Effectiveness of a tele-nursing-based mothers’ intervention on asthma control and climate-induced adaptation practices in school children

Background Climate change exacerbates asthma in children, highlighting the need for caregiver-focused interventions. Tele-nursing offers a practical solution for educating and supporting mothers in asthma management and climate-related adaptation. Aim To estimate the effectiveness of a tele-nursing-based mothers’ intervention on asthma control and climate-related adaptation practices in school-aged children. Research hypothesis H (1): The tele-nursing intervention will lead to a statistically significant increase in climate-induced adaptation practice scores among mothers of school-aged children with asthma compared with their pre-intervention scores. H (2): Tele-nursing interventions for mothers will improve asthma control scores in school children by enhancing mothers’ climate-induced adaptation practices scores compared with pre-intervention levels. Methodology A quasi-experimental pre-post intervention design was conducted with 105 mother–child pairs from seven primary schools in Cairo. Eight validated tools assessed background characteristics, mothers’ digital competences, maternal knowledge, climate-induced adaptation practices, inhaler skills, children’s asthma control, emergency visits, and satisfaction with tele-nursing intervention. Results Following tele-nursing intervention, significant improvements were observed in maternal knowledge (↑27.6%), adaptation practices (↑25.7%), and children’s asthma control scores (increased by ↑3.54 points). Emergency visits decreased by ↓19.05%. The total mean satisfaction score with the tele-nursing service was high (83.28%). Conclusion The study findings confirmed the achievement of both research hypotheses. The tele-nursing interventions significantly improved mothers’ climate-induced adaptation practices and, in turn, improved asthma control in their school-aged children. Recommendations Integrate tele-nursing into standard asthma care at primary healthcare centers, community health clinics, and school health services.