PMID: 11904640Mar 21, 2002Paper

Peak flow meters in childhood asthma: parent report of use and perceived usefulness

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
Ann McMullenHarriet Kitzman

Abstract

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. 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. 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...Continue Reading

Citations

Oct 12, 2005·Current Allergy and Asthma Reports·Michael S Blaiss, Brandon Hill
Jan 21, 2010·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·Jane GarbuttRobert Strunk
Apr 3, 2002·Annals of Allergy, Asthma & Immunology : Official Publication of the American College of Allergy, Asthma, & Immunology·H Lorrie YoosKimberly Sidora
Feb 24, 2006·International Journal of Clinical Practice·P M GustafssonK F Rabe
Jul 12, 2005·Issues in Comprehensive Pediatric Nursing·Diane Knight
Mar 8, 2006·Current Opinion in Allergy and Clinical Immunology·Radha K Gandhi, Michael S Blaiss

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