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A culturally competent asthma management intervention: a randomized controlled pilot study
Martin J La Roche1, Daphne Koinis-Mitchell, Leyla Gualdron
1Harvard Medical School at the Children's Hospital, Boston, Massachusetts, USA. Martin.Laroche@Childrens.Harvard.edu
Summary
The Multifamily Asthma Group Treatment (MFAGT) effectively reduced emergency department visits and improved asthma knowledge in minority inner-city children. This culturally tailored intervention shows promise for enhancing pediatric asthma management.
Area of Science:
- Pediatric Pulmonology
- Health Disparities Research
- Psychosocial Interventions
Background:
- Inner-city minority children face higher asthma morbidity and mortality.
- Existing psychosocial asthma interventions often lack cultural tailoring and efficacy evaluation.
- Culturally adapted treatments are needed to address asthma disparities.
Purpose of the Study:
- To evaluate the efficacy of the Multifamily Asthma Group Treatment (MFAGT).
- To assess MFAGT's impact on asthma management and emergency department (ED) visits in African American and Hispanic families.
- To compare MFAGT with standard interventions and a control group.
Main Methods:
- Randomized controlled trial involving 24 families with children with asthma.
- Comparison of MFAGT group versus Standard Psychoeducational Asthma Intervention and a no-intervention control group.
- Assessment of ED visits and parental asthma knowledge 1 year pre- and post-intervention.
Main Results:
- MFAGT significantly reduced emergency department visits compared to standard and control groups (P = .04).
- Parental asthma knowledge significantly increased in the MFAGT group.
- The intervention demonstrated effectiveness in improving asthma management outcomes.
Conclusions:
- Multifamily Asthma Group Treatment (MFAGT) is effective for enhancing asthma management.
- MFAGT significantly reduces emergency department visits in urban African American and Hispanic children.
- Culturally sensitive interventions are crucial for addressing asthma disparities in vulnerable populations.