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Dissertation
Evaluating Pediatric Asthma Education through a Health Literacy Lens
University of Iowa
Doctor of Nursing Practice (DNP), University of Iowa
Spring 2024
Abstract
Background: Poorly controlled asthma has long-term physical, psychosocial, and financial consequences. Low health literacy contributes to poor asthma control. Asthma control measures and literacy-considerate asthma action plans improve control and support self-efficacy. Purpose: The purpose of this project was to improve pediatric asthma care through implementation of guideline-based Asthma Control Tests (ACTs) or Childhood-Asthma Control Tests (C-ACTs) and pictorial asthma action plans (PAAPs). Methods: The setting for this project was a pediatric primary care clinic serving the region of Eastern Iowa. After an educational session on ACT/C-ACT and PAAP use, provider documentation of use was reviewed. Data was extracted monthly from electronic health records (EHRs) of patients with a diagnosis of asthma who were seen by site providers between November 2023 and February 2024 for a well-visit or an ill-visit for asthma exacerbation. A post-intervention provider questionnaire identified provider satisfaction, ease of integration, and routine use of ACTs/C-ACTs and PAAPs. Findings: Of 105 patients seen during project implementation, 8.57% (n=9) had ACT/C-ACT use documented in the EHR and 5.71% (n=6) had PAAP use documented in the EHR. Three of 10 providers completed the post-intervention questionnaire, with two indicating continued routine use of ACTs/C-ACTs and PAAPs. Discussion: An educational intervention on ACTs/C-ACTs and PAAPs in a pediatric primary care clinic in Eastern Iowa resulted in increased provider reported routine use of these tools. This finding is clinically significant as more children with asthma will receive guideline-based asthma care and demonstrates progress toward reducing health literacy barriers in asthma education.
Details
- Title: Subtitle
- Evaluating Pediatric Asthma Education through a Health Literacy Lens
- Creators
- Emily Denise Puetz - University of Iowa
- Contributors
- Daniel Crawford (Chair) - University of Iowa
- Resource Type
- Dissertation
- Project Type
- Poster
- Degree Awarded
- Doctor of Nursing Practice (DNP), University of Iowa
- Degree in
- Pediatric Nurse Practitioner (Primary Care)
- Date degree season
- Spring 2024
- Publisher
- University of Iowa
- Number of pages
- 1 page
- Copyright
- Copyright © 2024 Emily Denise Puetz
- Language
- English
- Academic Unit
- College of Nursing; Doctor of Nursing Practice Projects
- Record Identifier
- 9984627255102771
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