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Chronic Illness, Vol. 1, No. 1, 31-38 (2005)
DOI: 10.1177/17423953050010010101

A trial of asthma self-management in Beijing schools

Noreen M. Clark

Health Behavior & Health Education, University of Michigan School of Public Health, 109 S. Observatory, Ann Arbor, MI 48109-2029, USA, nmclark{at}umich.edu

Molly Gong

Health Behavior & Health Education, University of Michigan School of Public Health, 109 S. Observatory, Ann Arbor, MI 48109-2029, USA

Niko Kaciroti

Biostatistics, University of Michigan School of Public Health, 1420 Washington Heights, Ann Arbor, MI 48109-2029, USA

Jimmy Yu

Biostatistics, University of Michigan School of Public Health, 1420 Washington Heights, Ann Arbor, MI 48109-2029, USA

Guixian Wu

Beijing Heart Lung & Blood Vessel Research Center, Anzhenli, Andingmenwai, Beijing, 100029, China

Zhechun Zeng

Beijing Heart Lung & Blood Vessel Research Center, Anzhenli, Andingmenwai, Beijing, 100029, China

Zhaosu Wu

Beijing Heart Lung & Blood Vessel Research Center, Anzhenli, Andingmenwai, Beijing, 100029, China

Objectives: This study examined the effectiveness in children in China of an asthma education programme adapted from a model developed in the USA.

Methods: Six hundred and thirty-nine children in 21 elementary schools in one agricultural and one industrial area participated in a randomized, controlled trial. Data were collected at baseline and 1 year subsequently. The self-regulation-based programme addressed topics including preventing and managing symptoms, using medicines, and identifying and controlling triggers.

Results: Positive effects on treatment children v. control children were noted in school performance (0.21 v. -0.06, p=0.04), absences (-0.55 v . -0.32, p=0.02), and home environment (1.78 v. 4.75, p=0.009). Industrial-area children additionally benefited from fewer hospitalizations (odds ratio=1.96, p=0.05) and asthma-related concerns of parents (-0.63 v. -0.34, p=0.001). Agricultural-area parents showed greater improvement in asthma management (0.93 v. 0.26, p=0.0001), and expressed more negative feelings about asthma (-0.13 v. -0.58, p=0.04) and asthma concerns (-0.31 v. -0.63, p=0.0001).

Discussion: The programme provided overall benefits related to school performance, absences, and home environment. In the agricultural area, where fewer resources were available, benefits were fewer and concerns greater. In the industrial area, where education and income were higher, additional benefits related to healthcare use and parents' quality of life were realized.

Key Words: Asthma in schools • Asthma self-management • China • Paediatric asthma


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