September 2005 to July 2006
Bronchial Boogie has been running in Oldham for four years. Initiated in October 2002 a report on the pilot project was published in February 2004. The project provides asthma education and monitoring alongside breathing exercises and musical tuition on a wind instrument. It is a partnership between Oldham Primary Care Trust, Pennine Acute Trust, Oldham Children’s Fund and Oldham Music Service.
This report compiled in the autumn of 2006 is an update on the project based on questionnaires and children’s diaries comparing the children’s asthma experience in September 2005 with July 2006.
Statistics were collected from 45 children’s diaries and replies to 37 questionnaires were analysed. As in the first report, a significant improvement has been observed in the respiratory health of the Bronchial Boogie club members.
The children at Bronchial Boogie are checked weekly to see if they are experiencing any asthma symptoms of cough, wheeze, breathlessness and chest tightness, particularly during the night after exercise or any daytime symptoms. Of symptoms reported there was a 70% decrease in night symptoms and a 58% decrease in day symptoms. Symptoms experienced during exercise decreased by 54%.
When they joined Bronchial Boogie 51% of children were compliant with medication and at the end of the period 98% were compliant. 60% of children at the start had good inhaler technique this improved to 98%.
Only 48% of children had an emergency metered dose inhaler (MDI) and aerochamber in school, even though there is a policy in each school advocating this. Now every child attending Bronchial Boogie has their own emergency MDI and spacer in school, which is kept in an accessible area. 40% of children required a treatment change and 47% of the children needed the medication delivery device changed.
At the end of their first year attending the Bronchial Boogie Club all children had self-management skills and there was a 20% improvement in children attaining predicted peak flow measurements.
All children with asthma in any educational or pre-school setting should have emergency reliever inhalers kept at school. In the event of an exacerbation the inhalers should be easily accessible.
All children with asthma should be encouraged to attend their surgery’s asthma clinic at least twice yearly to ensure good technique with inhalers, compliance of inhaled therapy and that adequate asthma control is achieved. Education of asthma and its management should be on going.
School health nurses should ensure take up of Oldham Asthma School Policy in all schools in the Borough.
Pre-school organisations should be encouraged to attend the Pre-school Asthma Award and implement the policies it advocates.
Self-management of all asthmatic children should be encouraged. Information sessions for parents of asthmatic children should be available through both the school health advisors and practice nurses.
37 parents filled in questionnaires.
Before their children joined Bronchial Boogie 76% of the parents were either worried or very worried about their child’s asthma.
Following their child’s participation in Bronchial Boogie 86% of parents felt happy and the remaining 14% were unconcerned.
When asked about the asthma education and monitoring provided by the nurses 86% of parents felt that this had helped improve their child’s asthma.
“Asthma affects everyone in the family. Education for asthma is a brilliant way to help get the children involved in understanding their illness.”
“Since starting Bronchial Boogie she doesn’t need her inhaler as much. She doesn’t wake up in the middle of the night. She isn’t wheezy as much.”
“I am not as worried as the programme has shown me how to keep the asthma controlled. Now my son has asthma, asthma no longer has my son.”
“She is now more confident and knows when she needs to take her inhalers. She really enjoys playing the instrument and I really enjoy listening to her playing at home.”
“She is coughing less than before and regularly goes to school now and is not absent due to illness.”
“Her breathing is absolutely 10 times better than it’s ever been. Playing an instrument eases and calms her breathing.”
“He was really struggling with his rugby due to asthma attacks, he seemed to be coughing continually. It has made me realise how important it is to ensure he uses his inhalers regularly even when he is showing no symptoms. I feel we are now in control of his asthma.”
One school Headteacher wrote: The positives of this project are tremendous. It has been a joy to see the children make superb musical progress, whilst at the same time impacting on their health. As a result of the excellent work by the school nurses, health advisers and the Music Centre staff the children’s self esteem has grown considerably.
The Headteacher at another school commented: Excellent initiative. The absence rate of our asthmatic children has fallen. The children enjoy the sessions and we have many non-asthmatics who would love to join.
“Everything is good at BB. I play the trombone and I have really enjoyed it”
“I play the trombone and learn the notes even learned about asthma and sprays”
During the lifetime of the project new diaries have been devised to help in the collection of accurate statistics. A logo and identity has been designed and a resource pack developed for the use of all Bronchial Boogie staff.
This resource pack has been made available nationally and internationally via the website www.bronchialboogie.co.uk to anyone interested in promoting Bronchial Boogie Clubs.
Report compiled by Wendy M Andrew, Lynn M Daniel and Jackie Pye