Healthy Homes University: A Home-Based Environmental Intervention and Education Program for Families with Pediatric Asthma in Michigan

Largo, Thomas; Borgialli, Michele; Wisinski, Courtney L.; Wahl, Robert; Priem, Wesley F.

doi:10.1177/00333549111260s104

Cited by 31 publications

(19 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A small intervention study randomised a total of 160 HDM-sensitised children with asthma to either chemical, physical or both interventions or control and reported that children in the three intervention arms all had improvements of 2% predicted FEV 1 compared with control 28. A final intervention study, where there was no control arm and which was given a weak global rating and all 243 individuals were given a comprehensive allergen and educational intervention, found improved symptoms 6 months after intervention compared with baseline 29. One cohort study related grass pollen exposures to symptoms and rescue medication use in 430 children with asthma and reported associations among the subgroup of children in receipt of maintenance treatment and sensitised to grass 30.…”

Section: Resultsmentioning

confidence: 99%

Associations between environmental exposures and asthma control and exacerbations in young children: a systematic review

et al. 2014

View full text Add to dashboard Cite

ObjectiveTo complete a systematic review of the literature describing associations between all environmental exposures and asthma symptoms and exacerbations in children up to mean age of 9 years.DesignSystematic review.SettingReference lists of identified studies and reviews were searched for all articles published until November 2013 in electronic databases (MEDLINE, EMBASE, CINAHL, Cochrane Controls Trials Register).ParticipantsStudies were selected which examined a link between exposure to environmental factors and asthma symptoms and exacerbations where the study participants were children with a mean age of ⩽9 years.Primary and secondary outcome measuresIndices of asthma symptoms, control and exacerbations.ResultsA total of 27 studies were identified including eight where inhaled allergens and four where environmental tobacco smoke (ETS) were the exposures of interest. There was evidence that exposure to allergen, ETS, poor air quality and unflued heaters had a modest magnitude of effect (ORs between 2 and 3). There was also evidence of interactions observed between exposures such as allergen and ETS.ConclusionsExposure to inhaled allergens, ETS, unflued heaters and poor air quality has an important effect on exacerbations in young children with asthma and should be minimised or, ideally, avoided. Better understanding of the effect of exposure to damp housing, air conditioning and dietary factors plus interactions between environmental exposures associated with exacerbations is required.

show abstract

Section: Resultsmentioning

confidence: 99%

Associations between environmental exposures and asthma control and exacerbations in young children: a systematic review

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Seventy-five full-text articles were read. Forty-five studies were excluded for the following reasons: no relevant outcomes, 18 studies [38][39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55] ; the trial did not include a control group, 7 studies [56][57][58][59][60][61][62] ; the interventions were not aimed at parents of young children, 3 studies [63][64][65] ; the reporting period was ,1 month, 2 studies 66,67 ; data necessary for analysis were missing, 10 studies [68][69][70][71][72][73][74][75][76][77] ; the paper was a review article, 1 study 78 ; the article was a protocol, 2 studies 79,80 ; the article was a follow-up of a previous study, 1 study 81 ; there was no true control group (eg, 2 active interventions were compared), 1 study 82 .…”

