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Asthma, COPD, and home environments: Interventions with older adults
David A Turcotte1, Susan Woskie2, Rebecca Gore2
1Economics Department, University of Massachusetts Lowell, Lowell, Massachusetts; Center for Community Research and Engagement, University of Massachusetts Lowell, Lowell, Massachusetts.
Home environmental interventions significantly improved respiratory health and reduced asthma triggers for low-income older adults. This study provides evidence for effective asthma management in this vulnerable population.
Area of Science:
- Environmental Health
- Gerontology
- Pulmonology
Background:
- Low-income older adults with asthma face high risks from indoor allergens and irritants.
- Existing evidence supports home interventions for pediatric asthma but is limited for adults.
Purpose of the Study:
- To test if home environmental interventions improve respiratory health and reduce asthma triggers in older adults with asthma.
Main Methods:
- Community health worker-led interventions in homes of 86 older adults with asthma (2014-2017).
- Assessments included respiratory health, quality of life, medication use, healthcare visits, and asthma triggers via questionnaires and home surveys.
- Interventions involved education on asthma triggers and environmental remediation.
Main Results:
- Significant reductions in self-reported environmental asthma triggers.
- Statistically significant improvements in doctor visits, antibiotic use for chest issues, respiratory symptoms, and quality of life.
- Improved asthma control, as measured by the Asthma Control Test (ACT score).
Conclusions:
- Multifaceted home interventions are effective for improving environmental quality and respiratory health in older adults with asthma.
- Provides evidence supporting the efficacy of home-based asthma management strategies for the elderly.
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