Public health program

Published: 12 September 2022| Version 1 | DOI: 10.17632/25bzwtjv6j.1
Maha Dardouri


Background: In pediatric asthma, family empowerment education has been beneficial for the quality of life (QOL), pulmonary function, and family functioning. Few studies addressed the impact of a family empowerment program on asthma control, acute healthcare use (AHCU), and medication use in children with asthma. Aims: This study aimed to assess the effect of a family empowerment intervention on QOL of children and their parents, pulmonary function, asthma control, AHCU, inhaler technique, and controller adherence in children with asthma. Design and Methods: A single-center study using a randomized controlled design was conducted in the pediatric outpatient clinic of Farhat Hached University Hospital from May 2018 to September 2019. Eighty-two families were randomly assigned in the intervention group (n=41) of eight weeks of group training sessions or to a control group (n=41) of usual care education. Thirty-seven families in the intervention group and 39 families in the control group received allocated intervention at baseline. Thirty-four families in each group completed the study at the 12-month follow-up. Results: There was no significant difference between groups at baseline, except for the asthma phenotype. At follow-up, there were significant differences in asthma control, QOL scores, FVC, and inhaler technique between groups and within time (all p<0.05). The number of AHCU in the past 12 months in the intervention group was significantly reduced at follow-up (p=0.007; p=10⁻ᶾ, respectively), however, there was no significant difference between groups (p=0.07). regarding controller adherence, there was no significant difference between groups at follow-up (p=0.46) and within time (p=0.79) in the intervention group. Conclusion: This study suggested that family empowerment education with group discussion sessions and feedback can positively impact important clinical asthma outcomes when used in the management of children with mild to moderate asthma. Keywords: Asthma, Child, Adolescent, Caregiver, Quality of Life, Disease Management, Empowerment, Patient Education. Trial registration number: PACTR201912861856148



Universite de Sousse Faculte de Medecine de Sousse


Writing Thesis in English, Asthma in Children, Family Intervention, Bibliometrics