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Improved Health Outcomes with Peak Flow Monitoring for Children with Asthma
Authors:Patricia V. Burkhart   Mary Kay Rayens   W. Robert Revelette   Ashleigh Ohlmann
Affiliation: a College of Nursing at the University of Kentucky in Lexington, KYb Colleges of Public Health at the University of Kentucky,c Pediatric and Adolescent Associates in Lexington, KYd Baccalaureate Nursing Student and Research Intern,
Abstract:Purpose. Evaluate the effects of peak flow monitoring (PFM) on health outcomes of school-age children with asthma. Method and sample. Seventy-seven children who previously relied on symptom monitoring were taught PFM. Adherence to PFM during the 16-week study was assessed by a computerized monitor. Health outcomes over time were based on parent report. Results. Decreases occurred from baseline to week 16 in the incidence of one or more asthma episodes (p = 0.0002), physician/clinic visits (p = 0.0002), emergency department visits (p = 0.03), and missed school days (p = 0.002). Conclusions. PFM significantly reduced pediatric asthma morbidity in this sample.
Keywords:asthma  children  peak flow monitoring  adherence  health outcomes  self-management
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