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Wee Wheezers at Home

weehomeRibbon Wee Wheezers at Home is a validated asthma education program for parents of young children under the age of seven that is implemented in a home setting. The program consists of eight 90-minute sessions that are conducted by a home visitor over an eight-week period. Sessions are held in the home of the family in a one-on-one format or in a small family group setting.

The educational materials for families are tailored for a low-literacy adult (5th-grade reading level) and child audience and are culturally appropriate.

Program Goals

The program helps parents gain the knowledge, skills, and motivation necessary to recognize, prevent, and/or appropriately manage asthma symptoms; to use medical, educational, and interpersonal resources for information and support; communicate effectively with other adult caretakers and physicians; and promote general well-being of the family unit. The program also helps children learn basic asthma management skills.

Program Content

Lesson 1 – Introduction to asthma and program overview
Lesson 2 – Asthma Action Plan: Introduction
Lesson 3 – Understanding asthma medicines
Lesson 4 – Asthma Action Plan: Treatment of asthma symptoms
Lesson 5 – Controlling asthma triggers
Lesson 6 – Communicating about asthma
Lesson 7 – Review of asthma management concepts
Lesson 8 – Review of communicating about asthma

Program Materials

The Wee Wheezers at Home program kit includes the following materials packaged in a convenient box with carrying handle for easy transport to your program site:

  • Introduction to Wee Wheezers at Home Manual
  • Manual For Home Visitors
  • Manual for Families and Children
  • My Triggers: A Coloring Book
  • Instructor Videotape (for classroom viewing)
  • Companion Videotape (for at-home viewing)
  • Master copies handouts for reproduction
  • CD with all handouts, checklists, assessment forms, etc. in PDF files.

The manual introducing the program provides information on home visitor qualifications, training and supervision, recruiting program participants, evaluation, how to use the various program components, and planning and conducting the home visits. The manual for home visitors contains outlines, list of equipment and materials needed, and the scripts to use in conducting the eight education sessions with parents in their home setting.

Preparation of Home Visitors

Home visitors for this program should be health professionals (i.e. nurses, respiratory therapists, nurse practitioners, etc.) or others who have the following:

  • Interpersonal skills with both parents and young children;
  • Pediatric asthma management knowledge and experience;
  • Knowledge of child development issues; and
  • Experience with low-literacy and low-income populations.

The Introduction to Wee Wheezers at Home Manual provides information to assist sponsoring agencies to implement and maintain the program as well as suggestions on training home visitors on conducting home visits and teaching the program. Information is also provided to assist home visitors in teaching the program.

Program Development

Wee Wheezers at Home was adapted from the Wee Wheezers program by Josephine, Brown, PhD, Alice Demi, DNS, and Sandra Wilson, PhD for use with individual families. The educational materials for families were tailored to ensure cultural appropriateness, reduced to a 5th –grade reading level for adults and the content was distributed over eight lessons instead of the four in Wee Wheezers.

Program Validation

This validated program has demonstrated an increase in symptom-free days and improved caregiver quality of life. For more details on the research validating the Wee Wheezers at Home program, reference the following articles:

Brown JV, Bakeman R, Celano MP, Demi AS, Kobrynski L, Wilson SR. Home-based asthma education of young low-income children and their families. J Pediatr Psychol. 2002 Dec; 27(8):677-88.

Brown, JV, Demi AS, Celano MP, Bakeman R, Kibrynski L, Wilson SR. A home visiting asthma education program: challenges to program implementation. Health Education & Behavior. 2005 Feb; 32(1):42-56.

In addition, visit the following CDC Web site http://www.cdc.gov/asthma/interventions/children.htm and scroll down to Wee Wheezers at Home for more information.

$295.00 (Order #H-016C)
Additional Instructor Video (VHS): $8.00 each (Order #H-016IVE)
Additional Instructor Video (DVD): $8.00 each (Order #H-016IDE)
Additional Companion Video (VHS): $8.00 each (Order #H-016PVE)
Additional Companion Video (DVD): $8.00 each
(Order #H-016PDE)
Coloring Book and Action Plan Kit (set of 10): $30.00 (Order #H-016K)
Manual for Families and Children: $10.00 each (Order #H-016PM), $ 80.00 set of 10 (Order #H-016PM-10)

© Asthma and Allergy Foundation of America
www.aafa.org 1-800-7-ASTHMA