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

*Corresponding author for this work

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
Externally publishedYes


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

ASJC Scopus subject areas

  • General Medicine


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