The development of an asthma self-management program planning model using theories and principles from educational psychology, health education, and instruction design
Margo Patricia Burns, Northern Illinois University, United States
Northern Illinois University . Awarded
Since 1987, asthma mortality rates have risen 40%, prompting the development of potent drug therapies and the improvement of knowledge and skills in the asthmatic. However, despite medical and nonmedical efforts, a significant decline in the development of adverse asthma events, including mortality rates, has not been observed, suggesting that alternate intervention methods must be considered and developed.
In 1997, a national asthma educator program was developed in Canada to address deficiencies in clinical and facilitation skills. However, program development skills, including the ability of health-care professionals to assess needs, transmit self-management concepts, and evaluate program outcomes, have not been consistently addressed. Hence, there continues to be an inconsistent development and evaluation of asthma self-management programs, resulting in a wide range of intervention approaches. It is possible that the inconsistent development of asthma self-management programs, coupled with limited knowledge of theories and program development skills, by health-care professionals is inadvertently contributing to asthma morbidity and mortality rates.
Using system theory, a decision-driven program planning model, the Asthma Self-Management Program Planning Model (ASPPM), was developed to (a) address asthma educators' deficiencies in knowledge, skill, theory, and program design and (b) to guide the educator through the identification of health determinants, theory application, and the development and evaluation of programs. It is theorized that through the process of using the ASPPM, coupled with the completion of a Canadian asthma educator program, the identified deficiencies in needs assessments, theory application, and program development will be addressed. Additional benefits of the ASPPM may be the development of effective asthma self-management programs aimed at initiating and sustaining behavioral changes and the reduction of asthma mortality rates.
Burns, M.P. The development of an asthma self-management program planning model using theories and principles from educational psychology, health education, and instruction design. Ph.D. thesis, Northern Illinois University.
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