Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
International Programs: China
OAS in China: Asthma Self-Management: A Model for Controlling and Preventing Diseases in Schools in Beijing, China
University of Michigan; Beijing Heart Lung and Blood Vessel Center, Capital Institute of
Molly Gong, MD
The objective of this study was to examine the effectiveness of an asthma education program, Open Airways, adapted for children in China.
Six-hundred-thirty-nine children in 21 elementary schools in one agricultural and one industrial area participated in a randomized controlled trial. Data was collected at baseline and one year subsequently.
At the end of the class day specially trained teachers conducted five educational sessions to students identified with asthma. The sessions were separately provided for two groups of children (grade 1-3 and 4-5) over a 5-week period with an average of 20-25 children/session. Topics addressed during the sessions included preventing and managing symptoms, using medicines, identifying and controlling triggers.
Positive effect on treatment children versus control was noted in symptoms, school absences, school performance and home environment. Industrial area children additionally benefited from fewer hospitalizations and quality of life for parents/caregivers. Agricultural area parents showed greater improvement in self management skills.
The program provided overall benefits related to school performance, absences, and home environment. In the agricultural area where fewer resources were available, benefits were fewer and concerns greater. In the industrial area where education and income was higher, additional benefits related to health care use and parents' quality of life were realized.
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