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final CMM Dissertation_Nov_3_ 2018.pdf (5.24 MB)

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COPE for Asthma: A Cognitive Behavioral Skills-Building Intervention for Children with Asthma and Anxiety

McGovern, Colleen M
http://rave.ohiolink.edu/etdc/view?acc_num=osu1541269539391523

Abstract Details

2018, Doctor of Philosophy, Ohio State University, Nursing.
Background & Purpose: In the United States, asthma affects 6.1 million children and is one of the most common causes of school absenteeism. Asthma is also a major public health issue, accounting for more than $56 billion in annual healthcare costs. Children with asthma are at higher risk of having anxiety/depression and subsequently, higher morbidity and mortality. Few intervention studies have specifically targeted children with asthma and anxiety/depressive symptoms and no scalable school-based interventions are in use. The purpose of this pilot study was to assess the feasibility and acceptability of a school-based, cognitive behavioral skills-building intervention on 8 – 12-year-old children with asthma and anxiety/depression. Methods: A one-group, pre/posttest with a 6-week follow-up post intervention was used to assess the feasibility, acceptability and preliminary effects of Creating Opportunities for Personal Empowerment (COPE) for Asthma on anxiety and depressive symptoms, asthma management self-efficacy, symptom perception, asthma illness representations, controller medication in 8 – 12-year old children with asthma and anxiety/depressive symptoms. Repeated measures ANOVA was used for variables using three time-points, while paired t-tests were used for comparisons using two time-points. Results: Thirty-two children participated in COPE for Asthma. Analyses indicated that COPE for Asthma is feasible for 8 – 12 year-old-children with asthma and anxiety. Significant reductions were found in anxiety, missed doses of the asthma controller medication, and the caregiver completed Pediatric Symptom Checklist, all with moderate to large effect sizes. Significant increases were found in Personal Beliefs, Child-Asthma Self Efficacy, Child Asthma Illness Representations, with moderate to large effect sizes. Conclusions: COPE for Asthma is highly feasible for small groups in the school setting and should be tested in a pilot randomized controlled trial to determine the effects when compared to a control group. COPE for Asthma could fill a gap in the need for a scalable intervention to improve the health outcomes of children with asthma and anxiety/depressive symptoms.
Bernadette Melnyk, PhD (Committee Chair)
Kimberly Arcoleo, PhD (Committee Co-Chair)
Barbara Warren, PhD (Committee Member)
Dawn Anderson-Butcher, PhD (Committee Member)
181 p.
Behavioral Sciences; Health; Health Sciences; Nursing
childhood asthma; asthma; school age; school based intervention; cognitive behavioral intervention; cognitive behavioral skills building; anxiety; mental health; childhood mental health; comorbid asthma and anxiety; intervention

Recommended Citations

Citations

  • McGovern, C. M. (2018). COPE for Asthma: A Cognitive Behavioral Skills-Building Intervention for Children with Asthma and Anxiety [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1541269539391523

    APA Style (7th edition)

  • McGovern, Colleen. COPE for Asthma: A Cognitive Behavioral Skills-Building Intervention for Children with Asthma and Anxiety. 2018. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1541269539391523.

    MLA Style (8th edition)

  • McGovern, Colleen. "COPE for Asthma: A Cognitive Behavioral Skills-Building Intervention for Children with Asthma and Anxiety." Doctoral dissertation, Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1541269539391523

    Chicago Manual of Style (17th edition)

osu1541269539391523
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This open access ETD is published by The Ohio State University and OhioLINK.