Initiative Description: An instructional method was conducted in which school nurses taught children asthma self-management principles and skills, including peak flow monitoring, in 20-min, individual sessions over an 8-week period.

Study Results: Nurses reported that children who practiced breathing exercises had less anxiety during exacerbations, and the nurses’ knowledge of the children’s baseline peak expiratory flow rates facilitated care of the children.

Reference: Persaud D.I, Barnett S.E, Weller S.C, Baldwin C.D, Niebuhr V., McCormick D.P. (1996) An asthma self-management program for children, including instruction in peak flow monitoring by school nurses. J Asthma;33(1):37-43.

Level of Evidence: 2 out of 5 stars Good