Effect of Health Educational Intervention on Knowledge and Perceptions of Asthma among Secondary School Students in Ile- Ife, South-West, Nigeria
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Abstract:
Asthma is a major public health problem among adolescents with significant
functional disability. Inadequate
knowledge and poor perceptions of the disease are highly contributory to its impact.
Patients’ education is vital in addressing this challenge. The study assessed
the level of knowledge and perceptions of asthma and the impact of asthma health
education programme among a group of the secondary school students in Ile- Ife,
Nigeria. It is a quasi- experimental design study which used a pre-tested 71- item,
purpose designed, self- administered questionnaires to collect information on knowledge
and perceptions of the respondents on asthma before and after intervention. Data
were collated and analyzed based on descriptive and inferential study design. The
results of this study showed that perceptions and knowledge of asthma were poor
among the group. There was a significant difference in the pre- test and post- test
knowledge and perceptions scores of asthma of the secondary school students in the
intervention group following health education programme intervention. In addition,
the results showed that there was a significant change in knowledge and perceptions
of asthma overtime for the participants in the intervention group, over a period
of 1 week, 3 weeks and over a period of 6 weeks. We concluded that health educational
intervention has significant positive effect on knowledge and perceptions of asthma
among secondary school students in Ile- Ife, Osun State, South West, Nigeria.
Keywords:
Asthma; Knowledge; Perceptions; Health Educational Intervention.
References:
[1]. Anwar,
H., Hassan, N., Jaffer, N., Al Sadri, E (2008). Asthma knowledge among asthmatic
school students. Oman Medical Journal. Volume 23. Issue 2. Pp 90-95.
[2]. Al-sheyab,
N., Gallagher, R., Crisp, J., Shah, S (2012). “Peer-led education for adolescents
with asthma in Jordan: a cluster randomized controlled trial,” Pediatrics,
vol. 129, no. 1, pp. e106–e112.
[3]. Bender,
B.G (2007). Depression symptoms and substance abuse in adolescents with asthma.
Ann Allergy Asthma Immunol. 99:319–324.
[4]. Bjorksten,
B (2000). Unmet needs in the treatment of asthmatic children and adolescents: Clin
Exp Allergy. 30: 73–76.
[5]. Bousquet, J., Mantzouranis, E., Cruz,
A.A., Ait-Khaled, N., Baena-Cagnani, C.E., Bleecker, ER, et al (2010). Uniform definition
of asthma severity, control, and exacerbations: document presented for the World
Health Organization Consultation on Severe Asthma. J Allergy.
[6]. Bowen,
F (2013). Asthma education and health outcomes of children aged 8 to 12 years. Clinical
Nursing Research, 22(2): p. 172-185.
[7]. Braman, S.S (2006). The global burden
of asthma. Chest. 130:4S-12S.Medline:16840363 doi:10.1378/chest.130.1_suppl.4S.
[8]. Brook, U., Kishon, Y (1993).
Knowledge and Attitude of Healthy High School Students toward Bronchial Asthma and
Asthmatic Pupils. Chest. Volume 103. Issue 2. Pp 455–457. http://dx.doi.org/10.1378/chest.103.2.455.
[9]. Butz,
A., Pham, L., Lewis, L. P., Lewis, C., Hill, K., Walker, J., & Winkelstein,
M. (2005). Rural Children with Asthma: Impact of a Parent and Child Asthma Education
Programme. Journal of Asthma, 42(10), 813-821.
[10]. Cicutto,
I., To, T., Murphy, S. (2013). A Randomized Controlled Trial of a Public Health
Nurse‐Delivered Asthma Program to Elementary Schools. Journal of School Health,
83, 876-884. doi: 10.1111/josh.12106.
[11]. Daboer, J.C., Ogbonna, C., Jamda, M.A
(2008). Impact of health education on sexual risk behaviour of secondary school
students in Jos, Nigeria. Niger J Med. 17 (3). 324- 329.
