Purpose: This paper describes the acceptability and generalizability of an evidenced-based peer-led asthma self-management program.
Design And Methods: Adolescents with persistent asthma (n = 259, ages 12-17 years) from three urban cities participated in a one day camp led by either trained peer leaders (n = 35, ages 16-20 years; intervention group) or healthcare professionals (control group). Participants completed a camp evaluation form, and the peer leader quality survey.
Results: Overall program evaluation showed high acceptability with average score of 4.5 (±0.87) out of 5 and no treatment group differences were found. Campers highly rated peer leaders' qualification, particularly trustworthiness (98%), knowledge (97%), and sense of humor (95%). Participants from low income families (annual income < $30,000) reported higher satisfaction with their camp experience being enjoyable compared to their counterparts from higher income families (X = 4.23, p ≤ .04).
Conclusions: This study supports the acceptability and generalizability of a peer-led asthma self-management program across different urban community locations, seasons and venues.
Practice Implications: Trained peers can be as effective as adult educators in teaching adolescents asthma self-management.
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http://dx.doi.org/10.1016/j.pedn.2018.12.011 | DOI Listing |
BMC Health Serv Res
March 2022
Department of Medicine, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Canada.
Background: In Canada, there is widespread agreement about the need for integrated models of team-based care. However, there is less agreement on how to support the scale-up and spread of successful models, and there is limited empirical evidence to support this process in chronic disease management. We studied the supporting and mitigating factors required to successfully implement and scale-up an integrated model of team-based care in primary care.
View Article and Find Full Text PDFJAMA Netw Open
December 2021
Department of Social Work, Roberts Wesleyan College, Rochester, New York.
Importance: Long-term effectiveness of a peer-led asthma self-management program in improving asthma outcomes in adolescents living in urban areas has not been established.
Objective: To determine the long-term effects of a peer-led program on asthma control, quality of life, and asthma management among predominantly racial and ethnic minority adolescents living in urban areas.
Design, Setting, And Participants: A parallel-group, randomized clinical trial was conducted in 2015 to 2019 in 3 metropolitan cities in the US: Buffalo, New York; Baltimore, Maryland; and Memphis, Tennessee.
Patient Educ Couns
June 2021
Johns Hopkins University School of Nursing, 525 N. Wolfe Street, Baltimore, MD, 21205, USA. Electronic address:
Objective: To examine the long-term effects of a peer-led asthma self-management program on urban adolescent peer leaders with asthma.
Methods: This longitudinal study includes 51 adolescents (16-20 years) enrolled in an asthma self-management program implemented at a one-day camp as peer leaders. Study outcomes, including quality of life, asthma control, asthma knowledge, and attitudes toward asthma were collected for 15 months post-intervention.
Allergy
August 2020
Faculty of Medicine, University of Southampton, Southampton, UK.
Background: This systematic review aimed to review the literature on interventions for improving self-management and well-being in adolescents and young adults (11-25 years) with asthma and allergic conditions.
Methods: A systematic literature search was undertaken across eight databases. References were checked by two reviewers for inclusion.
Res Nurs Health
April 2020
Department of Pediatrics, School of Medicine Johns Hopkins University, Baltimore, Maryland.
In this paper we compare the fidelity of a Peer-Led Asthma Self-Management Program for Adolescents (PLASMA) and its attention control. A randomized controlled trial involving two groups-the PLASMA group and the attention control group-was conducted between 2015 and 2018. Adolescents 12-17 years old (N = 259) in three cities in the United States received asthma self-management education implemented at a day camp, followed by bi-monthly, follow-up contact for 12 months.
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