Doctoral Project Defense: Joy Sawicki
Candidate Name: Joy Sawicki
Major: Nursing Practice
Advisor: Krista White, Ph.D.
Title: The Impact of Live Webinar Asthma Education for Caregivers of Asthmatic Children 0-4 Years of Age
Problem: Chronic airway inflammation and structural changes characteristic of asthma often develop in the preschool years. The Centers for Disease Control and Prevention estimates that 6.2 million children in the US have been diagnosed with asthma; 935,000 of these children are under the age of 4. The National Asthma Education and Prevention Program (NAEPP) Expert Panel Report (EPR-3) recommends self-management education for asthmatic children and their families along with ambulatory care services. Benefits of education include better symptom control and fewer exacerbations. Despite the need for education, barriers to participation in live in-person classes, such as time, travel and expense often exist. Alternative formats for asthma education may help mitigate barriers. Aim: The primary purpose of this project was to evaluate the impact of a novel education format for caregivers (live webinar) on asthma control in preschoolers. Additional aims included caregiver satisfaction with webinar learning, and impact on emergency visits and hospitalizations. Methods: The study used a one-group prospective cohort design with repeated measures. Caregivers of asthmatic preschool children (N=30) participated in a single 1-hour live asthma education webinar. Asthma control was measured using the Test for Respiratory and Asthma Control in Kids (TRACK) prior to the webinar, one month, and three months following. Demographic, webinar satisfaction and emergency care/hospitalization questionnaires were also administered. Results: The results demonstrated a statistically significant increase in TRACK scores over three points in time (n = 21), indicating improved asthma control (F = 5,128, p = 0.01). More than 80% of participants found the webinar format simple, convenient, helpful, and would recommend to others. Emergency room visits, and hospitalizations were unchanged and remained consistent with the study site’s historically low emergency and hospitalization rates. Conclusions: These findings suggest that live webinar asthma education incorporated into practice is an effective method of teaching that is convenient for families and results in improved asthma control. Innovative methods of teaching are crucial skills for healthcare providers to keep patient education interesting and accessible.
Friday, November 16, 2018 at 11:05am to 1:00pm
St. Mary's Hall, 110
3700 Reservoir Road, N.W., Washington