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A library-site asthma education program for inner-city communities.

C Erwin Johnson1, Tilynn Johnson, Hugh Clark

  • 1Mt. Sinai School of Medicine, One Gustave L. Levy Place, New York, New York 10029-6574, USA. carl.johnson@mssm.edu

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|February 2, 2006
PubMed
Summary

A library-based asthma education program improved health outcomes for urban minority children. This program reduced asthma-related hospitalizations by 63.2% and enhanced children's self-esteem and illness control.

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Area of Science:

  • Public Health
  • Pediatrics
  • Health Education

Background:

  • Asthma disproportionately affects urban and minority children, leading to poor health outcomes.
  • Limited access to effective asthma education programs exacerbates these disparities.
  • Public libraries can serve as accessible venues for health interventions.

Purpose of the Study:

  • To evaluate the effectiveness of a library-based asthma education program (COPICAE) for urban and minority children and their parents.
  • To assess improvements in asthma-related outcomes and reductions in hospital billing claims.
  • To gather parental perspectives on the program's benefits and impact.

Main Methods:

  • A prospective, observational study involving 87 children and their parents who completed 6 hours of asthma education.

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  • Telephone follow-up using the Living With Asthma Survey (LWAS) at 12 and 24 months.
  • Comparison of hospital billing claims for asthma over 24 months between program participants and a matched control group.
  • Focus groups with English- and Spanish-speaking parents to collect qualitative feedback.

    • Main Results:

    • Significant decreases in LWAS scores across all items compared to pre-intervention levels.
    • Parents reported improved medication compliance, better asthma control, and found the education beneficial.
    • Asthma-related billing claims decreased by 63.2% for participants, while claims increased by 0.7% for the control group.

    Conclusions:

    • A 6-hour library-based asthma education program positively impacts urban and minority children's asthma-related outcomes.
    • The program effectively reduced hospitalizations and improved children's quality of life and self-management skills.
    • Public libraries are valuable partners in delivering accessible and beneficial asthma education to underserved communities.