Fidelity of a peer‐led asthma self‐management intervention and its attention control in a multisite study of urban adolescents Article Swipe
Hyekyun Rhee
,
Annette Grape
,
Laurene Tumiel‐Berhalter
,
Mona Newsome Wicks
,
Elizabeth Sloand
,
Arlene Butz
·
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1002/nur.22001
YOU?
·
· 2019
· Open Access
·
· DOI: https://doi.org/10.1002/nur.22001
In this paper we compare the fidelity of a Peer‐Led Asthma Self‐Management Program for Adolescents (PLASMA) and its attention control. A randomized controlled trial involving two groups—the PLASMA group and the attention control group—was conducted between 2015 and 2018. Adolescents 12–17 years old ( N = 259) in three cities in the United States received asthma self‐management education implemented at a day camp, followed by bi‐monthly, follow‐up contact for 12 months. Thirty‐five peer leaders and six adult educators implemented education sessions for the PLASMA and the attention control groups, respectively. The intervention was the peer‐led delivery of the content instead of the educational content itself. This study compares the extent to which the education sessions and follow‐up contacts were implemented in accordance with the study protocol by the peer and adult educators. Most topics on asthma knowledge and skills (85–95%) were delivered as intended at an adequate pace in both groups. Peer leaders missed more content in the psychosocial domain than adult educators—14% versus 0%, respectively ( t = −3.7; p = .010). PLASMA participants reported high content and time fidelity for all education sessions (94% to 97.6%). Greater success in bimonthly follow‐up contacts was reported in the attention control groups, with 4.6 ( ± 1.5) contacts on average compared to 2.6 (±2.02) in the PLASMA groups ( t = 9.02; p < .001). Most components of the asthma self‐management program were implemented with high fidelity in both groups. The relatively low fidelity in delivering psychosocial content and performing follow‐up contacts in the PLASMA groups underscores the need for intensive training to enhance peer leaders' competency with managing these aspects of PLASMA to maximize fidelity. Peer leaders can implement asthma self‐management educational components of the intervention with high fidelity similar to adult educators.
Related Topics
Concepts
Peer group
Fidelity
Asthma
Medicine
Psychosocial
Randomized controlled trial
Pace
Intervention (counseling)
Self-management
Curriculum
Psychology
Nursing
Developmental psychology
Internal medicine
Pedagogy
Psychiatry
Computer science
Geography
Engineering
Electrical engineering
Geodesy
Machine learning
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1002/nur.22001
- OA Status
- green
- Cited By
- 11
- References
- 31
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2992179032
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2992179032Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1002/nur.22001Digital Object Identifier
- Title
-
Fidelity of a peer‐led asthma self‐management intervention and its attention control in a multisite study of urban adolescentsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2019Year of publication
- Publication date
-
2019-12-03Full publication date if available
- Authors
-
Hyekyun Rhee, Annette Grape, Laurene Tumiel‐Berhalter, Mona Newsome Wicks, Elizabeth Sloand, Arlene ButzList of authors in order
- Landing page
-
https://doi.org/10.1002/nur.22001Publisher landing page
- Open access
-
YesWhether a free full text is available
- OA status
-
greenOpen access status per OpenAlex
- OA URL
-
https://www.ncbi.nlm.nih.gov/pmc/articles/7047519Direct OA link when available
- Concepts
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Peer group, Fidelity, Asthma, Medicine, Psychosocial, Randomized controlled trial, Pace, Intervention (counseling), Self-management, Curriculum, Psychology, Nursing, Developmental psychology, Internal medicine, Pedagogy, Psychiatry, Computer science, Geography, Engineering, Electrical engineering, Geodesy, Machine learningTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
11Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 2, 2024: 1, 2023: 1, 2022: 2, 2021: 3Per-year citation counts (last 5 years)
- References (count)
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31Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.involving | 25 |
| abstract_inverted_index.knowledge | 137 |
| abstract_inverted_index.(85–95%) | 140 |
| abstract_inverted_index.Peer‐Led | 10 |
| abstract_inverted_index.accordance | 122 |
| abstract_inverted_index.competency | 266 |
| abstract_inverted_index.components | 226, 283 |
| abstract_inverted_index.controlled | 23 |
| abstract_inverted_index.delivering | 245 |
| abstract_inverted_index.educators. | 132, 293 |
| abstract_inverted_index.peer‐led | 95 |
| abstract_inverted_index.performing | 249 |
| abstract_inverted_index.randomized | 22 |
| abstract_inverted_index.relatively | 241 |
| abstract_inverted_index.Adolescents | 15, 40 |
| abstract_inverted_index.educational | 103, 282 |
| abstract_inverted_index.follow‐up | 67, 117, 193, 250 |
| abstract_inverted_index.group—was | 34 |
| abstract_inverted_index.implemented | 59, 79, 120, 233 |
| abstract_inverted_index.underscores | 256 |
| abstract_inverted_index.groups—the | 27 |
| abstract_inverted_index.intervention | 92, 286 |
| abstract_inverted_index.participants | 175 |
| abstract_inverted_index.psychosocial | 159, 246 |
| abstract_inverted_index.respectively | 166 |
| abstract_inverted_index.Thirty‐five | 72 |
| abstract_inverted_index.bi‐monthly, | 66 |
| abstract_inverted_index.respectively. | 90 |
| abstract_inverted_index.educators—14% | 163 |
| abstract_inverted_index.Self‐Management | 12 |
| abstract_inverted_index.self‐management | 57, 230, 281 |
| cited_by_percentile_year.max | 97 |
| cited_by_percentile_year.min | 89 |
| corresponding_author_ids | https://openalex.org/A5066778375 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 6 |
| corresponding_institution_ids | https://openalex.org/I5388228 |
| citation_normalized_percentile.value | 0.75944499 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |