Community-based In-Home Environmental Intervention of Childhood Asthma in Hawaii

2016 ◽  
Vol 2016 (1) ◽  
Author(s):  
Tomas Tamulis
Keyword(s):  
Childhood Asthma ◽  
Environmental Intervention ◽  
Community Based

scholarly journals Community-based interventions for childhood asthma using comprehensive approaches: a systematic review and meta-analysis

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Mei Chan ◽  
Melinda Gray ◽  
Christine Burns ◽  
Louisa Owens ◽  
Susan Woolfenden ◽  
...  
Keyword(s):  
Systematic Review ◽  
Childhood Asthma ◽  
Action Plan ◽  
Controlled Trial ◽  
Meta Analysis ◽  
Mean Difference ◽  
Cochrane Library ◽  
Care Utilization ◽  
Community Based Interventions ◽  
Community Based

Abstract Objective We conducted a systematic review and meta-analysis to determine the effectiveness of comprehensive community-based interventions with ≥ 2 components in improving asthma outcomes in children. Methods A systematic search of Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Excerpta Medica Database (EMBASE), Cochrane Library and hand search of reference collections were conducted to identify any research articles published in English between 2000 and 2019. All studies reporting community-based asthma interventions with ≥ 2 components (e.g., asthma self-management education, home environmental assessment or care coordination etc.) for children aged ≤ 18 years were included. Meta-analyses were performed using random-effects model to estimate pooled odds ratio (OR) with 95% confidence intervals (CIs). Results Of the 2352 studies identified, 21 studies were included in the final analysis: 19 pre-post interventions, one randomised controlled trial (RCT) and one retrospective study. Comprehensive asthma programs with multicomponent interventions were associated with significant reduction in asthma-related Emergency Department (ED) visits (OR = 0.26; 95% CI 0.20–0.35), hospitalizations (OR = 0.24; 95% CI 0.15–0.38), number of days (mean difference = − 2.58; 95% CI − 3.00 to − 2.17) and nights with asthma symptoms (mean difference = − 2.14; 95% CI − 2.94 to − 1.34), use of short-acting asthma medications/bronchodilators (BD) (OR = 0.28; 95% CI 0.16–0.51), and increase use of asthma action plan (AAP) (OR = 8.87; 95% CI 3.85–20.45). Conclusion Community-based asthma care using more comprehensive approaches may improve childhood asthma management and reduce asthma related health care utilization.

scholarly journals A Community Based Participatory Approach to Training Young Adults to Design and Implement a Social Marketing Framed Lifestyle Intervention on Their College Campus

2018 ◽  
Vol 8 (3) ◽  
pp. 150 ◽  
Author(s):  
Melissa Olfert ◽  
Makenzie Barr ◽  
Kristin Riggsbee ◽  
Kendra Kattelmann ◽  
Krista Leischner ◽  
...  
Keyword(s):  
College Students ◽  
Lifestyle Intervention ◽  
Participatory Research ◽  
Social Marketing ◽  
Healthy Lifestyle ◽  
Community Based Participatory Research ◽  
College Campus ◽  
Research Approach ◽  
Environmental Intervention ◽  
Community Based

Background: Using a Community-Based Participatory Research (CBPR) approach may increase the likelihood of relevance and acceptability of the designed intervention, especially on a college campus. Furthermore, recruiting and training college students to design a social marketing framed healthy lifestyle intervention for their peers will allow the intervention to be tailored to the needs of the campus. Objectives: To describe the process of online-course training college students to develop a campus-based, social marketing health promotion intervention. Methods: Four universities recruited current college students (18+ y.o.) to develop a social marketing and environmental intervention (SMEI), which was completed during a 16-week, online/in-person hybrid semester course. Researchers and Extension professionals trained students to design 24 weeks of intervention events that would be implemented the upcoming year. Results: Seventy-eight students enrolled in the study and social marketing and environmental intervention course among the four intervention states (Florida = 30, South Dakota = 8, Tennessee = 13, West Virginia = 27); students were predominately Caucasian (65.8%), females (84.0%), and sophomore status in college (64.9%). Throughout the semester, students assessed their campus environments, set priorities, and developed weekly events and resources needed to implement the intervention on their campuses. By the end of the semester, with researcher support, students had designed 24 weeks of intervention events (marketing, recruiting, and implementation) focusing on nutrition/food/diet, physical activity, stress management, sleep, and time management. These events and resources were catalogued into a digital toolkit of instructions and activities for each week of intervention events. Conclusion: Using a Community-Based Participatory Research approach with college students interested in health allows for the development of an intervention that stems from grass roots efforts and is tailored to the acceptability and needs of their peers.

