|
|
 |
|
| |
| Ranking |
Evidence-Based Practice |
| Description |
Home-based multi-trigger, multicomponent interventions with an environmental focus for persons with asthma aim to reduce exposure to multiple indoor asthma triggers (allergens and irritants). These interventions involve home visits by trained personnel to conduct two or more activities. The programs in this review conducted environmental activities that included:
• Assessment of the home environment
• Changing the indoor home environment to reduce exposure to asthma triggers
• Education about the home environment
Most programs also included one or more of the following additional non- environmental activities
• Training and education to improve asthma self-management
• General asthma education
• Social services and support
• Coordinated care for the asthma client
The Community Preventive Services Task Force recommends the use of home-based multi-trigger, multicomponent interventions with an environmental focus for children and adolescents with asthma based on evidence of effectiveness in improving overall quality of life and productivity, specifically:
• Improving asthma symptoms
• Reducing the number of school days missed due to asthma |
| Results / Accomplishments |
Results from the Systematic Reviews:
Twenty-three studies qualified for the effectiveness review.
Among children and adolescents:
• Asthma symptom days: median decrease of 21 days per year (6 studies)
• School days missed: median decrease of 12 days per year (5 studies)
• Acute healthcare visits: combined median decrease of 0.57 visits per year (10 studies)
• Hospitalizations: median decrease of 0.4 hospitalizations per year
• Emergency department visits: median decrease of 0.2 visits per year
• Unscheduled office visits: median decrease of 0.5 visits per year
• Pulmonary function: overall, no significant improvement (7 studies) |
| Categories |
Health / Respiratory Diseases
|
| Source |
Community Guide Branch Epidemiology and Analysis Program Office, Centers for Disease Control and Prevention |
| Location |
Country: USA |
| Primary Contact |
communityguide@cdc.gov
|
| For more details |
http://www.thecommunityguide.org/index.html
http://www.thecommunityguide.org/asthma/multico...
|
| Target Audience |
Children, Teens |
| Back to Promising Practices Home |
|
|
|
|
| |
|
|