Section: Description Of Studiesmentioning

confidence: 99%

Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Rosen¹,

Myers²,

Hovell

et al. 2014

Pediatrics

View full text Add to dashboard Cite

BACKGROUND AND OBJECTIVE: Worldwide, roughly 40% of children are exposed to the damaging and sometimes deadly effects of tobacco smoke. Interventions aimed at reducing child tobacco smoke exposure (TSE) have shown mixed results. The objective of this study was to perform a systematic review and meta-analysis to quantify effects of interventions aimed at decreasing child TSE.METHODS: Data sources included Medline, PubMed, Web of Science, PsycNet, and Embase. Controlled trials that included parents of young children were selected. Two reviewers extracted TSE data, as assessed by parentally-reported exposure or protection (PREP) and biomarkers. Risk ratios and differences were calculated by using the DerSimonian and Laird random-effects model. Exploratory subgroup analyses were performed.RESULTS: Thirty studies were included. Improvements were observed from baseline to follow-up for parentally-reported and biomarker data in most intervention and control groups. Interventions demonstrated evidence of small benefit to intervention participants at follow-up (PREP: 17 studies, n = 6820, relative risk 1.12, confidence interval [CI] 1.07 to 1.18], P , .0001). Seven percent more children were protected in intervention groups relative to control groups. Intervention parents smoked fewer cigarettes around children at follow-up than did control parents (P = .03). Biomarkers (13 studies, n = 2601) at follow-up suggested lower child exposure among intervention participants (RD 20.05, CI 20.13 to 0.03, P = .20).CONCLUSIONS: Interventions to prevent child TSE are moderately beneficial at the individual level. Widespread child TSE suggests potential for significant population impact. More research is needed to improve intervention effectiveness and child TSE measurement. KEY WORDS secondhand smoke exposure, tobacco smoke exposure, metaanalysis, systematic review, child ABBREVIATIONS CCR-cotinine/creatinine ratio CI-confidence interval CT-controlled trial PREP-parentally reported exposure or protection RCT-randomized controlled trial RD-relative difference RR-relative risk SHS-secondhand smoke THS-thirdhand smoke TSE-tobacco smoke exposure Dr Rosen conceptualized and designed the study, oversaw all aspects of the research, performed the systematic review of the literature, extracted data from the original studies, contributed to the statistical analysis, wrote sections of the manuscript, and edited the entire manuscript; Ms Myers contributed to systematically reviewing the literature, extracted data from the original articles, contributed to the data analysis, and contributed to the writing of the manuscript; Dr Hovell contributed to the design of the meta-analysis and interpretation of the data and edited the manuscript for scientific content; Dr Zucker assisted with various statistical issues in the analysis of the manuscript and edited the manuscript; Ms Ben Noach contributed to the design of the study, the systematic review of the literature, data extraction, data analysis, data interpretation, and writing of the m...

show abstract

“…Previous studies showed that caregiver knowledge of asthma and asthma treatment could improve asthma control and severity in children. 12 Therefore, caregivers were strongly encouraged (though not required) to attend the camps and participate in the educational activities with their children so they could reinforce key concepts at home and increase their own asthma knowledge. The camp setting provided adequate space for large groups of children and caregivers to receive formal education.…”

Section: Designmentioning

confidence: 99%

Impact of Student Pharmacist-Delivered Asthma Education on Child and Caregiver Knowledge

Elliott

Marcotullio

Skoner

et al. 2014

American Journal of Pharmaceutical Education

View full text Add to dashboard Cite

Objective. To evaluate the effectiveness of asthma education delivered by student pharmacists and to assess the impact of child and caregiver baseline asthma knowledge on asthma control in children. Design. Student pharmacists developed and implemented asthma self-management education interventions for children and their caregivers and performed asthma screenings for children at a series of asthma camps. Assessment. Eighty-seven children, ages 5-17 years, and their caregivers were enrolled in this study. A previously validated asthma questionnaire was modified to assess asthma knowledge among children and adults. Asthma knowledge increased significantly in children following participation in the education intervention (p,0.001). The education intervention, however, did not increase caregiver knowledge of asthma. A significant association was observed between caregiver baseline asthma knowledge and better asthma control in their children (p50.019). Conclusion. The results of this study demonstrate that student pharmacist-delivered asthma education can positively impact asthma knowledge in children, and that caregivers' knowledge of asthma is strongly correlated with better asthma control in their children.

show abstract

Healthy Homes University: A Home-Based Environmental Intervention and Education Program for Families with Pediatric Asthma in Michigan

Cited by 31 publications

References 19 publications

Associations between environmental exposures and asthma control and exacerbations in young children: a systematic review

Associations between environmental exposures and asthma control and exacerbations in young children: a systematic review

Meta-analysis of Parental Protection of Children From Tobacco Smoke Exposure

Impact of Student Pharmacist-Delivered Asthma Education on Child and Caregiver Knowledge

Contact Info

Product

Resources

About