A children's asthma education program: Roaring Adventures of Puff (RAP), improves quality of life

Alberta Asthma Centre, University of Alberta, 11402 University Avenue, Edmonton, Alberta.
Canadian respiratory journal: journal of the Canadian Thoracic Society (Impact Factor: 1.66). 03/2010; 17(2):67-73.
Source: PubMed


It is postulated that children with asthma who receive an interactive, comprehensive education program would improve their quality of life, asthma management and asthma control compared with children receiving usual care.
To assess the feasibility and impact of 'Roaring Adventures of Puff' (RAP), a six-week childhood asthma education program administered by health professionals in schools.
Thirty-four schools from three health regions in Alberta were randomly assigned to receive either the RAP asthma program (intervention group) or usual care (control group). Baseline measurements from parent and child were taken before the intervention, and at six and 12 months.
The intervention group had more smoke exposure at baseline. Participants lost to follow-up had more asthma symptoms. Improvements were significantly greater in the RAP intervention group from baseline to six months than in the control group in terms of parent's perceived understanding and ability to cope with and control asthma, and overall quality of life (P<0.05). On follow-up, doctor visits were reduced in the control group.
A multilevel, comprehensive, school-based asthma program is feasible, and modestly improved asthma management and quality of life outcomes. An interactive group education program offered to children with asthma at their school has merit as a practical, cost-effective, peer-supportive approach to improve health outcomes.

Download full-text


Available from: Shawna Mcghan,
  • Source
    • "Also, due to activity limitations, these children are often made fun of, bullied or verbally abused by their peers. As the result, asthmatic children quit using their medications in order not to be different from others (11). As the asthmatic child grows, management of disease, which was used to be done entirely by the parents at home, is now done by the child under the supervision of parents. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Background Asthma is the most common, chronic, childhood disease. Its chronic nature and long-term treatment decrease the quality of life of children and significantly affect the family function. This study was conducted to assess the impact of family empowerment on the quality of life of school-aged children with asthma. Materials and Methods This was a quasi-experimental study. Forty-five asthmatic children (7-11 years) and their parents referred to the Pediatric Asthma Clinic in Masih Daneshvari Hospital were selected using convenience sampling and were randomly divided into case (n = 14) and control (n = 16) groups. Data collection tools included a demographic information questionnaire and Pediatric Asthma Quality of Life Questionnaire with standardized activities (PAQLQ). The validity and reliability of the questionnaire were tested. The family empowerment program for the intervention group included lectures, group discussions and demonstration of educational films. The questionnaires were filled out pre- and post-test. Results There were no significant differences before the intervention between the test and control groups in terms of demographic characteristics and PAQLQ scores. While, independent t-test showed significant differences between the two groups in PAQLQ total score and the subscale scores before and after the intervention (P < 0.05). Paired t-test showed significant differences before and after the intervention in the case group in terms of PAQLQ total score and the subscale scores (P < 0.001). Conclusion Considering the positive impact of of family empowerment program on the quality of life of school-aged children with asthma, this program is recommended for proper control and management of disease and decreasing the complications in asthmatic patients of all age groups.
    Tanaffos 02/2014; 13(1):35-42.
  • [Show abstract] [Hide abstract]
    ABSTRACT: Children of parents who perceive their children have increased asthma severity use more medical services and reliever medication. A randomized control trial of the Roaring Adventures of Puff (RAP) education program was completed among 287 grade 2-5 children with asthma. Parents and children completed a quality of life (QOL) questionnaire pre-intervention, 6 and 12 months post-intervention. We hypothesized that RAP altered how parent's assessed their child's QOL with a resultant change in asthma management. Pre-intervention, parents rated their child's overall QOL higher than their child (parent 5.41 [95% CI 5.24, 5.58] vs. child 4.54 [95% CI 4.32, 4.75]; P < 0.001: paired t-test). For every point increase in the parent's overall QOL score, the child was 36% less likely to receive inhaled corticosteroids in the prior 2 weeks (OR 0.64, 95% CI 0.46, 0.88; P = 0.024) and 46% less likely to have missed school due to asthma in the prior 6 months (OR 0.54, 95% CI 0.36, 0.82; P = 0.016: logistic regression). The child's QOL assessment, beyond that provided by their parent, was not associated with the asthma management outcomes examined. The RAP program decreased parent's symptoms QOL assessment by an improvement of 0.45 on a 7-point scale greater than control at 6 months (95% CI -0.81, -0.09; P = 0.06). Moreover, the RAP interaction on parent symptoms rating was important in determining whether the child received a short-acting beta-agonist in the prior 2 weeks (P = 0.05). Parent's QOL perception, and not the child's, is associated with asthma management. RAP decreased the parent's QOL symptoms assessment and was important in determining the child's asthma management.
    Pediatric Pulmonology 02/2010; 45(2):141-8. DOI:10.1002/ppul.21157 · 2.70 Impact Factor

  • Cochrane Database of Systematic Reviews, 04/2010;
Show more