Health outcomes among african american and caucasian adults following a randomized trial of an asthma education program∗

Ford, Marvella E.; Havstad, Suzanne; Tilley, Barbara C.; Bolton, Mary Beth

doi:10.1080/13557858.1997.9961842

Cited by 35 publications

(38 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…35 The three studies that did not find a reduction in symptoms included Martin's social-work led group educational sessions with community health workers home visits, 24 Galbreath's telephone +/-RT home visits, 29 and Ford's multi-session ED-based intervention. 28 The results for selfmanagement (5/15) were more favorable; 24,26,27,31,33 all but one 24 found improvements in participants' self-management skills. Two pharmacist-based education interventions 26,31 showed absolute improvement of chambers (34 %), 26 PFMs (41 %), 26 and/or medication refills (41 %).…”

Section: 35mentioning

confidence: 94%

“…Of the five education-based studies that followed symptoms, 24,26,28,29,35 only two found improvements.…”

Section: Intervention Outcomesmentioning

confidence: 99%

“…35 Tatis' specialty clinic with asthma educator intervention 25 and three of four ED-based interventions showed slightly lessimpressive reductions. 28,34,36 The two interventions with non-significant findings, included Galbreath's respiratory nurse telephone education +/-home visits by RTs 29 and Ford's ED, multiple-session, group-based education. 28 Of the seven studies that followed hospital admissions, all but two 29,35 demonstrated absolute 25,31,36 or relative 30,32 reductions (41-88 %).…”

Section: Intervention Outcomesmentioning

confidence: 99%

“…28,34,36 The two interventions with non-significant findings, included Galbreath's respiratory nurse telephone education +/-home visits by RTs 29 and Ford's ED, multiple-session, group-based education. 28 Of the seven studies that followed hospital admissions, all but two 29,35 demonstrated absolute 25,31,36 or relative 30,32 reductions (41-88 %). All but Tatis' asthma educator strategy 25 showed reductions of ≥50 %, including the three inpatient interventions, [30][31][32] and Kelso's one-hour ED-based intervention.…”

Section: Intervention Outcomesmentioning

confidence: 99%

“…The education was provided in the outpatient, 25 29 or research staff. 36 All of the education was provided to the individual participant except for two of the ED-based interventions 28,35 and an outpatient pharmacist based intervention that utilized group sessions. 26 Several provided more than one session, including Galbreath's telephone plus home visit intervention, 29 all three inpatient interventions, [30][31][32] and all but one of the ED studies.…”

Section: Intervention Outcomesmentioning

confidence: 99%

See 4 more Smart Citations

Interventions to Improve Outcomes for Minority Adults with Asthma: A Systematic Review

et al. 2012

View full text Add to dashboard Cite

OBJECTIVES:To systematically review the literature to characterize interventions with potential to improve outcomes for minority patients with asthma. DATA SOURCES: Medline, PsycINFO, CINAHL, Cochrane Trial Databases, expert review, reference review, meeting abstracts. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND INTEVENTIONS: Medical Subject Heading (MeSH) terms related to asthma were combined with terms to identify intervention studies focused on minority populations. Inclusion criteria: adult population; intervention studies with majority of non-White participants. STUDY APPRAISAL AND SYNTHESIS OF METHODS:Study quality was assessed using Downs and Black (DB) checklists. We examined heterogeneity of studies through comparing study population, study design, intervention characteristics, and outcomes. RESULTS: Twenty-four articles met inclusion criteria. Mean quality score was 21.0. Study populations targeted primarily African American (n=14), followed by Latino/a (n=4), Asian Americans (n=1), or a combination of the above (n=5). The most commonly reported post-intervention outcome was use of health care resources, followed by symptom control and self-management skills. The most common intervention-type studied was patient education. Although less-than half were culturally tailored, language-appropriate education appeared particularly successful. Several system-level interventions focused on specialty clinics with promising findings, although health disparities collaboratives did not have similarly promising results. LIMITATIONS: Publication bias may limit our findings; we were unable to perform a meta-analysis limiting the review's quantitative evaluation. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS:Overall, education delivered by health care professionals appeared effective in improving outcomes for minority patients with asthma. Few were culturally tailored and one included a comparison group, limiting the conclusions that can be drawn from cultural tailoring. Systemredesign showed great promise, particularly the use of team-based specialty clinics and long-term follow-up after acute care visits. Future research should evaluate the role of tailoring educational strategies, focus on patient-centered education, and incorporate outpatient follow-up and/or a team-based approach.

show abstract