Journal of the New Zealand Medical Association, 11-May-2012, Vol 125 No 1354
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An evaluation of a pictorial asthma medication plan for Pacific children
John Kristiansen, Edlyn Hetutu, Moana Manukia, Timothy Jelleyman
The burden of asthma falls disproportionately on children from New Zealand’s Pacific communities. Guidelines recommend pictorial resources but these have not been evaluated in this population.
Evaluate a pictorial asthma medication plan focusing on regular ‘everyday’ inhaler use and a signs and symptoms sheet for Pacific children; the primary outcome measure was continued use of resources after 6 months.
Resources were provided to families with face-to-face education at a general practice or inpatient setting in West Auckland. A questionnaire about the resources was completed after 6 weeks, and an audit regarding use after 6 months.
Data from 48 children were analysed (Samoan, n=31); 45 English and 22 first language versions (Samoan, Tongan, Tuvaluan) were used; median time to questionnaire completion was 48 days. The pictorial asthma medication plan was acceptable to families, effective at reinforcing the importance of ‘everyday’ inhalers, and a reminder for regular use; the signs and symptoms sheets were informative and improved self-efficacy; 93% of families were using the resources after 6 months. An increase in ‘everyday’ inhaler use was observed after education.
The resources were effective at improving inhaler knowledge and supporting symptom recognition. A ‘less-is–more’ approach, pictorial format, and first language availability are characteristics that may benefit other ethnicities.
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