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Therapeutic Patient Education with Learning Objects Improves Asthma Control in Mexican Children

  • Education & Training
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Abstract

One of the most common chronic diseases that causes missed school days and workdays is pediatric asthma, producing education, health and economic delays in low and middle-income countries. A patient-centered remarkable therapeutic strategy in the prevention and treatment of chronic diseases is the Therapeutic Patient Education (TPE) which denotes an outstanding difference in the outcomes, from the awareness, to the personal treatment adaption to prevent crises. In this paper, an intervention of TPE with learning objects (LOs) of a pediatric asthma course, designed to train the uncontrolled patient and the caregiver as a team on the specific knowledge to self-control the disease, was carried out at a health facility in Mexico. The Asthma Control Test (ACT) was used and the learning performance was evaluated with formative quizzes. A randomized controlled trial was designed, with pairs of children patients and caregivers during 60 days; the control group was trained with the usual approach, receiving general information about the disease. ACT measures showed statistical significance for the TPE group after the use of the LOs, achieving a controlled state, while the control group did not show difference. Also, the intervention group obtained a higher score in learning performance assessment. The users learned how to avoid risks, the personal triggers of the patient, how to correctly use the different treatments and accessories, consequently, they learned how to self-manage the disease. Our study also confirmed that control of asthma is not only a matter of knowledge, but financial issues to afford the treatment.

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Acknowledgements

We acknowledge the support of Instituto Politécnico Nacional, through COFAA and EDI and Consejo Nacional de Ciencia y Tecnología (CONACyT). We recognize Dr. Alejandro Alejandre Garcia, Dra. María del Carmen Cano Salas and Nut. Betzabe Salgado Arroyo for the specialized advising and support and Galileo Lamas, Alisson Pineda, Alejandro Aquino, and Vanessa Mendieta for the graphic design work.

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Authors and Affiliations

  1. Programa de Posgrado en Ingeniería de Sistemas, SEPI ESIME-Z, Instituto Politécnico Nacional, Av. IPN S/N, 07738, México, Mexico

    C. L. Martínez-González & M. C. C. Camargo-Fajardo

  2. Departamento de Investigación en Hiperreactividad Bronquial, Instituto Nacional de Enfermedades Respiratorias, 14080, México, Mexico

    P. Segura-Medina

  3. Escuela de Medicina y Ciencias de la Salud, Tecnológico de Monterrey, 14380, México, Mexico

    P. Segura-Medina

  4. CECyT2 “Miguel Bernard”, Instituto Politécnico Nacional, Lomas de Sotelo, 11200, México, Mexico

    P. Quezada-Bolaños

Authors
  1. C. L. Martínez-González
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  2. M. C. C. Camargo-Fajardo
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  3. P. Segura-Medina
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  4. P. Quezada-Bolaños
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Correspondence to C. L. Martínez-González.

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The authors declare that they have no conflict of interest.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee Instituto Nacional de Enfermedades Respiratorias “Ismael Cosio Villegas” (Register number CONBIOETICA-09-CEI-003 − 20,160,427, COFEPRIS number 13 CEI 09012260, FWA number FWA00008171 and IRB number IORG00004680).

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Martínez-González, C.L., Camargo-Fajardo, M.C.C., Segura-Medina, P. et al. Therapeutic Patient Education with Learning Objects Improves Asthma Control in Mexican Children. J Med Syst 44, 79 (2020). https://doi.org/10.1007/s10916-020-1539-3

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