The Effectiveness of Internet-Based Self-Management Program on Children with Asthma

Wednesday, 1 August 2012

Tzu-Ning Wen, RN
School of Nursing, National Defense Medical Center, School of Nursing, Taipei, Taiwan
Li-Chi Chiang, RN, PhD
School of Nursing, School of Nursing, National Defense Medical Center, Taipei, Taiwan

Learning Objective 1: assess the difference between the cases involving the internet-based program or not, according to the life quality, the compliance, the condition of the lung function

Learning Objective 2: assess the difference between the cases involving the internet-based program or not, according to the environmental control, the understanding and the management

Purpose: This research is to evaluate the effectiveness of asthma-related quality of life and lung functin of the children with asthma after applying the internet self management program comparing to the conventional method.

Methods: This research is randomised control tial. We recruited the patients according with the parents' permission and randomized the patients in two groups with concealed envelop. The experimental group participated in the internet self-management program, and the other in the comparisonl group that received conventional teaching method, ie. writing the asthma diary for the self-management. Outcome data were collected after three months.

Results: A total of 53 parents and children were enrolled. The demographis data were clinically comparable (internet group: 5 female/12 male; mean age: 9.29 years; comparison group: 13 female/23 male; mean age: 8.83years). Both methods showed positive outcomes after three months. Children in the the internet self-managment group had higher life quality and lung function (FVC, FEV1, PEF) scores compared to that in the comparison group after three month. The parents in the experimental group also presented a better home environmental control, the better understanding of asthma. The majority parents participated in the internet self-management described high satisfaction and their families also involved in this internet-based self-management program cooperatively.


The effect size of this results is median effects.  Comparisons of these two different self-management model showed an improvement in outcomes of children with asthma. We believed that active participate in the self-management for children with asthma could have positive effects, including internet and tranditional asthma diarary. Using internet sefl-management program interventions could help children and their families monitor and record all of the asthma medication, asthma sign and symptoms, and peak expeiraorty flow and the whole family could working together to achieve the well control of asthma.