MANAGING BETTER: CHILDREN, PARENTS, AND ASTHMA*

To evaluate a health education program to improve family management of asthma, 310 children with asthma and their 290 parents were randomly assigned to a program or control group. Program families participated in health education designed to resolve specific management problems and build self-confidence in the ability to manage asthma. Following education, program parents scored better on an asthma self-management index than parents in the control group (+1.57 versus-0.83, P < 0.0001). Program parents also scored better on two subindices of the self-management index: attack management (to.87 vs. +0.42, P< 0.05) and preventive measures (+0.42 vs.-0.35, P< 0.05). Also, program parents reported significantly more use of guidelines to determine appropriate levels of physical activity for children. Following education, program children reported more use of three management steps than control children: productive cough or postural drainage (59 % vs. 35%, P < 0.004), breathing and relaxation exercises (80% vs. 65%, P< 0.05), and attempts to stay calm (12 % vs. 2%, P< 0.05). Program children reported significantly less worry than control children about the limitations asthma imposes and about making mistakes at school