A randomized clinical trial to reduce asthma morbidity among inner-city children: Results of the National Cooperative Inner-City Asthma Study
Objective: To evaluate a family-focused asthma intervention designed for inner-city children 5 to 11 years old with moderate to severe asthma. Study design: Randomized, multisite, controlled trial to minimize symptom days (wheeze, loss of sleep, reduction in play activity) measured by a 2-week recal...
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| Veröffentlicht in: | The Journal of pediatrics 1999-09, Vol.135 (3), p.332-338 |
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| container_title | The Journal of pediatrics |
| container_volume | 135 |
| creator | Evans, Richard Gergen, Peter J. Mitchell, Herman Kattan, Meyer Kercsmar, Carolyn Crain, Ellen Anderson, John Eggleston, Peyton Malveaux, Floyd J. Wedner, H.James |
| description | Objective: To evaluate a family-focused asthma intervention designed for inner-city children 5 to 11 years old with moderate to severe asthma.
Study design: Randomized, multisite, controlled trial to minimize symptom days (wheeze, loss of sleep, reduction in play activity) measured by a 2-week recall assessed at 2-month intervals over a 2-year follow-up period. The intervention was tailored to each family’s individual asthma risk profile assessed at baseline.
Results: Averaged over the first 12 months, participants in the intervention group (n = 515) reported 3.51 symptom days in the 2 weeks before each follow-up interview compared with 4.06 symptom days for the control group (n = 518), a difference of 0.55 (95% CI, 0.18 to 0.92,
P = .004). The reduction among children with severe asthma was approximately 3 times greater (1.54 d/2 wk). More children in the control group (18.9%) were hospitalized during the intervention compared with children in the intervention group (14.8%), a decrease of 4.19% (CI, –8.75 to 0.36,
P = .071). These improvements were maintained in the intervention group during the second year of follow-up, during which they did not have access to the asthma counselor.
Conclusions: We demonstrated that an individually tailored, multifaceted intervention carried out by Masters-level social workers trained in asthma management can reduce asthma symptoms among children in the inner city. (J Pediatr 1999;135:332-8) |
| doi_str_mv | 10.1016/S0022-3476(99)70130-7 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_70030223</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0022347699701307</els_id><sourcerecordid>70030223</sourcerecordid><originalsourceid>FETCH-LOGICAL-c555t-8d26a13a6441250c8f85bb59bbd34f64e3f877499cf736c18c9ac1beafb8e2293</originalsourceid><addsrcrecordid>eNqFkV-P1CAUxYnRuOPqR9DwYIw-VKHQUnwxk4l_Ntlo4uozoXBxMG0ZgW4yfge_s3Q6Ud984Yab3zmQcxB6TMlLSmj76oaQuq4YF-1zKV8IQhmpxB20oUSKqu0Yu4s2f5AL9CCl74QQyQm5jy4o4R0XUm7Qry2OerJh9D_BYjP4yRs94Bz9cgYcwc4GsE55P2o8hth76_MR6zFM37CfJoiVWRZm7wcbYXqNP0Oah5xwcDjvAX_U2YepuO1COEAst1vAVyfhbhFuV-ubPNvjQ3TP6SHBo_O8RF_fvf2y-1Bdf3p_tdteV6Zpmlx1tm41ZbrlnNYNMZ3rmr5vZN9bxl3LgblOCC6lcYK1hnZGakN70K7voK4lu0TPVt9DDD9mSFmNPhkYBj1BmJMShLCSHStgs4ImhpQiOHWIftTxqChRSw_q1INaQlZSqlMPShTdk_MDcz-C_Ue1Bl-Ap2dApxK4KyUYn_5ypSjW8YK9WTEoadx6iCoZD5MB6yOYrGzw__nJbxWGpq0</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>70030223</pqid></control><display><type>article</type><title>A randomized clinical trial to reduce asthma morbidity among inner-city children: Results of the National Cooperative Inner-City Asthma Study</title><source>MEDLINE</source><source>Elsevier ScienceDirect Journals</source><creator>Evans, Richard ; Gergen, Peter J. ; Mitchell, Herman ; Kattan, Meyer ; Kercsmar, Carolyn ; Crain, Ellen ; Anderson, John ; Eggleston, Peyton ; Malveaux, Floyd J. ; Wedner, H.James</creator><creatorcontrib>Evans, Richard ; Gergen, Peter J. ; Mitchell, Herman ; Kattan, Meyer ; Kercsmar, Carolyn ; Crain, Ellen ; Anderson, John ; Eggleston, Peyton ; Malveaux, Floyd J. ; Wedner, H.James</creatorcontrib><description>Objective: To evaluate a family-focused asthma intervention designed for inner-city children 5 to 11 years old with moderate to severe asthma.
