ABSTRACT
OBJECTIVE: Assess whether the Asthma, Sport and Health (ASAH) programme taught by teachers improves asthmatics' quality of life, asthma knowledge, and reduces school absenteeism. DESIGN: Randomised cluster trial parallel group. PARTICIPANTS: 2293 students (203 asthmatic) in the Intervention School group (IS) and 2214 in the Comparison School (CS) (224 asthmatic) belonging to primary school. INTERVENTION: Implementation of the educational programme "Asthma, Sport and Health" at grade schools, taught by physical education teachers. MAIN OUTCOME: Quality of life according to the Pediatric Asthma Quality of Life Questionnaire (PAQLQ). SECONDARY OUTCOMES: Asthma knowledge, asthma control, school absenteeism. RESULTS: After implementing the programme in the IS group, global quality of life improved significantly (p<0.001) as did their domains, symptoms (p<0.001), emotional function (p<0.001) and activity limitations (p<0.01), while in the CS group improvement was seen in global life quality (p<0.01) without any significant changes in the domains for emotional function and activity limitations. Asthma knowledge only increased in IS, among asthmatic students from 16.51 (CI 95% 16.04-16.98) to 18.16 (CI 95% 17.69-18.62) (p<0.001) and students without asthma from 15.49 (CI95% 15.36-15.63) to 17.50 (CI95% 17.36-17.64) (p<0.001). The multiple regression analysis showed that quality of life and its domains depend on asthma knowledge and above all, having well-controlled asthma. We found no decrease in school absenteeism. CONCLUSIONS: The ASAH programme improved certain quality of life aspects regarding asthma (emotional function and limitation of activities) and asthma knowledge, but it failed to reduce school absenteeism NCT01607749.
Subject(s)
Asthma/epidemiology , Health Education , School Teachers , Absenteeism , Child , Emotions , Female , Health Knowledge, Attitudes, Practice , Humans , Male , Physical Education and Training , Program Evaluation , Quality of Life , Schools , Spain/epidemiologyABSTRACT
Introducción: Los conocimientos y las actitudes hacia el asma pueden condicionar la integración de adolescentes con asma en la escuela, así como a afectar su calidad de vida. Nuestro objetivo fue conocer el estado de los conocimientos y las actitudes sobre asma en centros de enseñanza secundaria y su relación con la calidad de vida de estudiantes con asma, como primer paso a una intervención educativa. Material y método: Estudio descriptivo y transversal en estudiantes de 13 y 14 años de edad y su profesorado en 26 institutos de Sevilla y provincia. Se han utilizado como herramientas de estudio el cuestionario de conocimientos NAKQ, el de actitudes de Gibson frente al asma y el Paediatric Asthma Quality of Life Questionnaire. Para valorar la normalidad de variables se usó el test de Kolmogorov-Smirnov y como tests no paramétricos la U de Mann-Whitney y W de Wilcoxon. Para la asociación entre variables, usamos coeficientes de regresión y la rho de Spearman. Resultados: Se han estudiado a 3.827 estudiantes (279 con asma) y 548 profesores. Todos tenían bajos conocimientos sobre asma. La calidad de vida en asma estaba leve a moderadamente afectada, más baja en mujeres 5,38±1,08 (IC del 95%, 5,20-5,55) que en varones 5,77±1,18) (IC del 95%, 5,56-5,97), p=0,0000. No encontramos relación entre conocimientos, actitudes y calidad de vida en el asma. Conclusiones: Se constata un bajo nivel de conocimientos sobre el asma en el alumnado y el profesorado. Los asmáticos presentan una afectación de la calidad de vida relacionada con el asma, de grado leve a moderado, que es peor en las chicas. Los conocimientos no tienen relación con las actitudes frente al asma en todos los grupos ni con la calidad de vida de los asmáticos(AU)
Introduction: Knowledge and attitudes toward asthma can condition the integration of adolescents with asthma in school and affect their quality of life. Our objective was to determine the state of knowledge, attitudes on asthma in secondary schools, and its relationship to quality of life of pupils with asthma, as an early step to an educational intervention. Methods: Descriptive and cross-sectional study of pupils aged 13 and 14 years old and their teachers in 26 schools of Seville and province. We used, as study tools, the Newcastle Asthma Knowledge Questionnaire, the Gibson attitudes towards asthma, and the Paediatric Asthma Quality of Life Questionnaire. To assess the normality of variables, the Kolmogorov-Smirnov test was used, and for non-parametric variables the U Mann-Whitney and W Wilcoxon tests were used. For the association between variables, we use the regression coefficients and rho Spearman. Results: We studied 3827 pupils (279 with asthma) and 548 teachers. All had little knowledge about asthma. The quality of life in asthma was mild to moderately affected, and lower in girls, 5.38±1.08 (95% CI=5.20 to 5.55) than in boys 5.77 (± 1.18) (95% CI=5.56 to 5.97), P=.0000. We found no relationship between knowledge, attitudes and quality of life in asthma. Conclusions: We found a low level of knowledge about asthma in pupils and teacher. Asthma sufferers have a mild to moderate asthma quality of life, which is worse for girls. Knowledge has no relationship with attitudes to asthma in all groups, or with the quality of life of asthma sufferers(AU)
Subject(s)
Humans , Male , Female , Child , Adolescent , Asthma/epidemiology , Health Education/organization & administration , Health Knowledge, Attitudes, Practice , Quality of Life , School Health ServicesABSTRACT
INTRODUCTION: Knowledge and attitudes toward asthma can condition the integration of adolescents with asthma in school and affect their quality of life. Our objective was to determine the state of knowledge, attitudes on asthma in secondary schools, and its relationship to quality of life of pupils with asthma, as an early step to an educational intervention. METHODS: Descriptive and cross-sectional study of pupils aged 13 and 14 years old and their teachers in 26 schools of Seville and province. We used, as study tools, the Newcastle Asthma Knowledge Questionnaire, the Gibson attitudes towards asthma, and the Paediatric Asthma Quality of Life Questionnaire. To assess the normality of variables, the Kolmogorov-Smirnov test was used, and for non-parametric variables the U Mann-Whitney and W Wilcoxon tests were used. For the association between variables, we use the regression coefficients and rho Spearman. RESULTS: We studied 3827 pupils (279 with asthma) and 548 teachers. All had little knowledge about asthma. The quality of life in asthma was mild to moderately affected, and lower in girls, 5.38±1.08 (95% CI=5.20 to 5.55) than in boys 5.77 (± 1.18) (95% CI=5.56 to 5.97), P=.0000. We found no relationship between knowledge, attitudes and quality of life in asthma. CONCLUSIONS: We found a low level of knowledge about asthma in pupils and teacher. Asthma sufferers have a mild to moderate asthma quality of life, which is worse for girls. Knowledge has no relationship with attitudes to asthma in all groups, or with the quality of life of asthma sufferers.
