Reducing Home Triggers for Asthma: The Latino Community Health Worker Approach

Martin, Molly A.; Hernández, Olivia Allende; Naureckas, Edward T.; Lantos, John D.

doi:10.1080/02770900600709781

Cited by 21 publications

(17 citation statements)

References 37 publications

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“…We also experienced excellent retention with the three-month (95% for the in-person interviews) and six-month (89% for the phone interviews) follow-up periods. This bolsters existing asthma research focusing on Latino caregiver education that has shown how home-based and school-based parental instruction by community educators can enhance knowledge acquisition and improve asthma outcomes [39][40][41]. These educational interventions involved one-on-one coaching with caregivers across a scheduling spectrum.…”

Section: Discussionmentioning

confidence: 77%

Findings from a community-based asthma education fair for Latino caregivers

et al. 2014

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Section: Discussionmentioning

confidence: 77%

Findings from a community-based asthma education fair for Latino caregivers

et al. 2014

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“…Fewer emergency department visits were observed as well, but the difference was not significant. A study by Martin et al 11 also…”

Section: Discussionmentioning

confidence: 98%

Impact of a Household Environmental Intervention Delivered by Lay Health Workers on Asthma Symptom Control in Urban, Disadvantaged Children With Asthma

et al. 2009

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Objectives. We examined whether a home-based educational and environmental intervention delivered by lay health educators would improve asthma symptom control in inner-city children with asthma. Methods. Children 2 to 16 years of age with diagnosed asthma and at least 1 asthma-related hospitalization or 2 emergency visits in the prior year were randomly assigned into 2 groups (immediate and delayed intervention) in a crossover study. Each group participated in the active phase (intervention) and the inactive phase. Outcomes included asthma symptoms, albuterol use, emergency department visits, hospitalizations, and trigger reduction. Results. A total of 264 primarily Black (94%) children were enrolled. The mean number of emergency visits decreased by 30% and inpatient visits decreased by 53% (P < .001) after the intervention. Reductions were seen in pests, presence of carpets in bedrooms, and dust. Nighttime wheezing was significantly reduced after the intervention in both groups (P < .001). Conclusions. Lay health educators effectively reduced asthma triggers and increased caregiver asthma knowledge, which resulted in reduced emergency department visits, hospitalizations, and asthma symptoms. The relationships formed between the caregivers and the lay health educators appeared to positively impact asthma outcomes in this disadvantaged population.

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“…Research interventions that test the efficacy of self-management interventions may wish to explore the added value of community level interventions that involve the entire family on asthma outcomes. [34]. Another potential research area is a comparison of the impact of a shared asthma action plan between adult patients and close family members versus a traditional asthma action plan focusing on the patient only.…”

Section: Discussionmentioning

confidence: 99%

“Looking out for each other”: a qualitative study on the role of social network interactions in asthma management among adult Latino patients presenting to an emergency department

et al. 2014

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The objective of this study was to identify the types of interactions between asthma patients and their social networks such as close family and friends that influence the management of asthma. Methods Participants were Latino adults presenting for a repeat visit to the emergency department for asthma treatment. Qualitative interviews were conducted with 76 participants. They were asked to describe the experiences of their social networks that have asthma and how interactions with these individuals influenced their own asthma management. Responses were transcribed and analyzed using Grounded Theory as a qualitative analytic approach. Responses were assigned codes; similar codes were grouped into concepts and then categorized to form overarching themes. Results Four themes emerged: 1) Perceptions of severity of asthma may be based on the experiences of social networks; 2) Economic factors may contribute to the sharing and borrowing of asthma medications between patients and their social networks; 3) Economic factors may contribute to using home remedies instead of prescribed medications; 4) Social network members may be unaware of the factors that trigger asthma and therefore, contribute to asthma exacerbations. Conclusion This study identified important social network interactions that may impact asthma management in Latino adults. These results can be used to broaden the current focus of asthma self-management programs to incorporate discussions on the role of social networks. A focus on social network interactions addresses the social epidemiology of asthma and advances our understanding of root causes that may underlie the high prevalence of asthma in many Latino communities.

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Reducing Home Triggers for Asthma: The Latino Community Health Worker Approach

Cited by 21 publications

References 37 publications

Findings from a community-based asthma education fair for Latino caregivers

Findings from a community-based asthma education fair for Latino caregivers

Impact of a Household Environmental Intervention Delivered by Lay Health Workers on Asthma Symptom Control in Urban, Disadvantaged Children With Asthma

“Looking out for each other”: a qualitative study on the role of social network interactions in asthma management among adult Latino patients presenting to an emergency department

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