A Multicomponent, Multi-Trigger Intervention to Enhance Asthma Control in High-Risk African American Children

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Ebell, Mark H. ; Hall, Stephanie Patrice ; Rustin, R. Chris ; Powell-Threets, Kia ; Munoz, Luis ; Toodle, Kia ; Meng, (Mary) Lu ; O’Connor, Jean
• Description:
  Introduction
  
  We evaluated the effectiveness and feasibility of implementation of a multicomponent, multi-trigger (MCMT) intervention through a public health department in a high risk population of African American children.
  
  Methods
  
  This was a pragmatic quasi-experimental pretest–posttest study. The population consisted of African American children enrolled in Medicaid and Children’s Medical Services who had poorly controlled asthma. The MCMT intervention included 4 educational sessions and home asthma trigger reduction. Parents reported outcomes at baseline and at 1 to 3 months, 6 months, and 12 months after the MCMT intervention. Analysis used the McNemar χ2 test and Student t test for paired observations. Data were collected during 2014 through 2016 in Augusta, Georgia.
  
  Results
  
  The number of children with asthma that was assessed as well controlled increased from 4 to 17 out of 20 (P < .001). Compared with baseline, at 12 months parents reported fewer days of school missed (6.4 vs 4.2, P = .01), fewer emergency department visits (1.7 vs 0.6, P = .02) and fewer hospitalizations (0.59 vs 0.18, P = .05). The most common environmental interventions were dust mitigation, getting a mattress or pillow protector, and cockroach mitigation.
  
  Conclusion
  
  An MCMT intervention in high risk African American children with poorly controlled asthma administered through the health department was associated with significant improvements in asthma control, days of school missed, and emergency department visits. Broader implementation of these strategies is warranted.
  
  
• Subjects:
  Original Research
• Source:
  Prev Chronic Dis. 16
• DOI:
  http://dx.doi.org/10.5888/pcd16.180387
• ISSN:
  1545-1151
• Pubmed ID:
  31146801
• Pubmed Central ID:
  PMC6549433
• Document Type:
  Journal Article
• Funding:
  U59 EH000520/EH/NCEH CDC HHS/United States
• Volume:
  16
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:478ee77711b4d3d0b99b8789ec9704f77821578d19ded50684da89a147655335186265c20c7519badb004e0def855464bf0331ea7105ca4f3f478386c0ba6176
• Download URL:
  https://stacks.cdc.gov/view/cdc/79566/cdc_79566_DS1.pdf
• File Type:
  [PDF - 279.26 KB ]