehension of asthmatic children. Improvement in reading skills resulted in a 47% decrease in asthma recidivism. After 18 months, there were only two hospitalizations among the enrolled participants. Asthma self-management programs that are most effective for inner-city children provide an interactive, culturally relevant form of asthma education and address issues such as literacy and continuity.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Call R. S., Smith T. F., Morris E., Chapman M. D., Platts-Mills T. A. Risk factors for asthma in inner city children. J Pediatr. 1992 Dec;121(6):862–866. doi: 10.1016/s0022-3476(05)80329-4. [DOI] [PubMed] [Google Scholar]
  2. Christiansen S. C., Martin S. B., Schleicher N. C., Koziol J. A., Hamilton R. G., Zuraw B. L. Exposure and sensitization to environmental allergen of predominantly Hispanic children with asthma in San Diego's inner city. J Allergy Clin Immunol. 1996 Aug;98(2):288–294. doi: 10.1016/s0091-6749(96)70152-5. [DOI] [PubMed] [Google Scholar]
  3. Clark N. M., Feldman C. H., Evans D., Millman E. J., Wailewski Y., Valle I. The effectiveness of education for family management of asthma in children: a preliminary report. Health Educ Q. 1981 Summer;8(2):166–174. doi: 10.1177/109019818100800203. [DOI] [PubMed] [Google Scholar]
  4. Clark N. M., Feldman C. H., Freudenberg N., Millman E. J., Wasilewski Y., Valle I. Developing education for children with asthma through study of self-management behavior. Health Educ Q. 1980 Winter;7(4):278–297. doi: 10.1177/109019818000700403. [DOI] [PubMed] [Google Scholar]
  5. Esrey S. A., Habicht J. P. Maternal literacy modifies the effect of toilets and piped water on infant survival in Malaysia. Am J Epidemiol. 1988 May;127(5):1079–1087. doi: 10.1093/oxfordjournals.aje.a114884. [DOI] [PubMed] [Google Scholar]
  6. Evans D., Clark N. M., Feldman C. H., Rips J., Kaplan D., Levison M. J., Wasilewski Y., Levin B., Mellins R. B. A school health education program for children with asthma aged 8-11 years. Health Educ Q. 1987 Fall;14(3):267–279. doi: 10.1177/109019818701400302. [DOI] [PubMed] [Google Scholar]
  7. Flegg A. T. Inequality of income, illiteracy and medical care as determinants of infant mortality in underdeveloped countries. Popul Stud (Camb) 1982 Nov;36(3):441–458. [PubMed] [Google Scholar]
  8. Grosse R. N., Auffrey C. Literacy and health status in developing countries. Annu Rev Public Health. 1989;10:281–297. doi: 10.1146/annurev.pu.10.050189.001433. [DOI] [PubMed] [Google Scholar]
  9. Martinez F. D., Wright A. L., Taussig L. M., Holberg C. J., Halonen M., Morgan W. J. Asthma and wheezing in the first six years of life. The Group Health Medical Associates. N Engl J Med. 1995 Jan 19;332(3):133–138. doi: 10.1056/NEJM199501193320301. [DOI] [PubMed] [Google Scholar]
  10. Robinson L. D., Jr Evaluation of an asthma summer camp program. Chest. 1985 Jan;87(1 Suppl):105S–107S. doi: 10.1378/chest.87.1_supplement.105s. [DOI] [PubMed] [Google Scholar]
  11. Schwartz R. H. Children with chronic asthma: care by the generalist and the specialist. Pediatr Clin North Am. 1984 Feb;31(1):87–105. doi: 10.1016/s0031-3955(16)34538-2. [DOI] [PubMed] [Google Scholar]
  12. Sporik R., Holgate S. T., Platts-Mills T. A., Cogswell J. J. Exposure to house-dust mite allergen (Der p I) and the development of asthma in childhood. A prospective study. N Engl J Med. 1990 Aug 23;323(8):502–507. doi: 10.1056/NEJM199008233230802. [DOI] [PubMed] [Google Scholar]
  13. Weiss B. D., Blanchard J. S., McGee D. L., Hart G., Warren B., Burgoon M., Smith K. J. Illiteracy among Medicaid recipients and its relationship to health care costs. J Health Care Poor Underserved. 1994;5(2):99–111. doi: 10.1353/hpu.2010.0272. [DOI] [PubMed] [Google Scholar]
  14. Weiss B. D., Coyne C. Communicating with patients who cannot read. N Engl J Med. 1997 Jul 24;337(4):272–274. doi: 10.1056/NEJM199707243370411. [DOI] [PubMed] [Google Scholar]
  15. Weiss B. D., Hart G., Pust R. E. The relationship between literacy and health. J Health Care Poor Underserved. 1991 Spring;1(4):351–363. doi: 10.1353/hpu.2010.0294. [DOI] [PubMed] [Google Scholar]

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