Effects of a Planned Behavior Program via Smartphone Applications on Asthma Care Behavior and Asthma Symptom Control in School-age Children with Asthma
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Abstract
Purpose: To study the effects of a planned behavior program via smartphone applications on asthma care behavior and asthma symptom control in school-age children with asthma.
Design: Quasi-experimental research.
Methods: The sample included 50 school-aged children from easy asthma clinics at 2 hospitals in Nakhon Pathom province. The participants were assigned into the control group (N = 25) and experimental group (N = 25) matched by age and level of asthma symptom control. In the 8-week program period, the control group received usual care, and the experimental group received a planned behavior program via smartphone applications, which employed Ajzen planned behavior theory. The instruments were asthma symptom control questionnaires and asthma care behavior questionnaires. Data were analyzed by independent t-test and a chi-square test.
Main findings: The results revealed that the experimental group had significantly higher scores of asthma care behavior than the control group. (t = 4.46, p < .001), and the experimental group had a significantly higher percentage of children with asthma symptom control levels than those in the control group. (2 = 7.22, p < .05).
Conclusion and recommendations: It has been shown that a planned behavior program via smartphone applications can improve asthma care behaviors and levels of asthma symptoms control in school-aged children with asthma. Health care personnel should apply the program to promote asthma care behavior and symptom control among school-aged children with asthma.
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References
The global asthma report 2022. Int J Tuberc Lung Dis. 2022;26 Supp 1:1-104. doi: 10.5588/ijtld.22.1010.
National Health Security Office. Fatality Rate for asthma in children under 15 years of age, UC rights of service hospitals, 2017-2020 [Internet]. Bangkok: National Health Security Office; 2021 [cited 2024 Apr 6]. Available from: https://data.go.th/dataset/dataset-pp_37_08. (in Thai).
Boonsawat W, Sawanyawisuth K. A real-world implementation of asthma clinic: make it easy for asthma with easy asthma clinic. World Allergy Organ J. 2022;15(10):100699. doi: 10.1016/j.waojou.2022.100699.
Alhammad AM, Alajmi G, Alenizi A, Alrashidi E, Alghannam G, Alaki E, et al. Parental attitude and knowledge towards asthma care measures for their children in Saudi Arabia. Pediatr Pulmonol. 2020;55(11):2901-7. doi: 10.1002/ppul.25060.
Mazi A, Madani F, Alsulami E, Almutari A, Alamri R, Jahhaf J, et al. Uncontrolled asthma among children and Its association with parents' asthma knowledge and other socioeconomic and environmental factors. Cureus. 2023;15(2):e35240. doi: 10.7759/cureus.35240.
Tangcheewawatthanakul C. Factors associated with disease controlled in childhood asthma at Phang-nga Hospital. Region 11 Medical Journal. 2018;32(4):1269-82. (in Thai).
Srisatidnarakul B, Sangnimitchaikul W. Self-management experiences of asthma in school-age children. Journal of Nursing Science Chulalongkorn University. 2019;31(1):26-36. (in Thai).
Kelada L, Molloy CJ, Hibbert P, Wiles LK, Gardner C, Klineberg E, et al. Child and caregiver experiences and perceptions of asthma self-management. NPJ Prim Care Respir Med. 2021;31(1):42. doi: 10.1038/s41533-021-00253-9.
Trojanowska A, Emeryk A, Zarzycka D. Asthmatic children's attitudes towards their illness. Postepy Dermatol Alergol. 2021;38(6):1065-1070. doi: 10.5114/ada.2021.112279.
Ajzen I. The theory of planned behavior. Organ Behav Hum Decis Process. 1991;50(2):179-211. doi: 10.1016/0749-5978(91)90020-T.
Promprakob V, Sananreangsak S, Teerarungsikul N. Effects of the self-management program on asthma control behaviors of school-age children with asthma. Journal of Nursing and Health Sciences. 2020;14(1):110-21. (in Thai).
