Abstract
Environmental intervention is the key components for pediatric asthma management, together with drug treatment and education. For the effective intervention, careful planning of instruction is needed. Planning procedures based on the theory of instructional design are as follows. 1. Setting up instruction and precondition. 2. Setting how to check impact of the environmental factor. 3. Setting which environmental condition should be checked. 4. Setting the goal of the instruction. 5. Setting contents of guidance. 6. Setting evaluation of the instruction. Hospitalization in asthma exacerbation is the best chance for educational intervention, because care givers have enough time. General environmental problems for pediatric asthma such as environmental tobacco smoking or mites in the bedding should take priority over individual problems. For the valid environmental intervention, it is important to keep evaluating the effect of environmental intervention with patient and caregivers as they are able to realize effectiveness and able to keep self-efficacy.
