PMID- 11904640
OWN - NLM
STAT- MEDLINE
DCOM- 20020730
LR  - 20071115
IS  - 0891-5245 (Print)
IS  - 0891-5245 (Linking)
VI  - 16
IP  - 2
DP  - 2002 Mar-Apr
TI  - Peak flow meters in childhood asthma: parent report of use and perceived 
      usefulness.
PG  - 67-72
AB  - INTRODUCTION: Peak flow meters (PFMs) in children with moderate to severe asthma 
      have been used to monitor changes in asthma status and inform treatment 
      decisions. However, their usefulness and the likelihood of their long-term use by 
      families remains controversial. METHODS: One hundred sixty-eight children ages 6 
      to 19 years were enrolled in a longitudinal randomized clinical trial to evaluate 
      the impact of 3 different intensities of symptom monitoring on diverse clinical 
      outcomes: subjective symptom monitoring, symptom-time PFM monitoring, and daily 
      PFM monitoring. RESULTS: At 3 months after the intervention, 90% of parents and 
      82% of children surveyed perceived a benefit to the monitoring method taught, 
      regardless of group assignment. Ninety-three percent of parents but only 71% of 
      children planned to continue that method. At 1 year after exiting from the study, 
      69% continued to use a PFM; 30% had discontinued use. No group differences 
      existed in frequency of PFM use between symptom-time and daily users (x = 4.36 vs 
      x = 4.31 times per month). Predictors of continued PFM use included greater 
      frequency of symptoms and younger age. Those discontinuing use believed that it 
      added no additional information to assist in management, using it was a 
      chore/burden, it was not available when needed, and the child's asthma had 
      improved. DISCUSSION: Families will probably use a PFM to inform management 
      during symptomatic times. Daily use is not perceived as useful by most families 
      and is likely to be an unrealistic expectation for most children. J Pediatr 
      Health Care.
FAU - McMullen, Ann H
AU  - McMullen AH
AD  - University of Rochester School of Nursing, Rochester, NY 14642, USA.
FAU - Yoos, H Lorrie
AU  - Yoos HL
FAU - Kitzman, Harriet
AU  - Kitzman H
LA  - eng
GR  - NR 04351-03/NR/NINR NIH HHS/United States
GR  - NR04351-02S1/NR/NINR NIH HHS/United States
PT  - Clinical Trial
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - J Pediatr Health Care
JT  - Journal of pediatric health care : official publication of National Association 
      of Pediatric Nurse Associates & Practitioners
JID - 8709735
MH  - Adolescent
MH  - Adult
MH  - Asthma/diagnosis/*physiopathology/prevention & control
MH  - Child
MH  - Female
MH  - Health Surveys
MH  - Humans
MH  - Male
MH  - Monitoring, Physiologic/*instrumentation
MH  - Parents
MH  - Patient Acceptance of Health Care
MH  - Patient Compliance
MH  - Patient Education as Topic
MH  - Peak Expiratory Flow Rate/*physiology
MH  - Rheology/instrumentation
MH  - Self Care
MH  - Treatment Outcome
EDAT- 2002/03/21 10:00
MHDA- 2002/07/31 10:01
CRDT- 2002/03/21 10:00
PHST- 2002/03/21 10:00 [pubmed]
PHST- 2002/07/31 10:01 [medline]
PHST- 2002/03/21 10:00 [entrez]
AID - S0891524502593512 [pii]
PST - ppublish
SO  - J Pediatr Health Care. 2002 Mar-Apr;16(2):67-72.