Pediatric emergency department-based asthma education tools and parent/child asthma knowledge
Abstract Asthma exacerbations are a leading cause of pediatric hospitalizations despite multiple efforts to educate patients and families on disease course and medication management. Asthma education in the pediatric emergency department (ED) is challenging, and although the use of written action pl...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2024-03-01
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| Series: | Allergy, Asthma & Clinical Immunology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13223-024-00884-w |
| _version_ | 1827301093398282240 |
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| author | Kina Goodman Rosa I. Arriaga Rawan Korman Farzina Zafar Cal Stephens Polly Kumari Karthika Jayaprakash Anne M. Fitzpatrick Nicholas Cooper Claudia R. Morris |
| author_facet | Kina Goodman Rosa I. Arriaga Rawan Korman Farzina Zafar Cal Stephens Polly Kumari Karthika Jayaprakash Anne M. Fitzpatrick Nicholas Cooper Claudia R. Morris |
| author_sort | Kina Goodman |
| collection | DOAJ |
| description | Abstract Asthma exacerbations are a leading cause of pediatric hospitalizations despite multiple efforts to educate patients and families on disease course and medication management. Asthma education in the pediatric emergency department (ED) is challenging, and although the use of written action plans has been associated with reduction in hospitalizations and ED visits, written tools may not be useful for individuals with low health literacy. Moreover, asthmatic children should participate in their asthma education. In this prospective randomized study of 53 families presenting to a pediatric ED with a child experiencing an asthma exacerbation, education on asthma was presented via an interactive mobile-based video-game versus a standard-of-care asthma education video (SAV). Median age was 10 years; 64% were males. Many patients had moderate-to-severe asthma, with 57% experiencing ≥ 2 asthma-related ED visits in the last year, 58% requiring hospitalization and 32% reporting a critical care admission. In this cohort, the mobile-based video-game was found to be a feasible, acceptable educational tool; 86% of parents and 96% of children liked the game, while 96% of parents and 76% of children preferred playing the game over watching a SAV. Despite a history of persistent asthma, only 34% of children used an inhaled corticosteroid while 70% required rescue inhaler use in the prior week. Basic asthma knowledge was sub-optimal with only 60% of parents and 43% of children correctly recognizing symptoms that should prompt immediate medical care. This reflects a major gap in asthma knowledge that coexists with parental misconceptions regarding optimal asthma management. |
| first_indexed | 2024-04-24T16:17:13Z |
| format | Article |
| id | doaj.art-0a47d2bc278c466aa224db652efd8120 |
| institution | Directory Open Access Journal |
| issn | 1710-1492 |
| language | English |
| last_indexed | 2024-04-24T16:17:13Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | Allergy, Asthma & Clinical Immunology |
| spelling | doaj.art-0a47d2bc278c466aa224db652efd81202024-03-31T11:23:34ZengBMCAllergy, Asthma & Clinical Immunology1710-14922024-03-012011510.1186/s13223-024-00884-wPediatric emergency department-based asthma education tools and parent/child asthma knowledgeKina Goodman0Rosa I. Arriaga1Rawan Korman2Farzina Zafar3Cal Stephens4Polly Kumari5Karthika Jayaprakash6Anne M. Fitzpatrick7Nicholas Cooper8Claudia R. Morris9Department of Pediatrics, Emory University School of MedicineInteractive Computing, Georgia Institute of TechnologyDepartment of Pediatrics, Emory University School of MedicineDepartment of Pediatrics, Emory University School of MedicineInteractive Computing, Georgia Institute of TechnologyDepartment of Pediatrics, Emory University School of MedicineInteractive Computing, Georgia Institute of TechnologyDepartment of Pediatrics, Emory University School of MedicineDepartment of Pediatrics, Emory University School of MedicineDepartment of Pediatrics, Emory University School of MedicineAbstract Asthma exacerbations are a leading cause of pediatric hospitalizations despite multiple efforts to educate patients and families on disease course and medication management. Asthma education in the pediatric emergency department (ED) is challenging, and although the use of written action plans has been associated with reduction in hospitalizations and ED visits, written tools may not be useful for individuals with low health literacy. Moreover, asthmatic children should participate in their asthma education. In this prospective randomized study of 53 families presenting to a pediatric ED with a child experiencing an asthma exacerbation, education on asthma was presented via an interactive mobile-based video-game versus a standard-of-care asthma education video (SAV). Median age was 10 years; 64% were males. Many patients had moderate-to-severe asthma, with 57% experiencing ≥ 2 asthma-related ED visits in the last year, 58% requiring hospitalization and 32% reporting a critical care admission. In this cohort, the mobile-based video-game was found to be a feasible, acceptable educational tool; 86% of parents and 96% of children liked the game, while 96% of parents and 76% of children preferred playing the game over watching a SAV. Despite a history of persistent asthma, only 34% of children used an inhaled corticosteroid while 70% required rescue inhaler use in the prior week. Basic asthma knowledge was sub-optimal with only 60% of parents and 43% of children correctly recognizing symptoms that should prompt immediate medical care. This reflects a major gap in asthma knowledge that coexists with parental misconceptions regarding optimal asthma management.https://doi.org/10.1186/s13223-024-00884-wAsthmaAsthma educationHealth literacyPediatric emergency departmentVideo-game learning |
| spellingShingle | Kina Goodman Rosa I. Arriaga Rawan Korman Farzina Zafar Cal Stephens Polly Kumari Karthika Jayaprakash Anne M. Fitzpatrick Nicholas Cooper Claudia R. Morris Pediatric emergency department-based asthma education tools and parent/child asthma knowledge Allergy, Asthma & Clinical Immunology Asthma Asthma education Health literacy Pediatric emergency department Video-game learning |
| title | Pediatric emergency department-based asthma education tools and parent/child asthma knowledge |
| title_full | Pediatric emergency department-based asthma education tools and parent/child asthma knowledge |
| title_fullStr | Pediatric emergency department-based asthma education tools and parent/child asthma knowledge |
| title_full_unstemmed | Pediatric emergency department-based asthma education tools and parent/child asthma knowledge |
| title_short | Pediatric emergency department-based asthma education tools and parent/child asthma knowledge |
| title_sort | pediatric emergency department based asthma education tools and parent child asthma knowledge |
| topic | Asthma Asthma education Health literacy Pediatric emergency department Video-game learning |
| url | https://doi.org/10.1186/s13223-024-00884-w |
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