scholarly journals A CASE CONTROL STUDY ON DETERMINANTS OF CHILDHOOD ASTHMA IN SCHOOL CHIL-DREN OF CHITRADURGA CITY

2018 ◽  
Vol 10 (3) ◽  
pp. 39
Author(s):  
Prakruthi G. M. ◽  
Bharathi D. R. ◽  
Yogananda R.
Keyword(s):  
Childhood Asthma ◽  
Case Control Study ◽  
Case Control ◽  
Age Group ◽  
Community Based ◽  
Chi Square ◽  
Asthmatic Children ◽  
Chi Square Test ◽  
Strength Of Association ◽  
Control Study

Objective: Asthma is a chronic airway inflammatory disease in which many cells and cellular elements play a role often arising from allergies, subsequently cause shortness of breath, wheezing and coughing it affects children in different ways. To study the sociodemographic characteristics of asthmatic children and compare the predisposing factors of asthma in children.Methods: A Community based Case control study in selected schools in chitradurga for a period of 6 mo. A total of 90 children, among which 30 asthma children and 60 non asthma children were participated. Odds ratio will be calculated to know the strength of association. chi square test will be calculated to the significance.Results: A total of 90 children aged<14 y data. Female children are more exposed to asthma than male. In childhood asthma age group between 10-14years the age group of 10 y(26.7%) and 12 y (26.7%) were more exposed to the asthma.Conclusion: In Chitradurga city, the study area, is of no exception with regard to case control. From the total of 90 children selected for the study majority were found risk factors affected. It was due to their family history, exposure to pet animals, allergy, age group, BMI and sex.

Community-Based Care Coordination

2011 ◽  
Vol 12 (6_suppl_1) ◽  
pp. 52S-62S ◽  
Author(s):  
Sally Findley ◽  
Michael Rosenthal ◽  
Tyra Bryant-Stephens ◽  
Maureen Damitz ◽  
Marielena Lara ◽  
...  
Keyword(s):  
Health Care Providers ◽  
Care Coordination ◽  
Childhood Asthma ◽  
Health Workers ◽  
Action Plan ◽  
Emergency Department Visits ◽  
Care Providers ◽  
Community Based ◽  
School Based ◽  
Management Behaviors

Care coordination programs have been used to address chronic illnesses, including childhood asthma, but primarily via practice-based models. An alternative approach employs community-based care coordinators who bridge gaps between families, health care providers, and support services. Merck Childhood Asthma Network, Inc. (MCAN) sites developed community-based care coordination approaches for childhood asthma. Using a community-based care coordination logic model, programs at each site are described along with program operational statistics. Four sites used three to four community health workers (CHWs) to provide care coordination, whereas one site used five school-based asthma nurses. This school-based site had the highest caseload (82.5 per year), but program duration was 3 months with 4 calls or visits. Other sites averaged fewer cases (35 to 61 per CHW per year), but families received more (7 to 17) calls or visits over a year. Retention was 43% to 93% at 6 months and 24% to 75% at 12 months. Pre–post cross-site data document changes in asthma management behaviors and outcomes. After program participation, 93% to 100% of caregivers had confidence in controlling their child’s asthma, 85% to 92% had taken steps to reduce triggers, 69% to 100% had obtained an asthma action plan, and 46% to 100% of those with moderate to severe asthma reported appropriate use of controller medication. Emergency department visits for asthma decreased by 36% to 63%, and asthma-related hospitalizations declined by 26% to 78%. More than three fourths had fewer school absences. In conclusion, MCAN community-based care coordination programs improved management behaviors and decreased morbidity across all sites.

Reducing Childhood Asthma Through Community-Based Service Delivery--New York City, 2001-2004

2005 ◽  
Author(s):  
S. W. Nicholas ◽  
◽  
V. E. Hutchinson ◽  
B. Ortiz ◽  
S. Klihr-Beall ◽  
...  
Keyword(s):  
New York ◽  
New York City ◽  
Service Delivery ◽  
York City ◽  
Childhood Asthma ◽  
Community Based

scholarly journals Work-Related Asthma in Montreal, Quebec: Population Attributable Risk in a Community-Based Study

2008 ◽  
Vol 15 (8) ◽  
pp. 406-412 ◽  
Author(s):  
Ahmet Demir ◽  
Lawrence Joseph ◽  
Margaret R Becklake
Keyword(s):  
Childhood Asthma ◽  
Airway Hyperresponsiveness ◽  
Population Attributable Risk ◽  
Occupational Exposures ◽  
Attributable Risk ◽  
The Other ◽  
Skin Tests ◽  
Adult Onset ◽  
Community Based ◽  
Work Related

