SCHOOL-BASED ASTHMA INTERVENTION PROGRAM

Project: Research project

Description

While validated guidelines exist for the management of childhood asthma,
effective asthma intervention in low-income populations suffers from poor
access to the health care and inadequate asthma education. The objectives
of this proposal are to determine if a standardized asthma intervention
program at school reduces asthma morbidity and if medical intervention
(drug therapy) combined with educational-behavioral intervention is
superior to medical intervention alone. In seven elementary schools
serving children of predominantly Hispanic, low-income families, 180 (5-8
year old) children with asthma will be identified and randomized into two
groups (60 children each) in which medical intervention will be compared
to medical intervention plus educational-behavioral intervention in a
cross-over design, and compared with a historical control group (60
children) receiving currently available community treatment. The
evaluations and interventions will take place at school using a mobile
health van. The duration of the interventions will be 12 months and their
short-term and carry-over effects will be assessed by measures of asthma
related morbidity (number of hospitalizations, ER visits, days absent from
school), quality of life, spirometry and peak-flow variability, growth and
regimen adherence. The relationship between outcome variables and
sociodemographics and environmental factors will also be examined. With
this approach we will determine if school-based medical and educational-
behavioral intervention programs are an effective means of reducing asthma
morbidity in and improving school attendance of children of low-income,
medically under-served families.
StatusFinished
Effective start/end date9/30/948/31/02

Funding

  • National Institutes of Health: $324,743.00
  • National Institutes of Health: $184,326.00
  • National Institutes of Health
  • National Institutes of Health

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Asthma
Morbidity
Spirometry
Poverty
Medical Schools
Hispanic Americans
Hospitalization
Quality of Life
Guidelines
Education
Drug Therapy
Control Groups
Mobile Health Units
Health Services Accessibility
Growth
Cross-Over Studies
Delivery of Health Care

ASJC

  • Medicine(all)
  • Immunology and Microbiology(all)