Adapting and implementing an evidence-based asthma counseling intervention for resource-poor populations

Thornton, Eleanor; Kennedy, Suzanne; Hayes-Watson, Claire; Krouse, Rebecca Z.; Mitchell, Herman; Cohn, Richard D.; Wildfire, Jeremy; Mvula, Mosanda M.; Lichtveld, Maureen Y.; Grimsley, Faye; Martin, William J.; Stephens, Kevin U.

doi:10.3109/02770903.2016.1155219

Cited by 10 publications

(6 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Among 152 studies in multiracial or multiethnic populations, 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , ...…”

Section: Resultsunclassified

Racial Health Equity and Social Needs Interventions

et al. 2023

View full text Add to dashboard Cite

ImportanceSocial needs interventions aim to improve health outcomes and mitigate inequities by addressing health-related social needs, such as lack of transportation or food insecurity. However, it is not clear whether these studies are reducing racial or ethnic inequities.ObjectiveTo understand how studies of interventions addressing social needs among multiracial or multiethnic populations conceptualize and analyze differential intervention outcomes by race or ethnicity.Evidence ReviewSources included a scoping review of systematic searches of PubMed and the Cochrane Library from January 1, 1995, through November 29, 2021, expert suggestions, and hand searches of key citations. Eligible studies evaluated interventions addressing social needs; reported behavioral, health, or utilization outcomes or harms; and were conducted in multiracial or multiethnic populations. Two reviewers independently assessed titles, abstracts, and full text for inclusion. The team developed a framework to assess whether the study was “conceptually thoughtful” for understanding root causes of racial health inequities (ie, noted that race or ethnicity are markers of exposure to racism) and whether analyses were “analytically informative” for advancing racial health equity research (ie, examined differential intervention impacts by race or ethnicity).FindingsOf 152 studies conducted in multiracial or multiethnic populations, 44 studies included race or ethnicity in their analyses; of these, only 4 (9%) were conceptually thoughtful. Twenty-one studies (14%) were analytically informative. Seven of 21 analytically informative studies reported differences in outcomes by race or ethnicity, whereas 14 found no differences. Among the 7 that found differential outcomes, 4 found the interventions were associated with improved outcomes for minoritized racial or ethnic populations or reduced inequities between minoritized and White populations. No studies were powered to detect differences.Conclusions and RelevanceIn this review of a scoping review, studies of social needs interventions in multiracial or multiethnic populations were rarely conceptually thoughtful for understanding root causes of racial health inequities and infrequently conducted informative analyses on intervention effectiveness by race or ethnicity. Future work should use a theoretically sound conceptualization of how race (as a proxy for racism) affects social drivers of health and use this understanding to ensure social needs interventions benefit minoritized racial and ethnic groups facing social and structural barriers to health.

show abstract

Section: Resultsunclassified

Racial Health Equity and Social Needs Interventions

et al. 2023

View full text Add to dashboard Cite

show abstract

“…First, each school should make an effort to develop and implement a systematic and coordinated management protocol for its asthmatic students. As suggested by the National Heart, Lung, and Blood Institute and Thornton et al, the protocol should contain a confidential list of asthmatic children, identified stimuli or triggers causing or worsening asthma and asthma medications the children take, and contact information. The protocol also should include an action plan for monitoring asthma, administering medications, and dealing with proper therapy for an early sign and emergency steps to a severe asthma episode.…”

Section: Implications For School Healthmentioning

confidence: 99%

Effect of Sociodemographics, Health‐Related Problems, and Family Structure on Chronic Absenteeism Among Children

Lim

Davis

Choi

et al. 2019

Journal of School Health

View full text Add to dashboard Cite

BACKGROUND From 5 to 7.5 million schoolchildren are chronically absent, defined as missing ≥15 days of school within a year. Students miss schools due to various reasons such as health, socioeconomic status, and environmental factors. We examined child's health and behavior, family structure, and sociodemographics to understand chronic absenteeism. METHODS The population included children ages 6 to 17 years from the Medical Expenditure Panel Survey years 2008‐2013. Multivariable logistic regressions were used to identify the risk factors of chronic absenteeism, adjusting for the complex sampling design. RESULTS Among sociodemographic variables, age ≥14 years, race/ethnicity, lower‐income family, public health insurance, US born, and speaking English at home were associated with absenteeism. Asians, Mexican Hispanics, and blacks have lower absenteeism than whites. Among health‐related variables, children using an inhaler for asthma, having behavioral problems, and less healthy than other children were more likely to be chronically absent. Among family variables, a smaller family size was a risk factor for absenteeism. CONCLUSIONS Asthma and behavioral problems were highly associated with chronic absenteeism. The identification of children at risk for chronic absenteeism will help the educational professionals identify the barriers to academic achievements and develop integrated educational interventions and policies to support disadvantaged children.

show abstract

“…ACs used the CARAT and ERAT output, along with the family's designated priorities, to create a patient-tailored, family-centered intervention. 6,13 ACs conducted at least 4 asthma counseling visits, with at least 1 held in the home. Each family was given an environmental kit similar to the EBI.…”

Section: Intervention Implementationmentioning

confidence: 99%

“…For example, rather than require that ACs have a master's degree in social work, HEAL employed ACs who held master's level education in diverse backgrounds. 13 HEAL also reduced the minimal number of intervention sessions (from ≥5 in person in the EBI to ≥2 in HEAL) 21 to reduce the demand placed on families, who were dealing with multiple conflicting priorities. Pre-post measures in HEAL demonstrated a significant reduction in symptom days (45% reduction; P < .001).…”

Section: Figurementioning

confidence: 99%