Abstract: Objective: To design an asthma health education board game, explore its application effect on school-age children with asthma, and provide a reference for improving the disease management effect of these children. Methods: Based on literature review, an asthma health education board game was designed using "Snakes and Ladders" as the framework. A total of 68 school-age children with asthma from the pediatric outpatient department of a tertiary grade A hospital in Huai'an from February to June 2024 were conveniently selected and randomly divided into an intervention group (n=34) and a control group (n=34). The control group received routine health education (once weekly for 8 weeks), while the intervention group received an additional weekly board game intervention. The intervention effects were evaluated through a disease knowledge questionnaire, the Asthma Medication Adherence Scale, and the Childhood Asthma Control Test (C-ACT), and a satisfaction survey was conducted. Results: After the intervention, the disease knowledge score of the intervention group was significantly higher than that of the control group (P<0.001). Four months after the intervention, the medication adherence (4.66±0.34) and C-ACT score (25.02±1.88) of the intervention group were significantly higher than those of the control group (3.78±0.38 and 22.25±2.12 respectively), with statistically significant differences (P<0.001). The overall satisfaction rates of the children and parents in the intervention group with the game were 89.2% and 94.1% respectively. Conclusion: The asthma health education board game can effectively improve the disease knowledge, medication adherence, and asthma control levels in school-aged children with asthma, demonstrating high acceptability and practicality.

Key words: asthma; school-age children; health education; board game; medication adherence; childhood asthma control test