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Published on: November 4, 2010
Home-based family intervention for low-income children with asthma: a randomized controlled pilot study
Marianne P Celano1, Chanda Nicole Holsey, Lisa J Kobrynski
1Department of Psychiatry & Behavioral Sciences, Emory University School of Medicine, 49 Jesse Hill Drive, Southeast, Atlanta, GA 30303, USA. mcelano@emory.edu
Summary
A home-based family intervention effectively reduced asthma hospitalizations in children by integrating education with stress management. This approach improved asthma control and family well-being for low-income African American families.
Area of Science:
- Pediatrics
- Public Health
- Psychology
Background:
- Low-income African American children experience higher asthma rates.
- Asthma management is complicated by psychosocial stress.
- Education alone may not overcome these barriers.
Purpose of the Study:
- Evaluate a home-based family intervention for poorly controlled asthma.
- Integrate asthma education with stress management strategies.
- Utilize a community-based participatory research model.
Main Methods:
- Recruited children (8-13 years) with poorly controlled asthma and stressed caregivers.
- Randomized 43 families to a 4-6 session intervention (HBFI) or enhanced usual care (ETAU).
- Assessed asthma management, morbidity, family functioning, and caregiver stress pre/post and at 6 months.
Main Results:
- Home Based Family Intervention (HBFI) group had significantly fewer asthma hospitalizations (5% vs 35%).
- Both groups showed improved asthma management, family functioning, and reduced ED visits and caregiver stress.
- No significant differential effects were observed between HBFI and ETAU for most outcomes.
Conclusions:
- Home-based interventions addressing medical and psychosocial needs can prevent hospitalizations.
- This approach is beneficial for children with poorly controlled asthma and stressed caregivers.
- Community-based participatory research models enhance intervention relevance and efficacy.
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