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Effect of weatherization combined with community health worker in-home education on asthma control

Author

Listed:
  • Breysse, J.
  • Dixon, S.
  • Gregory, J.
  • Jacobs, D.E.
  • Krieger, J.

Abstract

Objectives: We assessed the benefits of adding weatherization-plus-health interventions to an in-home, community health worker (CHW) education program on asthma control. Methods: Weusedaquasi-experimentaldesigntocompare studygroup homes (n = 34) receiving CHW education and weatherization-plus-health structural interventions with historical comparison group homes (n = 68) receiving only education. Data were collected in King County, Washington, from October 2009 to September 2010. Results: Over the 1-year study period, the percentage of study group children with not-well-controlled or very poorly controlled asthma decreased more than the comparison group percentage (100% to 28.8% vs 100% to 51.6%; P =.04). Study group caregiver quality-of-life improvements exceeded comparison group improvements (P =.002) by 0.7 units, a clinically important difference. The decrease in study home asthma triggers (evidence of mold, water damage, pests, smoking) was marginally greater than the comparison group decrease (P =.089). Except for mouse allergen, the percentage of study group allergen floor dust samples at or above the detection limit decreased, although most reductions were not statistically significant. Conclusions: Combining weatherization and healthy home interventions (e.g., improved ventilation, moisture and mold reduction, carpet replacement, and plumbing repairs) with CHW asthma education significantly improves childhood asthma control.

Suggested Citation

  • Breysse, J. & Dixon, S. & Gregory, J. & Jacobs, D.E. & Krieger, J., 2014. "Effect of weatherization combined with community health worker in-home education on asthma control," American Journal of Public Health, American Public Health Association, vol. 104(1), pages 57-64.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301402_9
    DOI: 10.2105/AJPH.2013.301402
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    Cited by:

    1. Deepa Mankikar & Carla Campbell & Rachael Greenberg, 2016. "Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program," IJERPH, MDPI, vol. 13(9), pages 1-15, September.

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