BACKGROUND: Occupational exposures are an important cause of adult-onset asthma but the population attributable risk percentage (PAR%) has been less frequently studied.OBJECTIVES: To examine the distribution and determinants of adult asthma in six centres across Canada using data gathered in a community-based study.METHODS: Data were gathered in a community survey of 2959 adults using the European Community Respiratory Health Survey Protocol. A subsample of 498 subjects completed detailed health and occupational questionnaires, methacholine challenge tests and allergy skin tests. Asthma was defined in three ways: current wheeze, asthma symptoms and/or medication, and airway hyperresponsiveness. Occupational exposures were classified as sensitizers or irritants. Associations between asthma and occupational exposures were examined using logistic regression analysis. Model selection was based on the findings for current wheeze, and the same model was applied to the other definitions of asthma.RESULTS: Fifty-six per cent of subjects reported ever having had occupational exposure to sensitizers, and 9.8% to irritants. Current wheeze was associated with exposure to irritants (PAR% 4.54%), and airway hyperresponsiveness was associated with exposure to sensitizers (PAR% 30.7%). Neither a history of childhood asthma, atopy, nor confining the analysis to adult-onset asthma affected these associations. Analysis of effect modification suggested two types of work-related asthma: one due to exposure to occupational sensitizers, and the other due to exposure to irritants.CONCLUSIONS: Detailed assessment of past and current exposures is essential in the investigation of work-related asthma. Childhood asthma reactivated or aggravated by work exposures is not easy to distinguish from asthma induced by work, a misclassification that could lead to an underestimation of work-induced asthma. This should be taken into account in jurisdictions in which persons with work-aggravated asthma are not eligible for workers’ compensation.

Reduction of Endotoxin and Glucan Exposures in The Louisa/Keokuk Environmental Intervention Project (LEIP) for Rural Childhood Asthma

2006 ◽  
Vol 117 (2) ◽  
pp. S215 ◽  
Author(s):  
P.S. Thorne ◽  
E.A. Chrischilles ◽  
A.K.W. Kuehl ◽  
K.M. Kelly ◽  
N. Metwali ◽  
...  
Keyword(s):  
Childhood Asthma ◽  
Environmental Intervention ◽  
Rural Childhood

scholarly journals A Community Based Participatory Approach to Training Young Adults to Design and Implement a Social Marketing Framed Lifestyle Intervention on their College Campus (Preprint)

2017 ◽  
Author(s):  
Melissa D. Olfert ◽  
Makenzie L. Barr ◽  
Kristin Riggsbee ◽  
Kendra K. Kattelmann ◽  
Krista Leischner ◽  
...  
Keyword(s):  
College Students ◽  
Lifestyle Intervention ◽  
Social Marketing ◽  
Time Management ◽  
Healthy Lifestyle ◽  
Community Based Participatory Research ◽  
College Campus ◽  
Environmental Intervention ◽  
Community Based ◽  
Grass Roots

BACKGROUND Using a Community-Based Participatory Research (CBPR) approach may increase the likelihood of relevance and acceptability of the designed intervention, especially on a college campus. Furthermore, recruiting and training college students to design and implement a social marketing framed healthy lifestyle intervention for their peers will allow the intervention to be tailored to the needs of the campus OBJECTIVE To describe the process of training college students to develop a campus-based, social marketing health promotion intervention METHODS Four universities recruited current college students (18+ y.o.) to develop a social marketing and environmental intervention (SMEI), which was completed during a 16-week semester course. Researchers and Extension professionals trained students to design 24 weeks of intervention events that would be implemented the upcoming year. RESULTS Seventy-eight students enrolled in the study and SMEI course among the four intervention states (FL=30, SD=8, TN=13, WV=27); students were predominately Caucasian (65.8%), females (84.0%), and sophomore status in college (64.9%). Throughout the semester, students assessed their campus environments, set priorities, and developed weekly events and resources needed to implement the intervention on their campuses. By the end of the semester, the students had designed 24 weeks of intervention events focusing on nutrition/food/diet, physical activity, stress management, sleep, and time management. SMEI students designed interactive events, advertisements, artwork, and social media posts for the intervention. These events and resources were catalogued into a digital toolkit of instructions and activities for each week of intervention events. CONCLUSIONS Training students to be social marketing and environmental interventionists via the CBPR process allows for the development of an intervention that stems from grass roots efforts and is tailored to the acceptability and needs of their peers. CLINICALTRIAL This study was prospectively registered in October 2016 on clinicaltrials.gov, NCT 02941497.

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