Inhalation technique in asthma in children: could an intensive summer educational camp improve it?

Inhalation technique in asthma in children: could an intensive summer educational camp improve it?

Authors

  • Luca Pecoraro a:1:{s:5:"en_US";s:109:"1 Department of Medicine, University of Verona, Verona, Italy. 2 Pediatric Clinic, ASST Mantua, Mantua, Italy";}
  • Alessia Norato Paediatric Clinic, ASST Mantua, Mantua, Italy
  • Paola Accorsi Paediatric Clinic, ASST Mantua, Mantua, Italy
  • Luca Dalle Carbonare Department of Medicine, University of Verona, Verona, Italy
  • Giorgio Piacentini Paediatric Unit, Department of Surgical Sciences, Dentistry, Gynaecology and Paediatrics, University of Verona, Verona, Italy
  • Angelo Pietrobelli Paediatric Unit, Department of Surgical Sciences, Dentistry, Gynaecology and Paediatrics, University of Verona, Verona, Italy

Keywords:

asthma summer camp, inhalation technique, MDI use score, asthma control, asthma, children, adolescents

Abstract

BACKGROUND AND AIM: Asthma camp is a summer camp involving children with asthma. It is demonstrated that the experience of asthma camp is related to an overall improvement in clinical outcome related to asthma and also in pMDI technique. Based on this observation, we made up a 3-days intensive asthma summer camp training the children every day using a standard protocol that included step-by-step instructions for the correct use of pMDI and spacer with a mouthpiece. The aim of this first preliminary prospective study was to evaluate the impact that a structured short-term educational asthma camp could have on performance in the use of pMDI and spacer by the children involved.

METHODS: Ten children with asthma attended a 3-days educational camp program. A pediatric allergologist made assessments of the inhalation technique for each child at the beginning and the end of the 3-days asthma summer camp.

RESULTS: 7 patients were evaluated. The median age was 129 months (range 92-153 months). The median value of the modified MDI use score (mMus) was 8 at the beginning of the asthma summer and 10 at the end of the asthma summer camp was 10. The overall improvement in inhalation technique was +25%.

CONCLUSIONS: This is the first preliminary prospective study demonstrating that a 3-days intensive asthma summer camp is related to an overall improvement in pMDI technique in children affected by asthma. It represents another evidence that asthma summer camp is a fundamental instrument to improve asthma education and management in childhood asthma.

References

Welch MJ, Carlson AM, Larson D, Fena P. Clinical profile, health-related quality of life, and asthma control in children attending US asthma camps. Ann Allergy Asthma Immunol. 2007 Dec;99(6):496-501.

Kelly CS, Shield SW, Gowen MA, Jaganjac N, Andersen CL, Strope GL. Outcomes analysis of a summer asthma camp. J Asthma. 1998;35(2):165-71.

Martín Iglesias MA, Díaz Jara M, Zapatero Remón L, Martínez Molero MI. Asthma camp. Quality of life questionnaires. Allergol Immunopathol (Madr). 2003 Jul-Aug;31(4):231-5.

Knibb RC, Alviani C, Garriga-Baraut T, Mortz CG, Vazquez-Ortiz M, Angier E, Blumchen K, Comberiati P, Duca B, DunnGalvin A, Gore C, Hox V, Jensen B, Pite H, Santos AF, Sanchez-Garcia S, Gowland MH, Timmermans F, Roberts G. The effectiveness of interventions to improve self-management for adolescents and young adults with allergic conditions: A systematic review. Allergy. 2020 Aug;75(8):1881-1898.

Global Initiative for Asthma. Global strategy for asthma management and prevention, 2021. Available from: www.ginasthma.org.

Inhaler Error Steering Committee, Price D, Bosnic-Anticevich S, Briggs A, Chrystyn H, Rand C, Scheuch G, Bousquet J. Inhaler competence in asthma: common errors, barriers to use and recommended solutions. Respir Med. 2013 Jan;107(1):37-46.

Downloads

Published

19-01-2022

Issue

Section

LETTERS TO EDITOR

How to Cite

1.
Pecoraro L, Norato A, Accorsi P, Dalle Carbonare L, Piacentini G, Pietrobelli A. Inhalation technique in asthma in children: could an intensive summer educational camp improve it?. Acta Biomed [Internet]. 2022 Jan. 19 [cited 2024 Jul. 13];92(6):e2021400. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/12009