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Improving Asthma-Related Outcomes Among Children Participating in the Head-Off Environmental Asthma in Louisiana

Kristi Isaac Rapp1, Leonard Jack1, Candice Wilson1

  • 11 Xavier University of Louisiana College of Pharmacy, New Orleans, LA, USA.

Health Promotion Practice
|November 24, 2017
PubMed

Insights

The Head-Off Environmental Asthma in Louisiana (HEAL) study improved pediatric asthma management. This intervention significantly reduced emergency room visits and asthma symptoms in children.

Area of Science:

  • Environmental health
  • Pediatric pulmonology
  • Public health interventions

Background:

  • Pediatric asthma disproportionately impacts low-income and minority children.
  • Effective management strategies are crucial for this vulnerable population.
  • The HEAL (Head-Off Environmental Asthma in Louisiana) project aimed to address these disparities.

Purpose of the Study:

  • To report clinical outcomes of the HEAL Phase II project.
  • To evaluate the effectiveness of a pediatric asthma management intervention.
  • To assess changes from baseline to 12-month follow-up.

Main Methods:

  • A pre-post intervention study design was employed.
  • Children aged 2-18 with asthma received education and environmental evaluation.
  • Key endpoints included symptom days, asthma control, exacerbations, and healthcare utilization.

Main Results:

  • Emergency room visits decreased significantly from 41% to 20% (p < .001).
  • Improvements were observed in coughing (83% to 62%), wheezing (50% to 26%), and chest tightness (29% to 18%).
  • The majority of participants were Black, male, and had persistent asthma.

Conclusions:

  • The HEAL intervention demonstrated success in improving pediatric asthma outcomes.
  • The study highlights the positive impact of targeted asthma management programs in urban settings.
  • This approach offers a promising model for enhancing care in underserved communities.
Abstract

Keywords:
asthmachronic diseasehealth disparitiespatient education

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