Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children
Abstract Our previous study showed Tai‐Chi‐Chuan (TCC) training, a moderate exercise, at school improved pulmonary function and inflammation profiles in children with mild asthma. However, habitual practice is hard to maintain with the lack of continuous family and peer support. We investigated whet...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2020-01-01
|
| Series: | Kaohsiung Journal of Medical Sciences |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/kjm2.12126 |
| _version_ | 1828386953706340352 |
|---|---|
| author | Han‐Hong Lin Yi‐Ping Hung Shih‐Han Weng Pei‐Yi Lee Wei‐Zen Sun |
| author_facet | Han‐Hong Lin Yi‐Ping Hung Shih‐Han Weng Pei‐Yi Lee Wei‐Zen Sun |
| author_sort | Han‐Hong Lin |
| collection | DOAJ |
| description | Abstract Our previous study showed Tai‐Chi‐Chuan (TCC) training, a moderate exercise, at school improved pulmonary function and inflammation profiles in children with mild asthma. However, habitual practice is hard to maintain with the lack of continuous family and peer support. We investigated whether parental intervention with social media could enhance children's adherence to exercise at home and improve asthmatic outcome measures. Parents were opted to attend a 12‐week TCC classroom training, supervise home practice, and report to a four‐step web‐based social media platform to stay updated and motivated through logging activity and tracking competition. Fractional exhaled nitric oxide (FeNO), FEV1/FVC and peak expiratory flow (PEF) were measured before and after 12 weeks of training. Fifty‐three asthmatic children were allocated into non‐TCC (control, n = 12), TCC groups with moderate‐to‐severe (TCC‐S, n = 26) and mild‐to‐moderate (TCC‐M, n = 15) asthma. We found both TCC groups exhibited better pulmonary function than the non‐TCC control. TCC increased FVC in mild‐to‐moderate asthma children while more pronounced improvement in FEV1, FEV1/FVC, PEF and FeNO was noticed in moderate‐to‐severe asthmatic children. All TCC subjects retained greater participation and better interaction online except for low‐ranking families who dramatically dropped their practice 9 weeks later. For asthmatic children, moderate exercise improves pulmonary functions in a severity‐dependent fashion. Parent‐based Learn‐Practice‐Persuade‐Award wheel is a useful platform to motivate children engagement in physical activity. Classical social persuasive skills could enhance general parent‐child relationship but tend to decrease in persuasiveness over time in low‐ranking families. |
| first_indexed | 2024-12-10T05:46:09Z |
| format | Article |
| id | doaj.art-3322135ba54a416f95b89ed5fa72ecb1 |
| institution | Directory Open Access Journal |
| issn | 1607-551X 2410-8650 |
| language | English |
| last_indexed | 2024-12-10T05:46:09Z |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Kaohsiung Journal of Medical Sciences |
| spelling | doaj.art-3322135ba54a416f95b89ed5fa72ecb12022-12-22T02:00:08ZengWileyKaohsiung Journal of Medical Sciences1607-551X2410-86502020-01-01361627010.1002/kjm2.12126Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic childrenHan‐Hong Lin0Yi‐Ping Hung1Shih‐Han Weng2Pei‐Yi Lee3Wei‐Zen Sun4Graduate Institute of Networking and Multimedia, College of Electrical Engineering and Computer Science National Taiwan University Taipei TaiwanGraduate Institute of Networking and Multimedia, College of Electrical Engineering and Computer Science National Taiwan University Taipei TaiwanTaipei City Hospital Taipei TaiwanTaiwan Taichi Academy Taipei TaiwanDepartment of Anaesthesiology National Taiwan University Hospital Taipei TaiwanAbstract Our previous study showed Tai‐Chi‐Chuan (TCC) training, a moderate exercise, at school improved pulmonary function and inflammation profiles in children with mild asthma. However, habitual practice is hard to maintain with the lack of continuous family and peer support. We investigated whether parental intervention with social media could enhance children's adherence to exercise at home and improve asthmatic outcome measures. Parents were opted to attend a 12‐week TCC classroom training, supervise home practice, and report to a four‐step web‐based social media platform to stay updated and motivated through logging activity and tracking competition. Fractional exhaled nitric oxide (FeNO), FEV1/FVC and peak expiratory flow (PEF) were measured before and after 12 weeks of training. Fifty‐three asthmatic children were allocated into non‐TCC (control, n = 12), TCC groups with moderate‐to‐severe (TCC‐S, n = 26) and mild‐to‐moderate (TCC‐M, n = 15) asthma. We found both TCC groups exhibited better pulmonary function than the non‐TCC control. TCC increased FVC in mild‐to‐moderate asthma children while more pronounced improvement in FEV1, FEV1/FVC, PEF and FeNO was noticed in moderate‐to‐severe asthmatic children. All TCC subjects retained greater participation and better interaction online except for low‐ranking families who dramatically dropped their practice 9 weeks later. For asthmatic children, moderate exercise improves pulmonary functions in a severity‐dependent fashion. Parent‐based Learn‐Practice‐Persuade‐Award wheel is a useful platform to motivate children engagement in physical activity. Classical social persuasive skills could enhance general parent‐child relationship but tend to decrease in persuasiveness over time in low‐ranking families.https://doi.org/10.1002/kjm2.12126asthmaexercisepatient‐child relationshipsocial persuasionTai‐Chi‐Chuan |
| spellingShingle | Han‐Hong Lin Yi‐Ping Hung Shih‐Han Weng Pei‐Yi Lee Wei‐Zen Sun Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children Kaohsiung Journal of Medical Sciences asthma exercise patient‐child relationship social persuasion Tai‐Chi‐Chuan |
| title | Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children |
| title_full | Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children |
| title_fullStr | Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children |
| title_full_unstemmed | Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children |
| title_short | Effects of parent‐based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children |
| title_sort | effects of parent based social media and moderate exercise on the adherence and pulmonary functions among asthmatic children |
| topic | asthma exercise patient‐child relationship social persuasion Tai‐Chi‐Chuan |
| url | https://doi.org/10.1002/kjm2.12126 |
| work_keys_str_mv | AT hanhonglin effectsofparentbasedsocialmediaandmoderateexerciseontheadherenceandpulmonaryfunctionsamongasthmaticchildren AT yipinghung effectsofparentbasedsocialmediaandmoderateexerciseontheadherenceandpulmonaryfunctionsamongasthmaticchildren AT shihhanweng effectsofparentbasedsocialmediaandmoderateexerciseontheadherenceandpulmonaryfunctionsamongasthmaticchildren AT peiyilee effectsofparentbasedsocialmediaandmoderateexerciseontheadherenceandpulmonaryfunctionsamongasthmaticchildren AT weizensun effectsofparentbasedsocialmediaandmoderateexerciseontheadherenceandpulmonaryfunctionsamongasthmaticchildren |