Comparative effectiveness of SHARP on psychosocial acceptance of asthma
Kintner, E. K., Cook, G., Marti, C. N., Gomes, M., Meeder, L., & Van Egeren, L. A., (2015). Effectiveness of a school-based academic asthma education and counseling program on fostering acceptance of asthma in older school age students with asthma. Journal for Specialists in Pediatric Nursing, 20(1), 49-61. doi: 10.1111/jspn.12098
Whereas students in the academic and non-academic programs demonstrated improvement in aspects of acceptance; SHARP students demonstrated significant improvement in openness to sharing and connectedness with teachers over students in the control condition.
Comparative effectiveness of SHARP on use of asthma health promotion, prevention, and symptom management behaviors
Kintner, E. K., Cook, G., Marti, C. N., Allen, A., Stoddard, D., Harmon, P., Gomes, M., Meeder, L., & Van Egeren, L. A., (2015). Effectiveness of a school- and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school age students. Journal for Specialists in Pediatric Nursing, 20(1), 62-75. doi: 10.1111/jspn.12099
Whereas students in the academic and non-academic programs demonstrated improvement in episode management, risk reduction/prevention, and health promotion behaviors; SHARP students demonstrated increased improvement in episode management and risk reduction/prevention behaviors.
Comparative effectiveness of SHARP on knowledge of asthma and reasoning about symptom management
Kintner, E. K., Cook, G., Marti, C. N., Stoddard, D., Gomes, M., Harmon, P., & Van Egeren, L. A., (2015). Comparative effectiveness on cognitive outcomes of the SHARP academic asthma health education and counseling program and a non-academic program. Research in Nursing and Health. Published online ahead of print in Wiley Online Library (wileyonlinelibrary.com). doi: 10.1002/nur.21678
Students enrolled in the academic SHARP program demonstrated improvement in asthma knowledge and reasoning over students enrolled in the non-academic program. Knowledge advantages were retained at 24 months. Findings support delivery in schools of the SHARP academic health education program for students with asthma.
Feasibility and benefits of SHARP for students with asthma, their parents, school personnel, and community partners
Kintner, E. K., Cook, G. D., & Lewis, K. (2012). Feasibility and benefits of a school-based academic and counseling program for older school-age students with asthma. Research in Nursing and Health, 35 (5), 507-517. Advance online publication. doi: 10.1002/nur.21490
SHARP was deemed feasible by students, teachers, school nurses, school administrators, and community partners. Benefits were demonstrated by comparing pre-intervention to 1- and 12-month post-intervention scores of students who completed more than 70% of the 10 sessions. Statistically significant improvements in cognitive, behavioral, psychosocial, and quality of life outcomes were seen from pre-intervention to 1-month post-intervention. Control of asthma significantly improved from 1- to 12-month post-intervention.
Efficacy of SHARP on cognitive, psychosocial, behavioral, and quality of life outcomes
Kintner, E. K. & Sikorskii, A. (2009). Randomized clinical trial of a school-based academic and counseling program for older school-age students with asthma. Nursing Research, 58 (5), 321-331. doi: 10.1097/NNR.0b013e3181b4b60e
Compared with the usual care group, SHARP students demonstrated improved student knowledge of asthma, reasoning about asthma, use of risk reduction behaviors, and participation in life activities with large effect sizes. Improvements in use of episode management behaviors and acceptance of asthma outcomes were clinically significant with medium effect sizes.
Reasoning about Managing Asthma Symptoms
Assessing reasoning abilities for managing asthma symptoms
Kintner, E. K., Cook, G. D., Hull, L., & Meeder, L. (2013). Development and evaluation of an instrument to measure reasoning about managing asthma in older school-age children and adolescents. Journal of Nursing Measurement, 21 (3), 360-377. doi: 10.1891/1061- 37220.127.116.110
We developed and evaluated a 4-scenario instrument designed to measure reasoning abilities for managing asthma symptoms. The instrument is used to assess reasoning about symptom management and to evaluate reasoning abilities of SHARP students.
Asthma-Related Quality of Life Outcome
Accurately measuring level of unrestricted participation in life activities in students with asthma
Kintner, E. K. & Sikorskii, A. (2008). Reliability and construct validity of the Participation in Life Activities scale for children and adolescents with asthma: An instrument evaluation study. Health and Quality of Life Outcomes, 6 (43), 1-10. doi:10.1186/1477-7525-6-4
After developing the Participation in Life Activities Survey titled, My Favorite Things To Do , we confirmed the instrument accurately measured what we wanted to measure. The survey is used in school, clinic, and research settings.
Assessing if students with asthma are able to participate in their favorite activities
Kintner, E. K. (2008). Development and preliminary evaluation of the Participation in Life Activities Scale for children and adolescents with asthma: An instrument development study. Health and Quality of Life Outcomes, 6 (37), 1-11. doi:10.1186/1477-7525-6-3
Being able to do things other kids do is the desire of school-age students with asthma. We developed a survey to assess if students with asthma are able to participate in their most favorite activities. We confirmed that students could and would reliably complete the survey.
Acceptance of Asthma Model
Acceptance of asthma model guided development of the SHARP program
Kintner, E. K. (2007). Testing the Acceptance of Asthma Model with children and adolescents. Western Journal of Nursing Research, 29(4), 410-431. doi: 10.1177/0193945907299657
Kintner, E. K. (2004). Lack in relationship between acceptance and knowledge of asthma in school-aged children and early adolescents. Journal of the Society of Pediatric Nurses, 9(1), 5-14.
Kintner, E. K., (1996). Testing the school-age child and adolescent acceptance of asthma
model. Doctoral Dissertation. The University of Arizona. Tucson, AZ. Document Number: UMI Order PUZ9720695, Accession Number: 2000013828 Retrieved from http://hdl.handle.net/10150/282275
The specified model was a good fit with the data. Evidence guided development and evaluation of the SHARP program for older school age students with asthma.
Adolescent Lived-Experience with Asthma
Adolescents share their experiences in coming to accept asthma as a chronic condition
Kintner, E. K. (1997) Adolescent process of coming to accept asthma: A phenomenological study. Journal of Asthma, 34 (6), 547-561.
Adolescents with asthma identified as accepting of their condition were asked to share their experiences in coming to accept asthma. Findings revealed the essential structure of the process of coming to accept asthma as a chronic condition requiring ongoing monitoring and management. Results served as the basis for theory development and testing, instrument development and evaluation, and program development and testing.