ArticleEnvironmental health perspectives2012
Implementation of evidence-based asthma interventions in post-Katrina New Orleans: the Head-off Environmental Asthma in Louisiana (HEAL) study.
Article in Environmental health perspectives, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 28 citations in OpenAlex.
- Adapting and implementing an evidence-based asthma counseling intervention for resource-poor populations.The Journal of asthma : official journal of the Association for the Care of Asthma · 2016Trial
- Classifying Building Roof Damage Using High Resolution Imagery for Disaster Recovery.Photogrammetric engineering and remote sensing · 2023Article
- Identifying and Describing Impact of Disasters on Non-Communicable Diseases: A Systematic Review.Iranian journal of public health · 2021Review
- Perspectives on the Health Effects of Hurricanes: A Review and Challenges.International journal of environmental research and public health · 2021Review
- A Community-Based Participatory Research Approach to Hurricane Katrina: When Disasters, Environmental Health Threats, and Disparities Collide.American journal of public health · 2020Article
- Do Baseline Asthma and Allergic Sensitization Characteristics Predict Responsiveness to Mouse Allergen Reduction?The journal of allergy and clinical immunology. In practice · 2020Article
- Recruitment and retention strategies for an urban adolescent study: Lessons learned from a multi-center study of community-based asthma self-management intervention for adolescents.Journal of adolescence · 2018Article
- Alterations in physique among young children after the Great East Japan Earthquake: Results from a nationwide survey.Journal of epidemiology · 2017Article
- NIAID, NIEHS, NHLBI, and MCAN Workshop Report: The indoor environment and childhood asthma-implications for home environmental intervention in asthma prevention and management.The Journal of allergy and clinical immunology · 2017Article
- From Design to Dissemination: Implementing Community-Based Participatory Research in Postdisaster Communities.American journal of public health · 2016Article
- Article
- Decreased pulmonary function measured in children exposed to high environmental relative moldiness index homes.The open respiratory medicine journal · 2013Article
- The Head-off Environmental Asthma in Louisiana (HEAL) study--methods and study population.Environmental health perspectives · 2012Article
- Few Associations Found between Mold and Other Allergen Concentrations in the Home versus Skin Sensitivity from Children with Asthma after Hurricane Katrina in the Head-Off Environmental Asthma in Louisiana Study.International journal of pediatrics · 2012Article
- Indoor Environmental Interventions for Furry Pet Allergens, Pest Allergens, and Mold: Looking to the Future.The journal of allergy and clinical immunology. In practiceReview
Corrections and comments
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Authors and funding
14 authors at 7 institutions in 1 country.
Funding
Abstract
backgroundChildhood asthma morbidity and mortality in New Orleans, Louisiana, is among the highest in the nation. In August 2005, Hurricane Katrina created an environmental disaster that led to high levels of mold and other allergens and disrupted health care for children with asthma.
objectivesWe implemented a unique hybrid asthma counselor and environmental intervention based on successful National Institutes of Health asthma interventions from the National Cooperative Inner City Asthma (NCICAS) and Inner-City Asthma (ICAS) Studies with the goal of reducing asthma symptoms in New Orleans children after Hurricane Katrina.
methodsChildren (4-12 years old) with moderate-to-severe asthma (n = 182) received asthma counseling and environmental intervention for approximately 1 year. HEAL was evaluated employing several analytical approaches including a pre-post evaluation of symptom changes over the entire year, an analysis of symptoms according to the timing of asthma counselor contact, and a comparison to previous evidence-based interventions.
resultsAsthma symptoms during the previous 2 weeks decreased from 6.5 days at enrollment to 3.6 days at the 12-month symptom assessment (a 45% reduction, p < 0.001), consistent with changes observed after NCICAS and ICAS interventions (35% and 62% reductions in symptom days, respectively). Children whose families had contact with a HEAL asthma counselor by 6 months showed a 4.09-day decrease [95% confidence interval (CI): 3.25 to 4.94-day decrease] in symptom days, compared with a 1.79-day decrease (95% CI: 0.90, 2.67) among those who had not yet seen an asthma counselor (p < 0.001).
conclusionsThe novel combination of evidence-based asthma interventions was associated with improved asthma symptoms among children in post-Katrina New Orleans. Post-intervention changes in symptoms were consistent with previous randomized trials of NCICAS and ICAS interventions.
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