Effectiveness of a community-driven, asthma intervention: project asthma in-home response
Nathaniel Mattison1, Aislinn C Rookwood2, Sophia A Quintero3
1Emergency Medicine, Louisiana State University Health Shreveport, Shreveport, LA.
Insights
Project Asthma In-home Response (AIR) significantly reduced asthma attacks, emergency room visits, and hospitalizations in children. This home-based intervention proves effective for managing childhood asthma in smaller communities.
Area of Science:
- Pediatrics
- Environmental Health
- Public Health
Background:
- Childhood asthma is a significant public health concern requiring effective management strategies.
- Home-based interventions can address environmental triggers contributing to asthma exacerbations.
- Project Asthma In-home Response (AIR) is a community-driven, multilevel intervention designed for childhood asthma.
Purpose of the Study:
- To evaluate the effectiveness of the Project AIR home-based intervention.
- To determine if Project AIR reduces asthma-related emergency room visits, hospitalizations, and exacerbations.
- To assess the impact of a multilevel, home-based asthma program on pediatric patients.
Main Methods:
- A cohort of 75 children with asthma participated in the Project AIR intervention.
- Participants were surveyed at the beginning and after six months of the intervention.
- Data analysis focused on changes in asthma-related healthcare utilization and exacerbations.
Main Results:
- Participation in Project AIR led to statistically significant reductions in asthma attacks (p=0.0003).
- The intervention also resulted in significant decreases in asthma-related emergency room visits (p>0.0001) and hospitalizations (p=0.008).
- The average age of participants was 10 years, with the largest age groups being 11-15 and 6-10 years old.
Conclusions:
- Home-based environmental asthma programs are effective for treating childhood asthma.
- Project AIR demonstrates efficiency in managing asthma in smaller metropolitan areas.
- Findings align with previous studies conducted in larger urban centers, supporting the scalability of such interventions.
Abstract:
Objectives: Project Asthma In-home Response (AIR) is a multilevel, home-based intervention to address childhood asthma. This study aims to assess the effectiveness of the community-driven, multilevel Project AIR intervention. We hypothesize that children participating in the Project AIR intervention will have reduced asthma-related emergency room visits, hospitalizations, and asthma exacerbations. Methods: Seventy-Five participants of an in-home asthma intervention were surveyed at the onset of intervention and six months after the intervention. Results: The mean age of clients in the sample population was ten years. Most clients in the sample population were 11-15 years old (34.7%), followed by 6-10 years old (29.3%) and 3-5 years (26.0%). Participation in the Project AIR intervention resulted in significant reductions in asthma attacks (p-value 0.0003), asthma-related emergency room visits (p-value > 0.0001), and asthma-related hospitalizations (p-value 0.008).Conclusion: The results of this study support that in-home environmental asthma programs are an efficient method of treating asthma in a smaller metro area. Our findings reinforce prior studies in larger metropolitan areas such as New York and Boston.
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