What are the components of effective chronic condition self-management education interventions for children with asthma, cystic fibrosis, and diabetes? A systematic review

Nicole Saxby, Sean Beggs, Malcolm Battersby, Sharon Lawn

Research output: Contribution to journalReview articlepeer-review

5 Citations (Scopus)

Abstract

Objective:

To articulate the components of educational interventions that help children learn about managing their asthma, cystic fibrosis, or diabetes, relevant to their age/developmental status.

Methods:

A systematic review of chronic condition self-management (CCSM) educational interventions that included age/developmentally appropriate components, published before 27 January 2018, including evidence level and quality assessments. Teaching approaches were extracted and translated into practical components.

Results:

Twenty education interventions were identified, published across 30 studies. Most studies (n = 20/30) were based on the theories of Piaget and Bandura. Similar teaching approaches were used across conditions, incorporating sequenced curriculum and a variety of active elements. Age/developmentally appropriate interventions resulted in improvements in the CCSM capabilities of children. Outcomes were improved when compared with usual care. For very young children, educational interventions were directed at parents/families. As children reached school age, interventions increasingly became child-focused, promoting autonomy. Integrated play and reinforcement were common. Adolescent interventions placed greater emphasis on communication, problem-solving, and role division.

Conclusion:

Eight key components were identified: structured and sequenced curricula; reinforcement; active participation; collaboration; autonomy; feedback; multiple exposures; and, problem-solving. Different components are relevant to specific life stages.

Practice implications:

Clinicians require age/developmentally appropriate practical education tools to provide effective paediatric health care.

Original languageEnglish
Pages (from-to)607-622
Number of pages16
JournalPatient Education and Counseling
Volume102
Issue number4
DOIs
Publication statusPublished - 1 Apr 2019

Keywords

  • Adolescents
  • Asthma
  • Children
  • Cystic fibrosis
  • Diabetes
  • Education
  • Self-management
  • Teaching approaches

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