ArticleJournal of urban health : bulletin of the New York Academy of Medicine2011
A community-based strategy for improving asthma management and outcomes for preschoolers.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Social Risk Interventions and Health Care Utilization for Pediatric Asthma: A Systematic Review and Meta-analysis.JAMA pediatrics · 2022Pooled it
- Implementing supported self-management for asthma: a systematic review and suggested hierarchy of evidence of implementation studies.BMC medicine · 2015Pooled it
- Comparative Effectiveness on Cognitive Asthma Outcomes of the SHARP Academic Asthma Health Education and Counseling Program and a Non-Academic Program.Research in nursing & health · 2015Trial
- Diabetes and prediabetes prevalence through a community-based screening initiative in Alqunfudah, Saudi Arabia.Future science OA · 2024Article
- Asthma-Related Knowledge and Practices among Mothers of Asthmatic Children: A Latent Class Analysis.International journal of environmental research and public health · 2022Article
- Evaluating the implementation of a multicomponent asthma education program for Head Start staff.The Journal of asthma : official journal of the Association for the Care of Asthma · 2019Article
- San Francisco childcare centers' preparedness in the prevention and management of asthma among preschool-aged children.The Journal of asthma : official journal of the Association for the Care of Asthma · 2016Article
- Development of a Tool to Evaluate Asthma Preparedness and Management in Child-Care Centers.Pediatric allergy, immunology, and pulmonology · 2015Article
- Impact of student pharmacist-delivered asthma education on child and caregiver knowledge.American journal of pharmaceutical education · 2014Article
- The impact of asthma health education for parents of children attending head start centers.Journal of community health · 2012Article
- Transforming the delivery of care in the post-health reform era: what role will community health workers play?American journal of public health · 2011Article
- Controlling Asthma in American Cities: major themes, persistent challenges, and next steps.Journal of urban health : bulletin of the New York Academy of Medicine · 2011Article
- Conceptual framework of the Controlling Asthma in American Cities Project.Journal of urban health : bulletin of the New York Academy of Medicine · 2011Article
- Using insurance laws to improve access to community-based asthma prevention.Public health reports (Washington, D.C. : 1974)Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Although almost one in ten (8.6%) preschool children has been diagnosed with asthma, few asthma management programs are designed for parents of preschool children. The Asthma Basics for Children program addressed this need in 2003-2008 by implementing a multi-layered approach that offered educational activities to center staff, parents, and children and PACE training to physicians in 31 Northern Manhattan daycare centers. Following program participation, 85% of parents reported reducing their child's triggers, 89% said it was easier to talk to their child's physician, and 80% were confident in their ability to manage their child's asthma. Children's any daytime symptoms dropped from 78% to 42%, any nighttime symptoms from 81% to 49%, any daycare absences from 56% to 38%, any asthma-related emergency department (ED) visits from 74% to 47%, and any asthma-related hospitalizations from 24% to 11% (p < .001 for all differences). Outcomes varied by level of exposure. In the Center-Only group (no parent participation), the only reduction was from 19% to 10% (McNemar = 3.77, p = .052) in hospitalizations. Children whose parents participated in the program had significant reductions in daycare absences (62% to 38%, McNemar = 11.1, p < .001), ED visits (72% to 43%, McNemar = 19.2, p < .001), and hospitalizations (24% to 11%, McNemar = 5.54, p = .018). Children whose parents and healthcare provider participated had the greatest improvements with asthma-related daycare absences dropping from 62% to 32% (McNemar = 9.8, p = .001), ED visits from 72% to 37% (McNemar = 14.4, p < .001), and hospitalizations from 35% to 15% (McNemar = 8.33, p = .003). This study demonstrates that a multi-layered approach can improve asthma outcomes among preschoolers with a combination of parent and provider education having the greatest impact.
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