Journal article
Evaluation of Community Action Against Asthma : A Community Health Worker Intervention to Improve Children's Asthma-Related Health by Reducing Household Environmental Triggers for Asthma
Health education & behavior, Vol.35(3), pp.376-395
2008
DOI: 10.1177/1090198106290622
PMCID: PMC4676080
PMID: 17761540
Abstract
This article describes the evaluation of a community-based participatory research (CBPR) community health worker (CHW) intervention to improve children's asthma-related health by reducing household environmental triggers for asthma. After randomization to an intervention or control group, 298 households in Detroit, Michigan, with a child, aged 7 to 11, with persistent asthma symptoms participated. The intervention was effective in increasing some of the measures of lung function (daily nadir Forced Expiratory Volume at one second [p = .03] and daily nadir Peak Flow [p = .02]), reducing the frequency of two symptoms (“cough that won't go away,” “coughing with exercise”), reducing the proportion of children requiring unscheduled medical visits and reporting inadequate use of asthma controller medication, reducing caregiver report of depressive symptoms, reducing concentrations of dog allergen in the dust, and increasing some behaviors related to reducing indoor environmental triggers. The results suggest a CHW environmental intervention can improve children's asthma-related health, although the pathway for improvement is complex.
Details
- Title: Subtitle
- Evaluation of Community Action Against Asthma : A Community Health Worker Intervention to Improve Children's Asthma-Related Health by Reducing Household Environmental Triggers for Asthma
- Creators
- Edith A PARKER - Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, United StatesBarbara A ISRAEL - Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, United StatesThomas G ROBINS - Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, United StatesGraciela MENTZ - Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, United StatesXihong Lin - Department of Biostatistics, Harvard School of Public Health, Boston, United StatesWilma BRAKEFIELD-CALDWELL - Community Partner at Large, Community Action Against Asthma, Detroit, United StatesErminia RAMIREZ - Community Health and Social Services (CHASS), Detroit, United StatesKatherine K EDGREN - Student Health Services, University of Michigan, Ann Arbor, United StatesMaria SALINAS - National Community Development Institute, Detroit, United StatesToby C LEWIS - Department of Pediatrics, University of Michigan School of Medicine, Ann Arbor, United States
- Resource Type
- Journal article
- Publication Details
- Health education & behavior, Vol.35(3), pp.376-395
- DOI
- 10.1177/1090198106290622
- PMID
- 17761540
- PMCID
- PMC4676080
- NLM abbreviation
- Health Educ Behav
- ISSN
- 1090-1981
- eISSN
- 1552-6127
- Publisher
- Sage; Thousand Oaks, CA
- Language
- English
- Date published
- 2008
- Academic Unit
- Public Health Administration; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health
- Record Identifier
- 9984063121402771
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