Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: California (cont'd)
Effectiveness of a multicomponent self-management program in at-risk, school-aged children with asthma
Richard S. Shames, MD
Effectiveness of a Multicomponent Self-Management Program in At-Risk, School-aged Children with Asthma was a randomized controlled study to determine the effectiveness of an asthma education video game in reducing morbidity among high-risk, school-aged children with asthma.
One hundred and nineteen children aged 5-12 years from low-income, urban areas in and around San Francisco and San Jose, CA were enrolled. Children with moderate to severe asthma and parental reports of significant asthma health care utilization were randomized to participate in the disease management intervention or to receive their usual care.
The intervention consisted of three education sessions about self-management with a case manager. Children were given a Nintendo Asthma Video Game ("Bronkie the Bronchosaurus") that taught self-management strategies and provided feedback on performance. Children also visited the allergist/immunologist twice for allergen skin testing and to create an asthma management plan. These children and their families had access to an 18-hr/day toll-free hot line for questions or concerns.
Patients were evaluated for clinical and quality-of-life outcomes at weeks eight, 32, and 52 of the study. Significant improvements were found in quality of life and functional status (physical domain).
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