Saetae T, Sananreangsak S. Effects of the self-regulation program on health behaviors and pulmonary function of school-age children with asthma. Journal of The Police Nurses. 2019;11(1):139-50. (in Thai).
Danlee C, Sakdisthanont S. Effects of an interactive giving information program on perceived self-efficacy, caring behaviors of caregivers and disease control in children with asthma aged 3-5 years old. Nursing Journal of The Ministry of Public Health. 2022;32(2):145-58. (in Thai).
Dardouri M, Bouguila J, Sahli J, Ajmi T, Mtiraoui A, Zedini C, et al. Assessing the impact of a family empowerment program on asthma control and medication use in children with asthma: a randomized controlled trial. J Spec Pediatr Nurs. 2021;26(2):e12324. doi: 10.1111/jspn.12324.
Akca Sumengen A, Ocakci AF. Evaluation of the effect of an education program using cartoons and comics on disease management in children with asthma: a randomized controlled study. J Asthma. 2023;60(1):11-23. doi: 10.1080/02770903.2022.2043358.
Quaranta JE, Geoghegan R, Gutierrez C, Kim Y, Stala O. Evaluating outcomes of children's asthma self-management education through sustainable community-university partnerships. Public Health Nurs. 2020;37(4):525-32. doi: 10.1111/phn.12739.
Lv S, Ye X, Wang Z, Xia W, Qi Y, Wang W, et al. A randomized controlled trial of a mobile application-assisted nurse-led model used to improve treatment outcomes in children with asthma. J Adv Nurs. 2019;75(11):3058-67. doi: 10.1111/jan.14143.
Global Initiative for Asthma. Global strategy for asthma management and prevention (2020 update) [Internet]. Fontana, WI: Global Initiative for Asthma; 2020 [cited 2024 Apr 6]. Available from: https://ginasthma.org/wp-content/uploads/2020/04/GINA-2020-full-report_-final-_wms.pdf?fbclid=IwAR2-x8R3mTHqrtBEVuNGquz7bS8RuF8Q8Dojt8oD6-HgfEwIYDyghc7-_bo_aem_AUPw9wFWgUVUs2V17UFVdEQGsMRPeA6yn2tblAK7bnmzGWrHVZrGU5YvonI8cmA5tGBymw_4UpTIm4yPtXjHjy6v.
Guidelines for diagnosis and treatment of asthma in Thailand for pediatric patients (abbreviated version) 2021 [Internet]. Bangkok: The Thai Society of Pediatric Respiratory and Critical Care Medicine; 2021 [cited 2024 Apr 6]. Available from: https://thaipedlung.org/Media/media-20210727044055.pdf.
Nookong A, Kosawanon S, Suwantawakup S, Chinda C. Caregiver and child management behaviors and quality of life for children with asthma. Journal of Nursing Science. 2009;27(3):49-57. (in Thai).
Tadsuan J, Wattanakitkrileart D, Sriprasong S. The effectiveness of COPD management program via smartphone applications on clinical status in patients with chronic obstructive pulmonary disease. Nursing Science Journal of Thailand. 2021;39(3):17-32.
Muhammad J, Ngah ND, Ahmad I. Written asthma action plan improves asthma control, and the quality of life among pediatric asthma patients in Malaysia: a randomized control trial. Korean J Fam Med. 2023;44(1):44-52. doi: 10.4082/kjfm.22.0016.
Yang S, Zhang Z, Liu Y, Liu E, Luo Z. The effects of combined respiratory muscle and exercise training in children with bronchial asthma: a randomised controlled study. J Asthma Allergy. 2023;16:293-303. doi: 10.2147/JAA.S398108.
Searle A, Jago R, Henderson J, Turner KM. Children's, parents' and health professionals' views on the management of childhood asthma: a qualitative study. NPJ Prim Care Respir Med. 2017;27(1):53. doi: 10.1038/s41533-017-0053-7.