Related Experiment Video

Updated: Nov 2, 2025

Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
09:33

Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India

Published on: December 23, 2022

2.5K

Community Health Worker Asthma Interventions for Children: Results From a Clinically Integrated Randomized

Molly A Martin1, Oksana Pugach1, Giselle Mosnaim1

  • 1Molly A. Martin is with the Department of Pediatrics and the Institute for Health and Research Policy at the University of Illinois at Chicago. Oksana Pugach and Genesis Rosales are with the Institute for Health and Research Policy at the University of Illinois at Chicago. Giselle Mosnaim is with Northshore University Health System, Evanston, IL. Sally Weinstein is with the Department of Psychiatry at the University of Illinois at Chicago. Angkana Roy is with Erie Family Health Center, Chicago. Andrea A. Pappalardo is with the Department of Pediatrics at the University of Illinois at Chicago. Surrey Walton is with the College of Pharmacy at the University of Illinois at Chicago.

American Journal of Public Health
|June 10, 2021
PubMed

Insights

Community health workers (CHW) and asthma educators (AE-C) both improved pediatric asthma control. CHW services demonstrated a stronger, sustained improvement in asthma control and reduced activity limitations for children.

Area of Science:

  • Pediatric Pulmonology
  • Public Health Interventions
  • Comparative Effectiveness Research

Background:

  • Asthma is a significant chronic respiratory disease affecting children.
  • Effective management strategies are crucial for improving quality of life and reducing healthcare burden.
  • Community-based interventions show promise in managing chronic conditions.

Purpose of the Study:

  • To compare the effectiveness of community health worker (CHW) services versus certified asthma educator (AE-C) services in improving asthma control among children.
  • To assess the sustainability of asthma control improvements after the cessation of interventions.

Main Methods:

  • A comparative effectiveness trial, the Asthma Action at Erie Trial, conducted from 2016-2019 in Cook County, Illinois.
  • Participants aged 5-16 years with uncontrolled asthma were randomized to receive either 10 home visits from CHWs or 2 in-clinic sessions from an AE-C.
  • Asthma control was measured using standardized scores, and outcomes were assessed over time and 1 year post-intervention.

Main Results:

  • Both CHW and AE-C interventions led to significant improvements in asthma control scores.
  • Improvements in asthma control were sustained for one year after the interventions concluded.
  • The CHW group showed a greater improvement in asthma control and a 42% reduction in activity-limiting days compared to the AE-C group one year post-intervention.

Conclusions:

  • Both clinically integrated CHW and AE-C services are associated with meaningful improvements in pediatric asthma control.
  • The CHW intervention demonstrated a stronger and more sustained effect on asthma control and activity limitation reduction.
  • These findings highlight the value of community-based asthma management programs in improving long-term health outcomes for children.

More Related Videos

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma14:39

Bronchial Thermoplasty: A Novel Therapeutic Approach to Severe Asthma

Published on: November 4, 2010

32.1K
Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber08:47

Symptom Assessment of Patients with Allergic Rhinitis Using an Allergen Exposure Chamber

Published on: March 3, 2023

2.7K

Related Concept Videos

Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
3.4K
Asthma-IV: Diagnostic and Management01:30

Asthma-IV: Diagnostic and Management

The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.8K
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
898
Asthma-III: Symptoms and Complications01:24

Asthma-III: Symptoms and Complications

Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
2.8K
Asthma-I: Introduction01:29

Asthma-I: Introduction

Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
2.9K
COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
504