[12]. Desalu, O.O.,
Abdurrahman, A.B., Adeoti, A.O., Oyedepo, O.O (2013). Impact of Short-Term Educational Interventions on Asthma Knowledge and metered-dose
Inhaler Techniques among Post Basic Nursing Students in Ilorin, Nigeria- Result
of a Pilot study. Sudan JMS. Volume 8. Number 2. Pp 77-84.
[13].
Falade, A.G., Ige, O.M.,
Yusuf, B.O., Onadeko, M.O., Onadeko, B.O (2009). Trends in the prevalence and severity
of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema. J Natl Med
Assoc. 101:414e8.
[14]. GINA (2014).
Global Burden of Asthma Report. Global Initiative for Asthma, 2014.
[15]. Guo, S.E.,
Ratner, P.A., Johnson, J.L, et al (2010). Correlates of smoking among adolescents
with asthma. J Clin Nurs. 19 (5–6):701–711.
[16]. Horner,
S. D., Fouladi, R. T. (2008). Improvement of Rural Children’s Asthma Self-Management
by Lay Health Educators. The Journal of School Health, 78(9), 506–513.
http://doi.org/10.1111/j.1746-1561.2008.00336.x
[17].
Kann, L., Telljohann, S.K.,
Wooley, S.F (2007). Health Education: Results from the School Health Policies and
Programs Study 2006. Journal of School Health. Volume 77. Issue 8. Pp 408–434. DOI: 10.1111/j.1746-1561.2007.00228.x.
[18]. Kintner,
E. K., Sikorskii, A. (2009). Randomized Clinical Trial Of A School-Based Academic
And Counselling Program For Older School-Age Students. Nursing Research. 58. 321-331.
Doi: 10.1097/NNR.0b013e3181b4b60e
[19]. Kintner,
E., Cook,
G., Marti,
C.N., Stoddard,
D., Gomes,
M., Harmon,
P., Van Egeren,
L.A (2015). Comparative Effectiveness
on Cognitive Asthma Outcomes of the SHARP Academic Asthma Health Education and Counselling
Program and a Non-Academic Program. Res Nurs Health. 38(6):423-35.
Doi: 10.1002/nur.21678.
[20]. Levy,
M., Heffner, B., Stewart, T., Beeman, G. (2006). The Efficacy of Asthma Case management
in an Urban School District in Reducing School Absences and Hospitalizations for
Asthma. Journal of School Health. 76. 320-324.
[21]. Marsden,
E.J., Somwe, W.S., Chabala, C., Soriano, J.B., Valles, C.P., Anchochea, J (2016).
Knowledge and perceptions of asthma in Zambia: a cross- sectional survey. BMC Pulmonary
Medicine. 16. 33. Doi: 10.1186/s 12890-016-0195-3.
[22]. Mcghan,
S. L., Wong, E., Sharpe, H. M., Hessel, P. A., Mandhane, P., Boechler, V. L., Majaesic,
C., Befus, A. D. (2010). A Children Asthma Education Program: Roaring Adventures
Of Puff (Rap), Improves Quality Of Life. Canadian Respiratory Journal: Journal of
the Canadian Thoracic Society. 17. 67.
[23]. Moss- Morris, R., Weinmann, J., Petrie, K., Horne, R.,
Cameron, L., Buick, D (2002). The revised illness perception questionnaire (IPQ-R).
Psychology and Health. 17. 1-16. Doi: 10. 1080/08870440290001494.
[24]. Musa,
B.M., M.D.A (2014). Asthma prevalence in Nigerian adolescents and adults: systematic
review and meta-analysis. Afr J Respir Med. 10(1): 4-9.
[25]. Ndiaye, M., Ndir, M., Hane, A.A., Michel,
F.B., Bousquet, J (2004). Application of the WHO chronic respiratory diseases programme
in Sub-Saharan Africa: problems in Senegal [in French]. Rev Mal Respir. 21:479-91.
Medline: 15292840. doi: 10.1016/S0761-8425(04)71352-2.
[26]. Oluwole,
O., Arinola, G.O., Huo, D., Olopade, O.O (2017). Household biomass fuel use, asthma
symptoms severity, and asthma under-diagnosis in rural school children in Nigeria:
a cross- sectional observational study. BMC Pulmonary Medicine. 17: 3. Doi:10.1186/s12890-016-0352-8.
