Titre :
|
The Seattle-king county healthy homes project : A randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. (2005)
|
Auteurs :
|
KRIEGER (James-W) : USA. Public Health-Seattle & King County and the University of Washington School of Medicine and School of Public Health and Community Medicine. Seattle. ;
LIN SONG (.) : USA. Public Health-Seattle and King County. Seattle. ;
TAKARO (Tim-K) : USA. University of Washington School of Medicine. Seattle. ;
WEAVER (Marcia) : USA. University of Washington School of Public Health and Community Medicine. Seattle.
|
Type de document :
|
Article
|
Dans :
|
American journal of public health (vol. 95, n° 4, 2005)
|
Pagination :
|
652-659
|
Langues:
|
Anglais
|
Mots-clés :
|
Randomisation
;
Essai thérapeutique
;
Santé communautaire
;
Agent santé communautaire
;
Thérapeutique
;
Exposition
;
Asthme
;
Allergène
;
Eradication
;
Etats Unis
;
Amérique
;
Domicile
;
Appareil respiratoire [pathologie]
;
Bronchopneumopathie obstructive
;
Amérique du Nord
|
Résumé :
|
[BDSP. Notice produite par INIST-CNRS WSmOR0x7. Diffusion soumise à autorisation]. Objectives. We assessed the effectiveness of a community health worker intervention focused on reducing exposure to indoor asthma triggers. Methods. We conducted a randomized controlled trial with 1-year follow-up among 274 low-income households containing a child aged 4-12 years who had asthma. Community health workers provided in-home environmental assessments, education, support for behavior change, and resources. Participants were assigned to either a high-intensity group receiving 7 visits and a full set of resources or a low-intensity group receiving a single visit and limited resources. Results. The high-intensity group improved significantly more than the low-intensity group in its pediatric asthma caregiver quality-of-life score (P=005) and asthma-related urgent health services use (P=026). Asthma symptom days declined more in the high-intensity group, although the across-group difference did not reach statistical significance (P=138). Participant actions to reduce triggers generally increased in the high-intensity group. The projected 4-year net savings per participant among the high-intensity group relative to the low-intensity group were $189-$721. Conclusions. Community health workers reduced asthma symptom days and urgent health services use while improving caregiver quality-of-life score. Improvement was greater with a higher-intensity intervention.
|