A practitioner-based asthma intervention program with African American inner-city school children

Velsor-Friedrich, Barbara; Pigott, Theresa D; Srof, Brenda

doi:10.1016/j.pedhc.2004.12.002

Cited by 43 publications

(81 citation statements)

References 12 publications

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“…17 Overall, studies targeting this population have shown mixed results, with some indicating improvement in clinical measures, 17–19 while others found change primarily in non-clinical measures such as motivation, quality of life, or knowledge. 13–16, 35, 36 Further exploration of novel approaches to asthma management and outcomes for this population is needed.…”

Section: Discussionmentioning

confidence: 99%

A Pilot Study to Enhance Preventive Asthma Care among Urban Adolescents with Asthma

et al. 2011

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Background Low-income, minority teens have disproportionately high rates of asthma morbidity and are at high-risk for non-adherence to preventive medications. Objective To assess the feasibility and preliminary effectiveness of an innovative school-based asthma program to enhance the delivery of preventive care for 12–15 year olds with persistent asthma. We hypothesized that this intervention would; 1) be feasible and acceptable among this population, and 2) yield reduced asthma morbidity. Design/Methods Subjects/Setting Teens with persistent asthma and a current preventive medication prescription in Rochester, NY. Design Single group pre-post pilot study during the 2009–10 school year. Intervention Teens visited the school nurse daily for 6–8 weeks at the start of the school year to receive directly observed therapy (DOT) of preventive asthma medications; 2–4 weeks following DOT initiation, they received 3 counseling sessions (1 in-home and 2 via telephone) using motivational interviewing (MI) to explore attitudes about asthma management, build motivation for medication adherence, and support transition to independent preventive medication use. Primary Outcome Number of symptom-free days (SFDs)/2 weeks; outcome data were collected 2 months after baseline and at the end of school year. Results We enrolled 30 teens; 28 participated in the intervention. All teens initiated a trial of school-based DOT. All in-home MI visits were completed successfully, and 89% completed both follow-up sessions. Teens experienced an overall reduction of symptoms with more SFDs/2 weeks from baseline to 2-month and final (end of school year) assessments (8.71 vs. 10.79 vs. 12.89, respectively, p=.046 and .004). Teens also reported fewer days with symptoms, less activity limitation, and less rescue medication use (all p<.05). Exhaled nitric oxide levels decreased (p=.012), suggesting less airway inflammation. At the final assessment, teens reported significantly higher motivation to take their preventive medication every day (p=.043). At the end of the study, 79% of teens stated that they were better at managing asthma on their own, and 93% said they would participate in a similar program again. Conclusions This pilot study provides preliminary evidence of the feasibility and effectiveness of a novel school-based intervention to promote independence in asthma management and improve asthma outcomes in urban teens.

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Section: Discussionmentioning

confidence: 99%

A Pilot Study to Enhance Preventive Asthma Care among Urban Adolescents with Asthma

et al. 2011

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“…36 Asthma management education and skills training are vital for improved treatment and prevention of asthma. 40,41 Some factors shown to be associated with improved asthma care include having a primary care physician, an asthma specialist, a written action plan, and a follow-up visit 42 and believing the benefits of a treatment outweigh the risks. Evidence-based asthma guidelines, such as those of the NAEPP, 15 can be a powerful tool for reducing racial disparities because they consist of strict explicit protocols based on symptoms and not race and ethnicity.…”

Section: Discussionmentioning

confidence: 99%

The widening black/white gap in asthma hospitalizations and mortality

Gupta

Carrión-Carire

Weiss

2006

Journal of Allergy and Clinical Immunology

144

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“…Twenty-four studies focused on the severity of symptoms as an outcome measure [43,[49][50][51]54,56,[58][59][60][63][64][65][66][67]70,72,74,[76][77][78][79][80][81][82][83]. In general, SMI showed a trend in favor of the control condition.…”

Section: Outcome Measure Symptomsmentioning

confidence: 99%

Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

Bal

Sattoe

Roelofs

et al. 2016

Patient Education and Counseling

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Adherence could be improved through interventions focused on medical management, provided individually in a clinical or home setting by a mono-disciplinary team. Interventions focused on dealing with a chronic condition might be provided individually, through telemedicine programs facilitating peer-support. These intervention elements seemed effective irrespective of diagnosis, and may therefore act as good starting points for further research into and for improvement of self-management support for youth with chronic conditions in pediatric care. Results underlined the need to systematically develop and evaluate self-management interventions, since this may provide more evidence for effectiveness and effective intervention components.

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A practitioner-based asthma intervention program with African American inner-city school children

Cited by 43 publications

References 12 publications

A Pilot Study to Enhance Preventive Asthma Care among Urban Adolescents with Asthma

A Pilot Study to Enhance Preventive Asthma Care among Urban Adolescents with Asthma

The widening black/white gap in asthma hospitalizations and mortality

Exploring effectiveness and effective components of self-management interventions for young people with chronic physical conditions: A systematic review

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