[27]. Pesek,
R.D., Vargas, P.A., Halterman, J.S., Jones, S.M., McCracken, A., Perry, T.T (2010).
A comparison of asthma prevalence and morbidity between rural and urban schoolchildren
in Arkansas. Ann Allergy Asthma Immunol. 104(2):125–31.
[28]. Polit,
D., Beck, C. T. (2008). Is There Gender Bias In Nursing Research? Research in Nursing
& Health, 31, 417-427.
[29]. Promtussananon,
S (2003). Perceptions on physiopathology and preferred treatment of epilepsy and
asthma in the Limpopo Province, South Africa. Health. SA Gesondheid. March, 2003.
ISSN: 1025-9848.
[30]. Reddel, H.K., Taylor, D.R., Bateman,
E.D., Boulet, L.P., Boushey, H.A., Busse, W.W., et al (2009). An official American
Thoracic Society/ European Respiratory Society statement: asthma control and exacerbations:
standardizing endpoints for clinical asthma trials and clinical practice. Am J Respir
Crit Care Med. 180:59-99. Medline:19535666. doi:10.1164/rccm.200801-060ST.
[31]. Sekaran, U. (2006).
Research methods for business: A skill building approach. John Wiley & Sons.
New York.
[32]. Sharda,
A. J., Shetty, S. (2008). A comparative study of oral health knowledge, attitude
and behaviour of first and final year dental students of Udaipur city, Rajasthan,
India. Int J Dent Hyg. 6(4). 347-353. Doi: 10.1111/j.1601-5037.2008.00308.x.
[33]. Shaw, S., Marshak, H.H., Dyjack,
D.T., Neish, C.M (2005). Effects of a Classroom-based
Asthma Education Curriculum on Asthma Knowledge, Attitudes, Self-efficacy, Quality
of Life, and Self-management Behaviours among Adolescents. American Journal of Health Education. Volume
36. No. 3. Pp 140- 145.
[34]. Shegog,
R., Bartholomew, K., Parcel, G.S., Sockrider, M.M., Masse, L., Abramson, S.L (2001).
Impact of a Computer assisted Education Program on Factors Related to Asthma Self-management
Behaviour. Journal of the American Medical Informatics Association Volume 8. Number
1 .Pp 49- 61.
[35]. Thies,
K.M., McAllister, J.W (2001). The health and education leadership project: a school
initiative for children and adolescents with chronic health conditions. J Sch
Health. 71: 167–172.
[36]. Towns,
S.J., van Asperen, P.P (2009). Diagnosis and management of asthma in adolescents.
Clin Respir J. 3:69–76.
[37]. Valeros,
L., Kieckhefer, G., Patterson, D (2001). Traditional asthma education for adolescents.
J Sch Health. 71: 117–119.
[38]. Varkevisser
C. M., Pathmanathan I., Brownlee A (2003). Designing and conducting health systems
research projects.
[39]. Velsor-Friedrich,
B., Pigott, T. D., Louloudes, A. (2004). The Effects of a School-Based Intervention
on the Self-Care and Health of African-American Inner-City Children with Asthma.
Journal of Pediatric Nursing. 19. 247-256.
[40]. Vos, T.,
Flaxman, A.D., Naghavi, M, et al (2013). Years lived with disability (YLDs) for
1160 sequalae of 289 diseases and injuries 1990-2010: a systematic analysis for
the Global Burden of Disease Study 2010. Lancet. 380. 2163-2196. Doi:10.1016/S0140-6736
(12)61729-2.
[41]. WHO, 2012. (Fact sheets). Geneva, Switzerland:
World Health Organization; 2012.
[42]. WHO, 2013.
(Fact sheets). Geneva, Switzerland. World
Health Organization; 2013.
[43]. Zografos,
K., Marshak, H., Dyjack, D., Neish, C (2010). The effects of an adolescent asthma
education intervention on knowledge, intention, behaviour, self-efficacy and self-consciousness.
Californian Journal of Health Promotion. Volume 8. Issue 1. Pp 60- 71.