Spirometry Monitoring and Asthma Responsibility in Kids (SMARt-Kids): A Mixed-Methods Study.

IF 2 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2026-07-27 DOI:10.1016/j.pedhc.2026.06.014

Aymee Steidl, Jenna McHale, Stephen Harmon, Jennifer Sonney

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引用次数: 0

Abstract

Introduction: Asthma affects 4.6 million U.S. children, and home spirometry offers a promising monitoring tool, yet research on its use in children is limited. This study explored feasibility, acceptability, usability, barriers, facilitators, and management responsibility of home spirometry in school-aged children with persistent asthma.

Methods: A convergent mixed-methods design was used to assess home spirometry feasibility, acceptability, usability, and management responsibility in 11 parent-child dyads (children aged 7-11), sampled from a completed RCT (NCT04908384).

Results: Both parents and children found home spirometry feasible and acceptable. Parents valued real-time lung function tracking but identified usability issues and technological challenges as barriers. Responsibility scores indicated shared management, though interviews revealed predominantly parent-driven use.

Discussion: Home spirometry is feasible and acceptable for families with school-aged children with asthma; however, technological barriers complicate use. Family-centered education and integration of home spirometry into routine care may help clinicians detect early changes in asthma control.

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儿童（SMARt-Kids）的肺量监测和哮喘责任：一项混合方法研究。

简介：美国有460万儿童患有哮喘，家庭肺活量测定法提供了一种很有前景的监测工具，但其在儿童中的应用研究有限。本研究探讨了家庭肺活量测定在学龄儿童持续性哮喘中的可行性、可接受性、可用性、障碍、促进因素和管理责任。方法：采用融合混合方法设计，对11对父母-儿童（7-11岁）进行家庭肺活量测定的可行性、可接受性、可用性和管理责任评估，这些样本来自一项完整的随机对照试验（NCT04908384）。结果：家长和孩子都认为家庭肺活量测定是可行和可接受的。家长重视实时肺功能跟踪，但认为可用性问题和技术挑战是障碍。责任分数表明共享管理，尽管访谈显示主要是父母驱动的使用。讨论：家庭肺活量测定对于有学龄期哮喘儿童的家庭是可行和可接受的；然而，技术壁垒使其使用复杂化。以家庭为中心的教育和将家庭肺活量测定纳入常规护理可以帮助临床医生发现哮喘控制的早期变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.