The Asthma Awareness Patch Program for Girl Scouts: An Evaluation of Educational Effectiveness

BACKGROUND: Carefully designed educational programs can improve asthma knowledge, management practices, and health outcomes. We used pre-post testing to determine if the curriculum provided in the Girl Scouts of the USA Asthma Awareness Patch Program improved recipients' knowledge of basic respiratory system function, asthma pathophysiology, triggers, and asthma exacerbation recognition and management. We hypothesized that participants would have improved post-test scores following an interactive asthma educational program. METHODS: Girl Scouts ages 5-17 years from a 4-county area in northeastern Ohio were recruited. Educational components were in compliance with the guidelines established by the National Heart, Lung, and Blood Institute's National Asthma Education and Prevention Program. Participants completed a demographic form and pre-test before, and a post-test and program evaluation immediately following, the program. Descriptive statistics were used to report participant demographics. Frequencies and percentages described the participants' responses to pre- and post-test questions. Cronbach's alpha analysis determined internal consistency and reliability of post-test items. T tests assessed differences in pre-post scores. Fishers exact tests determined differences in proportions of responses, between the pre- and post-test time points. A P value of < 0.05 was considered statistically significant. RESULTS: Eighty-six girls, between Sand 16 years of age (mean +/- SD 8.97 +/- 2.36 y) participated, 84% of whom were white. Twenty-one percent of the participants were diagnosed and treated for asthma, 48% resided with an asthmatic, and 72% knew someone with asthma. The post-test scores (mean +/- SD 89.6 +/- 9.0) were significantly higher (P < .001) than the pre-test scores (62.5 +/- 20.8). A Cronbach alpha raw score of 0.448 and a standardized score of 0.518 were realized. CONCLUSIONS: The assessment tool demonstrated moderate internal reliability. Participation in the program enhanced participants' knowledge of lung function, trigger identification, asthma pathophysiology, and treatment.