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Asthma Management in Minority Children: Practical Insights for Clinicians, Researchers, and Public Health Planners CHES Continuing Education Self-Study Quiz

The NHLBI Office of Prevention, Education, and Control--a multiple event provider--has reviewed and approved Asthma Management in Minority Children: Practical Insights for Clinicians, Researchers, and Public Health Planners for continuing education credits in health education.

A certified health education specialist (CHES) may receive 2 credit hours in Category 1. To receive credit, answer the following questions after reading the publication. Circle the appropriate letter for each question on the answer sheet. Mail the completed answer sheet to:

Glen Bennett, MPH, CHES
National Heart, Lung, and Blood Institute
31 Center Drive, MSC 2480
Building 31, Room 4A03
Bethesda, MD 20824-2480

If at least 8 of your answers are correct, you will receive a certificate indicating 2 credit hours in Category 1.


1. Researchers found that patient education can be brief and simple. They recommended emphasizing which of the following key points?  
     
  a. Emphasize that asthma is a chronic disease and what that means.
  b. Point out that asthma episodes can be fatal.
  c. Teach patients of appropriate age and ability how to use a peak flow meter and how to monitor symptoms.
  d. All of the above.
  e. None of the above.
     
2. Researchers identified several barriers to implementation among health professionals. Which of the following was NOT mentioned as a barrier?  
     
  a. Many providers viewed asthma as an episodic disease and were reluctant to accept it as a chronic disease requiring preventive care.
  b. Providers feared that accepting the concept of preventive care for asthma would result in an unmanageable increase in patient load.
  c. Perception that patients would not maintain compliance with treatment.
  d. Lack of confidence in their ability to communicate effectively with patients and family.
  e. None of the above.
     
3. Researchers use incentives to recruit and retain participants in the studies. Which of the following was NOT mentioned as an incentive used?  
     
  a. Monetary reimbursements.
  b. Free movie tickets.
  c. Free meals.
  d. Bus tokens, cab vouchers, and travel money.
  e. Photographs taken at the first visit and given at a followup visit.
     
4. Which of the following was NOT mentioned as an interpersonal or communication factor that helped maintain participation in the studies?  
     
  a. Having bilingual staff members competent in dealing with Hispanic families.
  b. Working hard to be perceived as honest and trustworthy.
  c. Making it clear during enrollment that staff will be checking up on their compliance.
  d. Learning the names of family members and showing concern for them.
  e. Having an understanding of urban living and its effects on children and their parents.
     
5. Changing telephone numbers and interruptions in telephone service led to challenges in followup. Which of the following was NOT a strategy used by researchers to increase the response rate to their followup interviews?  
     
  a. Sending participants not reached by telephone a note with a toll-free number and the promise of $20 for calling in for followup.
  b. Employing a professional survey research firm to conduct telephone interviews.
  c. Sending trained interviewers to the homes of participants with disconnected telephones.
  d. Periodic checking of hospital records for updated information on some participants.
  e. Sending postcards to participants with disconnected telephones asking them to call in.
     
6. Which of the following techniques was used by one project to accomplish the strategy of peer modeling?  
     
  a. Role-playing by children in asthma education classes.
  b. Live drama using 6-12 year old actors/actresses.
  c. Videotapes using 6-12 year old actors/actresses.
  d. Scripted videotapes using asthmatic children.
  e. Unscripted videotapes using asthmatic children.
     
7. Which of the following was NOT a key lesson learned from the five projects funded under the National Heart, Lung, and Blood Institute?  
     
  a. Parents and their children have very little interest in formal asthma education classes.
  b. Regular home visits are necessary to reinforce asthma education.
  c. Lay personnel can be trained to develop and implement asthma education programs.
  d. Part-time salaries may not be sufficient to retain staff.
  e. It became necessary and appropriate to pay volunteers when initial recruitment proved unworkable.
     
8. Which of the following was NOT mentioned as a social and economic barrier that can inhibit implementation of an intervention?  
     
  a. Lack of money for medication, medical care, and travel expenses.
  b. Inability to maintain a vehicle for traveling long distances.
  c. Some patients were hesitant to use medications daily for fear of not having enough medication on hand in case of an emergency.
  d. Some patients were hesitant to admit if they did not understand instructions.
  e. Lack of pharmacies, especially 24-hour pharmacies, in the patient's neighborhood.
     
9. What technique or model was explicitly mentioned as being used by clinic teams to develop a strategy for dealing with perceived problems?  
     
  a. PRECEDE
  b. Nominal Group Planning Model
  c. Force Field Analysis
  d. Delphi Forecasting
  e. Artform Method
     
10. Which of the following Hispanic subgroups have the highest asthma prevalence and mortality?  
     
  a. Central Americans
  b. Cuban-Americans
  c. Mexican-Americans
  d. Puerto Ricans
  e. South Americans

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