TY - JOUR
T1 - Telephone coaching for parents of children with asthma
T2 - Impact and lessons learned
AU - Garbutt, Jane M.
AU - Banister, Christina
AU - Highstein, Gabrielle
AU - Sterkel, Randall
AU - Epstein, Jay
AU - Bruns, Julie
AU - Swerczek, Lisa
AU - Wells, Suzanne
AU - Waterman, Brian
AU - Strunk, Robert C.
AU - Bloomberg, Gordon R.
N1 - Copyright:
Copyright 2010 Elsevier B.V., All rights reserved.
PY - 2010/7
Y1 - 2010/7
N2 - Objective: To determine whether an asthma coaching program can improve parent and child asthma-related quality of life (QOL) and reduce urgent care events. Design: Randomized controlled trial of usual care vs usual care with coaching. Comparisons were made between groups using mixed models. Setting: A Midwest city. Participants: A community-based sample of 362 families with a child aged 5 to 12 years with persistent asthma. Intervention: A 12-month structured telephone coaching program in which trained coaches provided education and support to parents for 4 key asthma management behaviors. Main Outcome Measures: Parental and child QOL measured with a validated, interview-administered, 7-point instrument and urgent care events in a year (unscheduled office visits, after-hours calls, emergency department visits, or hospitalizations) determined by record audit. Results: Parental asthma-related QOL scores improved by an average of 0.67 units (95% confidence interval [CI], 0.49 to 0.84) in the intervention group and 0.28 units (95% CI, 0.10 to 0.46) in the control group. The difference between study groups was statistically significant (difference, 0.38; 95% CI, 0.14 to 0.63). No between-group difference was found in the change in the child's QOL (difference, -0.17; 95% CI, -0.47 to 0.12) or in the mean number of urgent care events per year (difference, 1.15; 95% CI, 0.82 to 1.61). The proportion of children with very poorly controlled asthma in the intervention group decreased compared with the control group (difference, 0.34; 95% CI, 0.21 to 0.48). Conclusions: A telephone coaching program can improve parental QOL and can be implemented without additional physician training or practice redesign. Trial Registration: clinicaltrials.gov Identifier: NCT00660322.
AB - Objective: To determine whether an asthma coaching program can improve parent and child asthma-related quality of life (QOL) and reduce urgent care events. Design: Randomized controlled trial of usual care vs usual care with coaching. Comparisons were made between groups using mixed models. Setting: A Midwest city. Participants: A community-based sample of 362 families with a child aged 5 to 12 years with persistent asthma. Intervention: A 12-month structured telephone coaching program in which trained coaches provided education and support to parents for 4 key asthma management behaviors. Main Outcome Measures: Parental and child QOL measured with a validated, interview-administered, 7-point instrument and urgent care events in a year (unscheduled office visits, after-hours calls, emergency department visits, or hospitalizations) determined by record audit. Results: Parental asthma-related QOL scores improved by an average of 0.67 units (95% confidence interval [CI], 0.49 to 0.84) in the intervention group and 0.28 units (95% CI, 0.10 to 0.46) in the control group. The difference between study groups was statistically significant (difference, 0.38; 95% CI, 0.14 to 0.63). No between-group difference was found in the change in the child's QOL (difference, -0.17; 95% CI, -0.47 to 0.12) or in the mean number of urgent care events per year (difference, 1.15; 95% CI, 0.82 to 1.61). The proportion of children with very poorly controlled asthma in the intervention group decreased compared with the control group (difference, 0.34; 95% CI, 0.21 to 0.48). Conclusions: A telephone coaching program can improve parental QOL and can be implemented without additional physician training or practice redesign. Trial Registration: clinicaltrials.gov Identifier: NCT00660322.
UR - http://www.scopus.com/inward/record.url?scp=77954349934&partnerID=8YFLogxK
U2 - 10.1001/archpediatrics.2010.91
DO - 10.1001/archpediatrics.2010.91
M3 - Article
C2 - 20603462
AN - SCOPUS:77954349934
SN - 1072-4710
VL - 164
SP - 625
EP - 630
JO - Archives of Pediatrics and Adolescent Medicine
JF - Archives of Pediatrics and Adolescent Medicine
IS - 7
ER -