Culture-specific programs for children and adults from minority groups who have asthma

Bailey, Emily J., Cates, Christopher J., Kruske, Sue G., Morris, Peter S., Chang, Anne B. and Brown, Ngiare (2009) Culture-specific programs for children and adults from minority groups who have asthma. Cochrane Database of Systematic Reviews, 2: . doi:10.1002/14651858.CD006580.pub4


Author Bailey, Emily J.
Cates, Christopher J.
Kruske, Sue G.
Morris, Peter S.
Chang, Anne B.
Brown, Ngiare
Title Culture-specific programs for children and adults from minority groups who have asthma
Journal name Cochrane Database of Systematic Reviews   Check publisher's open access policy
ISSN 1469-493X
Publication date 2009-01
Sub-type Critical review of research, literature review, critical commentary
DOI 10.1002/14651858.CD006580.pub4
Open Access Status DOI
Issue 2
Total pages 35
Place of publication Oxford United Kingdom
Publisher John Wiley & Sons
Language eng
Formatted abstract
Background:
People with asthma who come from minority groups have poorer asthma outcomes and more asthma related visits to Emergency Departments (ED). Various programmes are used to educate and empower people with asthma and these have previously been shown to improve certain asthma outcomes. Models of care for chronic diseases in minority groups usually include a focus of the cultural context of the individual and not just the symptoms of the disease. Therefore, questions about whether culturally specific asthma education programmes for people from minority groups are effective at improving asthma outcomes, are feasible and are cost-effective need to be answered.

Objectives:
To determine whether culture-specific asthma programmes, in comparison to generic asthma education programmes or usual care, improve asthma related outcomes in children and adults with asthma who belong to minority groups.

Search strategy:
We searched the Cochrane Register of Controlled Trials (CENTRAL), the Cochrane Airways Group Specialised Register, MEDLINE, EMBASE, review articles and reference lists of relevant articles. The latest search was performed in May 2008.

Selection criteria:
All randomised controlled trials (RCTs) comparing the use of culture-specific asthma education programmes with generic asthma education programmes, or usual care, in adults or children from minority groups who suffer from asthma.

Data collection and analysis:
Two review authors independently selected, extracted and assessed the data for inclusion. We contacted authors for further information if required.

Main results:
Four studies were eligible for inclusion in the review. A total of 617 patients, aged from 5 to 59 years were included in the meta-analysis of data. Use of a culture-specific programme was superior to generic programmes or usual care, in improving asthma quality of life scores in adults, pooled WMD 0.25 (95% CI 0.09 to 0.41), asthma knowledge scores in children, WMD 3.30 (95% CI 1.07 to 5.53), and in a single study, reducing asthma exacerbation in children (risk ratio for hospitalisations 0.32, 95%CI 0.15, 0.70).

Authors' conclusions:
Current limited data show that culture-specific programmes for adults and children from minority groups with asthma, are more effective than generic programmes in improving most (quality of life, asthma knowledge, asthma exacerbations, asthma control) but not all asthma outcomes. This evidence is limited by the small number of included studies and the lack of reported outcomes. Further trials are required to answer this question conclusively.
Keyword Quality-of-life
Inner-city children
School asthma
Intervention
Education
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collections: Queensland Children's Medical Research Institute Publications
School of Psychology Publications
 
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