Abstract
Purpose
Asthmatic children are at risk of compromised health-related quality of life (HRQOL) compared with their healthy peers. This systematic review reports the range and effectiveness of psychosocial interventions designed to improve HRQOL amongst asthmatic children, adolescents, and their families.
Method
Data sources included The Cochrane Airways Group Trials Register of trials, PubMed database, and reference lists from review articles.
Results
Eighteen studies of psychosocial interventions were identified. Interventions were designed to improve HRQOL amongst a range of psychosocial, health care, school-related and clinical outcomes, and were delivered in numerous settings and formats. Four studies reported that interventions were effective for significant improvements in child overall HRQOL scores. These include asthma education (n = 2), asthma education plus problem solving (n = 1), and art therapy (n = 1).
Conclusions
Most interventions focussed on the delivery of asthma education to children, with the purpose of improving knowledge about asthma and disease management. There is limited evidence to suggest that interventions currently available are effective for significantly improving HRQOL amongst asthmatic children, adolescents, and their families. Most interventions lacked a theoretical basis and did not focus on family functioning variables. Multi-component interventions that incorporate asthma education along with strategies to assist families with implementing behaviour change towards improved asthma management are required. Future interventions should also attempt to address the wider context of family functioning likely to contribute to the family’s ability to engage in successful asthma management in order to improve HRQOL.
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Abbreviations
- HRQOL:
-
Health-related quality of life
- RCTs:
-
Randomised controlled trials
- RAP:
-
The ‘Roaring adventures of Puff’ Asthma Education Programme
- PAQOL:
-
The juniper paediatric asthma quality of life questionnaire
- PACQOL:
-
The juniper paediatric asthma caregiver quality of life questionnaire
- CAQ:
-
The childhood asthma questionnaires
- PedsQL:
-
Pediatric quality of life inventory TM
- SCAMP:
-
School care and asthma management project
- SCT:
-
Social cognitive theory
- PRECEDE:
-
Pre-disposing, reinforcing, and enabling causes in educational diagnosis and evaluation
- IHCWs:
-
Australian indigenous health care workers
- PAG:
-
Adapted paediatric asthma guidelines
- AEW:
-
Asthma education workshops
- OAP:
-
Open airways’ for pre-teens
- PA2:
-
Peer asthma action
- CC:
-
Care coordination
- PST:
-
Problem solving skills training
- IMPACT:
-
Interactive multi-media program for asthma control and tracking
- FU:
-
Follow-up data collection
- SES:
-
Socio-economic status
- GP:
-
General practitioner
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Clarke, SA., Calam, R. The effectiveness of psychosocial interventions designed to improve health-related quality of life (HRQOL) amongst asthmatic children and their families: a systematic review. Qual Life Res 21, 747–764 (2012). https://doi.org/10.1007/s11136-011-9996-2
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DOI: https://doi.org/10.1007/s11136-011-9996-2