Development and effectiveness of a tailored education program for caregivers of asthmatic children

Misa Iio, Koji Takenaka, Masami Narita, Masaki Futamura, Mana Hamaguchi, Kanako Fukushima, One Yamano, Jun Haraguchi, Hirokazu Sakai, Akira Ishiguro, Yukihiro Ohya

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)


Background: We developed a tailored education program using a touch-screen computer for changing management behavior with asthmatic children and their caregivers. The purpose of this study was to examine the effect of the tailored education program.

Methods: Caregivers including children with asthma were recruited during visits to a national children's hospital and those whose month-long asthma condition on the JPAC (Japanese Pediatric Asthma Program) score was 14 and below were included. Caregivers were randomized to the tailored education (intervention group) or non-tailored education (control group). The intervention group underwent a patient education program using a touch-screen computer, and they received tailored messages generated by a computer program. A research nurse and clinical psychologist used a computer-based resource to tailor the education messages and provided counseling using motivational interviewing for the caregivers including children with asthma. The control group received only a booklet on asthma.

Results: Forty-seven subjects aged 1 to 6 years were enrolled. Forty-seven caregivers were randomized to the tailored education (n = 22) or non-tailored education (n = 25) group. The results of two-way ANOVA showed that interactions between groups were observed in the score of JPAC and asthma knowledge for preschool children whose asthma onset was within one year and a haiL The main effects of time were observed in the total and subscale score of QOL (Quality of Life) and the total score of P-CASES (Parental Childhood Asthma's Self-efficacy Scale).

Conclusioft These findings indicate the benefit of a tailored education program to control symptoms in such caregivers.

Original languageEnglish
Pages (from-to)187-203
Number of pages17
JournalJapanese Journal of Allergology
Issue number2
Publication statusPublished - 2014 Jan 1


  • Caregivers
  • Childhood asthma
  • Randomized control trial
  • Tailored education

ASJC Scopus subject areas

  • Immunology and Allergy

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