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A home visiting asthma education program: challenges to program implementation.

Josephine V Brown1, Alice S Demi, Marianne P Celano

  • 1Department of Psychology, Georgia State University, Atlanta, GA 30303-3083, USA. jvbrown@gsu.edu

Health Education & Behavior : the Official Publication of the Society for Public Health Education
|January 12, 2005
PubMed
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Nurse home visiting asthma education for low-income families improved learning for children with asthma. Caregiver factors, not child factors, predicted success, highlighting the need for flexible scheduling and broader support.

Area of Science:

  • Public Health
  • Pediatric Nursing
  • Health Disparities

Background:

  • Asthma is a significant health concern for young children, particularly in low-income African American communities.
  • Effective asthma education programs are crucial for improving health outcomes and reducing healthcare utilization.
  • Existing programs may not adequately address the unique needs and barriers faced by vulnerable populations.

Purpose of the Study:

  • To implement and evaluate a nurse home visiting asthma education program for low-income African American families.
  • To identify factors influencing the achievement of learning objectives within the program.
  • To inform future asthma education program development for similar populations.

Main Methods:

  • A nurse home visiting program delivering eight asthma education lessons was implemented.

Related Experiment Videos

  • Fifty-five low-income African American families with young children diagnosed with asthma participated.
  • Program completion and achievement of learning objectives were assessed, with factors influencing success analyzed.

    • Main Results:

    • 71% of participating families completed the eight-lesson program.
    • Caregiver factors (education, father/surrogate presence, neighborhood safety) predicted learning objective achievement.
    • Child factors (age, asthma severity) did not predict learning outcomes.
    • Scheduling conflicts between families and nurses were a primary implementation barrier.

    Conclusions:

    • Nurse home visiting asthma education can be effective, with caregiver and environmental factors playing a key role in success.
    • Future programs should incorporate fewer home visits, utilize telephone follow-ups, and address broader socioeconomic needs.
    • Addressing logistical barriers and socioeconomic determinants of health is essential for optimizing program effectiveness in low-income communities.