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Home-based asthma education of young low-income children and their families
Josephine V Brown1, Roger Bakeman, Marianne P Celano
1Georgia State University, USA.
Objective:
To conduct a controlled trial of a home-based education program for low-income caregivers of young children with asthma.
Methods:
Participants were randomized to treatment-eight weekly asthma education sessions adapted from the Wee Wheezers program (n = 49)-or usual care (n = 46). Baseline and 3- and 12-month follow-up data were gathered from caregivers and from children's medical records.
Results:
Treatment was associated with less bother from asthma symptoms, more symptom-free days, and better caregiver quality of life at follow-up for children 1-3, but not those 4-6, years of age. Treatment and control groups did not differ in caregiver asthma management behavior or children's acute care utilization.
Conclusions:
This home-based asthma education program was most effective with younger children; perhaps their caregivers were more motivated to learn about asthma management. Targeting psychosocial factors associated with asthma morbidity might also enhance the efficacy of asthma education for these families.
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