Reducing Quality-of-Care Disparities in Childhood Asthma:<i>La Red de Asma Infantil</i>Intervention in San Juan, Puerto Rico

Lara, Marielena; Ramos-Valencia, Gilberto; González-Gavillán, Jesús A; López-Malpica, Fernando; Morales-Reyes, Beatriz; Marín, Heriberto; Rodríguez-Sánchez, Mario H; Mitchell, Herman

doi:10.1542/peds.2012-1427d

Cited by 14 publications

(22 citation statements)

References 28 publications

(39 reference statements)

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“…There were 5 CEA, 1 CUA, 4 CBA and 5 CCA studies included. Of these, 7 were randomized control trials, 3 before and after studies, 2 model‐based studies, 2 cohort studies and 1 quasiexperimental study …”

Section: Resultsmentioning

confidence: 99%

“…Population groups chosen were mostly children‐focused with 1 adult‐only study, and combination of the 2 . Only 7 studies stated the ethnic background of the populations chosen, with 5 of those representing a mixed ethnic population …”

Section: Resultsmentioning

confidence: 99%

“…Interventions compared were mainly educational based provided by school, health professionals or environmental assessors; asthma management based using applications and/or at‐risk registers; and environmental based …”

Section: Resultsmentioning

confidence: 99%

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Economic evidence for nonpharmacological asthma management interventions: A systematic review

Crossman-Barnes

Peel

Fong-Soe-Khioe

et al. 2017

Allergy

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Asthma management, education and environmental interventions have been reported as cost‐effective in a previous review (Pharm Pract (Granada), 2014;12:493), but methods used to estimate costs and outcomes were not discussed in detail. This review updates the previous review by providing economic evidence on the cost‐effectiveness of studies identified after 2012, and a detailed assessment of the methods used in all identified studies. Twelve databases were searched from 1990 to January 2016, and studies included economic evaluations, asthma subjects and nonpharmacological interventions written in English. Sixty‐four studies were included. Of these, 15 were found in addition to the earlier review; 53% were rated fair in quality and 47% high. Education and self‐management interventions were the most cost‐effective, in line with the earlier review. Self‐reporting was the most common method used to gather resource‐use data, accompanied by bottom‐up approaches to estimate costs. Main outcome measures were asthma‐related hospitalizations (69%), quality of life (41%) and utility (38%), with AQLQ and the EQ‐5D being the most common questionnaires measured prospectively at fixed time points. More rigorous costing methods are needed with a more common quality of life tool to aid greater replicability and comparability amongst asthma studies.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Economic evidence for nonpharmacological asthma management interventions: A systematic review

Crossman-Barnes

Peel

Fong-Soe-Khioe

et al. 2017

Allergy

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“…For youth in "home settings," a more comprehensive intervention should occur. Quality improvement interventions including in-home visits, home/environmental evaluations and education have worked in home intervention programs (Britto et al, 2014;Crocker et al, 2011;Lara et al, 2013;Thyne, Rising, Legion, & Love, 2006;Turcotte, Alker, Chaves, Gore, & Woskie, 2014;Turyk et al, 2013;Woods et al, 2012) and could be adapted for this population. For youth in congregate care, a different but similar approach should be applied for these facilities including: direct training of asthma management for all shift personnel, ensuring all youth have asthma action plans, finding medical homes near the facility that could provide on-going primary and minor acute care for these youth, immediate follow up with the medical home after an ED visit or hospitalization, environmental evaluations of congregate care facilities and contractual agreements between the child welfare agency and congregate care facilities to ensure all agreed upon improvements are followed through.…”

Section: Discussionmentioning

confidence: 99%

Do children in foster care receive appropriate treatment for asthma?

Jaudes

Bilaver

Champagne

2015

Children and Youth Services Review

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“… a Data collected using previously tested survey items [30] based on the NCQA HEDIS criteria for persistent asthma [31,32] and NHLBI for mild, moderate, and severe persistent asthma [15]. …”

Section: Figurementioning

confidence: 99%

Development of a measure of asthma-specific quality of life among adults

et al. 2013

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Purpose A key goal in asthma treatment is improvement in quality of life (QoL), but existing measures often confound QoL with symptoms and functional impairment. The current study addresses these limitations and the need for valid patient-reported outcome measures by using state-of-the-art methods to develop an item bank assessing QoL in adults with asthma. This article describes the process for developing an initial item pool for field testing. Methods Five focus group interviews were conducted with a total of 50 asthmatic adults. We used “pile sorting/binning” and “winnowing” methods to identify key QoL dimensions and develop a pool of items based on statements made in the focus group interviews. We then conducted a literature review and consulted with an expert panel to ensure that no key concepts were omitted. Finally, we conducted individual cognitive interviews to ensure that items were well understood and inform final item refinement. Results 661 QoL statements were identified from focus group interview transcripts and subsequently used to generate a pool of 112 items in 16 different content areas. Conclusions Items covering a broad range of content were developed that can serve as a valid gauge of individuals’ perceptions of the effects of asthma and its treatment on their lives. These items do not directly measure symptoms or functional impairment, yet they include a broader range of content than most existent measures of asthma-specific QoL.

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Reducing Quality-of-Care Disparities in Childhood Asthma:La Red de Asma InfantilIntervention in San Juan, Puerto Rico

Cited by 14 publications

References 28 publications

Economic evidence for nonpharmacological asthma management interventions: A systematic review

Economic evidence for nonpharmacological asthma management interventions: A systematic review

Do children in foster care receive appropriate treatment for asthma?

Development of a measure of asthma-specific quality of life among adults

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