| Mandate
for Education
- The
National Asthma Education and Prevention Program
- NIH’s
Global Strategy for Asthma Management and Prevention
Learning
needs of Children
- Concrete,
logical lesson plans
- Active
multisensory involvement Short lessons to match attention span
- Strong,
creative imagery
- Linkage
of new concepts to familiar experience
- Success
in mastering content
Development of the 3-D Asthma Doll
- Need
for life-like 3-D model identified from experience teaching asthma
management at Camp RAD to explain abstract concept of “airway
swelling” to concrete thinkers
The
Model: “Radical Randy”
- Chest
opens, healthy airways on right, inflamed on left
- Miniature
“bronchioles” can be inflated (swollen), constricted
and filled with mucus
- Happy
and anxious face to illustrate feelings associated with airway
inflammation
- Written
lesson plan in English and Spanish with instructor guide, instructional
video
Model Effectiveness: Field Testing
- Phase
1 – children’s knowledge of asthma with a control
group
- Phase
2 – different teacher’s style on child asthma knowledge
with a control group
- Phase
3 – children’s asthma knowledge in school-based health
clinics
Results
|
Instruments
& Subjects
- 10-item
child Asthma Knowledge Test Administered pre and 2-3 weeks post
intervention
- 5-item
child satisfactory survey
- 11-item
teacher satisfaction survey
- Phase
1 & 2 – 60 healthy public school children, ages 7-12
years
- Phase
3 – 59 children from 3 school-based health clinics served
by Advanced Nurse Practitioners (APN)
Methodology
- Phase
1 & 2
- Stratified
age grouping for cognitive similarity
- 7-8,
9-10, & 11-12 y.o.
- Randomization:model
or control group/each age group
- Phase
3
- Three
APNs incorporated model into regular clinic practice over
a 3 month period
Intervention
- Objectives
of teaching plans:
- Asthma
is chronic
- Anatomy
of the airway
- Airway
changes during an asthma attack
- Patient
decisions to prevent airway inflammation
- Traditional
Class
- Hand
held pictures & props
- Model
Class
- 3-D
model, “Radical Randy”
Average
Child Satisfaction (5pt. Scale)
| Conclusions
- Children
preferred learning and teachers preferred teaching with
the model
- The
model was more effective with older rather than younger
children
- The
model was more effective in a clinic setting than in a school
setting
- The
strong visual imagery of the model provides an interesting
multisensory approach to teaching basic asthma concepts
to school-age children in English and Spanish.
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