The Impact of an Urban Home‐Based Intervention Program on Asthma Outcomes in Children

Sweet, Laura; Polivka, Barbara; Chaudry, Rosemary V.; Bouton, Philip

doi:10.1111/phn.12071

Cited by 29 publications

(26 citation statements)

References 18 publications

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“…Mattress covers were also used in 19 multicomponent intervention studies. [49][50][51][52]54,55,58,59,61,62,[65][66][67][68][69][70][71]74,76 In these studies no improvement was found for emergency department use (SOE: low), hospitalizations (SOE: high), or acute care visits (SOE: moderate). However, school absenteeism and missed activities decreased (SOE: low).…”

Section: Mattress Coversmentioning

confidence: 99%

“…There were no single-intervention studies examining mold removal. Six multicomponent studies examined mold removal [56][57][58][76][77][78] and found that asthma symptoms improved (SOE: low), but findings for other outcomes were inconclusive.…”

Section: Mold Removalmentioning

confidence: 99%

“…Thirteen multicomponent studies evaluated pest-control efforts. 49,52,54,55,[58][59][60][61][62]66,[74][75][76] The evidence was inconclusive for asthma control, medication use, and pulmonary physiology measures. Exacerbations were reduced when measured as a composite score (SOE: moderate), but no effect was observed for discrete measures, including emergency department visits (SOE: moderate) and hospitalizations (SOE: high).…”

Section: Pest Controlmentioning

confidence: 99%

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Effectiveness of indoor allergen reduction in asthma management: A systematic review

Leas

D’Anci

Apter

et al. 2018

Journal of Allergy and Clinical Immunology

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Single interventions were generally not associated with improvement in asthma measures, with most strategies showing inconclusive results or no effect. Multicomponent interventions improved various outcomes, but no combination of specific interventions appears to be more effective. The evidence was often inconclusive because of a lack of studies. Further research is needed comparing the effect of indoor allergen reduction interventions on validated asthma measures, with sufficient population sizes to detect clinically meaningful differences.

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Section: Mattress Coversmentioning

confidence: 99%

Section: Mold Removalmentioning

confidence: 99%

Section: Pest Controlmentioning

confidence: 99%

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Effectiveness of indoor allergen reduction in asthma management: A systematic review

Leas

D’Anci

Apter

et al. 2018

Journal of Allergy and Clinical Immunology

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“…In summary, these four studies do not demonstrate evidence of health benefits for clients from public health nurses using models or frameworks. No difference was found (SmithBattle et al, 2013), the change could not be attributed to the intervention (Tucker et al, 2011), additional elements were included than just the public health nursing intervention (Sweet et al, 2014), or the model applied was not adequately explained (Morgan et al, 2010). This review also highlights the lack of published literature over the last ten years which has attempted to measure the impact of public health nurses use of models or frameworks.…”

Section: Resultsmentioning

confidence: 99%

Models and frameworks that enable nurses to develop their public health practice—A scoping study

Ezhova

Sayer

Newland

et al. 2020

Journal of Clinical Nursing

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Aims and objectives This scoping review commissioned by the Public Health England, WHO collaborating Centre, aimed to explore the models and frameworks which enable nurses to develop their public health practice and deliver public health interventions to individuals, families and communities. Background There is a plethora of literature regarding the role, activities and scope of practice undertaken by public health nurses across the world. However, only two reviews have explored the models and frameworks used for public health nursing practice. Design The study drew upon an established framework with a narrative review drawing upon five methodological steps. Methods A search of databases, Medline, PsycINFO, Embase, CINHAL and British Nursing Index, was undertaken. The search took place between April 2018 and June 2018 retrieving 9,513 peer‐reviewed articles published from 2008. Results Ninety‐five studies were retrieved and analysed thematically. From an initial review of literature, two themes were identified: public health models used in practice and models used in public health education. Within the first theme, three subthemes were emerged: Characteristics of the interventions; Characteristics of the public health nurse; and Lack of measurable health benefits. Within the second theme, three subthemes were identified: Faculty and Students Working Together; The Experiential Academic Approach, and What works in Educating Nurses for Public Health. Conclusion The review identified that many models and frameworks are used in practice. However, within public health practice there is a limited evidence base and it fails to demonstrate that the frameworks and models developed for practice result in measurable health benefits on an individual or population level. However, within education innovative models were apparent with collaborative partnerships enabling preregistration nursing students to develop public health nursing competencies. Relevance to clinical practice Innovative approaches to education of preregistration nursing students could point the way forward for the delivery of public health nursing practice.

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“…Twenty-five RCTs, two nonrandomized trials with concurrent controls, 88,89 and three pre-post studies [90][91][92] examined interventions that bundled multiple allergen-avoidance strategies. Six of the 30 studies included application of an acaricide to carpeting.…”

Section: Studies Of Multicomponent Interventionsmentioning

confidence: 99%

Effectiveness of Indoor Allergen Reduction in Management of Asthma

Leas¹,

D’Anci²,

Apter³

et al. 2018

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Purpose of Review To evaluate the effectiveness of indoor allergen reduction interventions on asthma outcomes. Key Messages • Evidence for single interventions designed to reduce indoor allergen exposure on asthma outcomes is lacking. • Multicomponent interventions that bundle more than one strategy may improve some asthma outcomes, but it is unclear if specific combinations are more effective than others. • Multicomponent interventions that include high-efficiency particulate air-filtration (HEPA) vacuums or pest control reduce exacerbations and improve quality of life. • The evidence for both single and multicomponent interventions does not address many other important outcomes, including asthma-related health care utilization, pulmonary physiology, and asthma-related quality of life.

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The Impact of an Urban Home‐Based Intervention Program on Asthma Outcomes in Children

Abstract: This multifaceted home-based intervention decreased asthma triggers and improved asthma outcomes in children, and improved the quality of life of their caregivers.

Cited by 29 publications

References 18 publications

Effectiveness of indoor allergen reduction in asthma management: A systematic review

Effectiveness of indoor allergen reduction in asthma management: A systematic review

Models and frameworks that enable nurses to develop their public health practice—A scoping study

Effectiveness of Indoor Allergen Reduction in Management of Asthma

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