A multicomponent, multi-trigger intervention to enhance asthma control in high-risk African American Children

Mark H. Ebell, Stephanie Patrice Hall, R. Chris Rustin, Kia Powell-Threets, Luis Munoz, Kia Toodle, Lu Meng, Jean O'Connor

Research output: Contribution to journalArticle

Abstract

Introduction We evaluated the effectiveness and feasibility of implementation of a multicomponent, multi-trigger (MCMT) intervention through a public health department in a high risk population of African American children. Methods This was a pragmatic quasi-experimental pretest-posttest study. The population consisted of African American children enrolled in Medicaid and Children's Medical Services who had poorly controlled asthma. The MCMT intervention included 4 educational sessions and home asthma trigger reduction. Parents reported outcomes at baseline and at 1 to 3 months, 6 months, and 12 months after the MCMT intervention. Analysis used the McNemar χ2 test and Student t test for paired observations. Data were collected during 2014 through 2016 in Augusta, Georgia. Results The number of children with asthma that was assessed as well controlled increased from 4 to 17 out of 20 (P < .001). Compared with baseline, at 12 months parents reported fewer days of school missed (6.4 vs 4.2, P = .01), fewer emergency department visits (1.7 vs 0.6, P = .02) and fewer hospitalizations (0.59 vs 0.18, P = .05). The most common environmental interventions were dust mitigation, getting a mattress or pillow protector, and cockroach mitigation. Conclusion An MCMT intervention in high risk African American children with poorly controlled asthma administered through the health department was associated with significant improvements in asthma control, days of school missed, and emergency department visits. Broader implementation of these strategies is warranted.

Original languageEnglish (US)
Article number180387
JournalPreventing Chronic Disease
Volume16
Issue number5
DOIs
StatePublished - 2019

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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    Ebell, M. H., Hall, S. P., Chris Rustin, R., Powell-Threets, K., Munoz, L., Toodle, K., Meng, L., & O'Connor, J. (2019). A multicomponent, multi-trigger intervention to enhance asthma control in high-risk African American Children. Preventing Chronic Disease, 16(5), [180387]. https://doi.org/10.5888/pcd16.180387