Study design: Randomized, multisite, controlled trial to minimize symptom days (wheeze, loss of sleep, reduction in play activity) measured by a 2-week recall assessed at 2-month intervals over a 2-year follow-up period. The intervention was tailored to each family’s individual asthma risk profile assessed at baseline.
Results: Averaged over the first 12 months, participants in the intervention group (n = 515) reported 3.51 symptom days in the 2 weeks before each follow-up interview compared with 4.06 symptom days for the control group (n = 518), a difference of 0.55 (95% CI, 0.18 to 0.92,
P = .004). The reduction among children with severe asthma was approximately 3 times greater (1.54 d/2 wk). More children in the control group (18.9%) were hospitalized during the intervention compared with children in the intervention group (14.8%), a decrease of 4.19% (CI, –8.75 to 0.36,
P = .071). These improvements were maintained in the intervention group during the second year of follow-up, during which they did not have access to the asthma counselor.
Conclusions: We demonstrated that an individually tailored, multifaceted intervention carried out by Masters-level social workers trained in asthma management can reduce asthma symptoms among children in the inner city. (J Pediatr 1999;135:332-8)</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(99)70130-7</identifier><identifier>PMID: 10484799</identifier><identifier>CODEN: JOPDAB</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Asthma - complications ; Asthma - epidemiology ; Asthma - prevention & control ; Asthma - psychology ; Biological and medical sciences ; Child ; Child, Preschool ; Chronic obstructive pulmonary disease, asthma ; Counseling - organization & administration ; Female ; Follow-Up Studies ; Hospitalization - statistics & numerical data ; Humans ; Male ; Medical sciences ; Morbidity ; Parents - education ; Pneumology ; Program Evaluation ; Quality of Life ; Risk Factors ; Severity of Illness Index ; Social Work - organization & administration ; United States - epidemiology ; Urban Health Services - organization & administration</subject><ispartof>The Journal of pediatrics, 1999-09, Vol.135 (3), p.332-338</ispartof><rights>1999 Mosby, Inc.</rights><rights>1999 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c555t-8d26a13a6441250c8f85bb59bbd34f64e3f877499cf736c18c9ac1beafb8e2293</citedby><cites>FETCH-LOGICAL-c555t-8d26a13a6441250c8f85bb59bbd34f64e3f877499cf736c18c9ac1beafb8e2293</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0022347699701307$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1940384$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10484799$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Evans, Richard</creatorcontrib><creatorcontrib>Gergen, Peter J.</creatorcontrib><creatorcontrib>Mitchell, Herman</creatorcontrib><creatorcontrib>Kattan, Meyer</creatorcontrib><creatorcontrib>Kercsmar, Carolyn</creatorcontrib><creatorcontrib>Crain, Ellen</creatorcontrib><creatorcontrib>Anderson, John</creatorcontrib><creatorcontrib>Eggleston, Peyton</creatorcontrib><creatorcontrib>Malveaux, Floyd J.</creatorcontrib><creatorcontrib>Wedner, H.James</creatorcontrib><title>A randomized clinical trial to reduce asthma morbidity among inner-city children: Results of the National Cooperative Inner-City Asthma Study</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>Objective: To evaluate a family-focused asthma intervention designed for inner-city children 5 to 11 years old with moderate to severe asthma.
Study design: Randomized, multisite, controlled trial to minimize symptom days (wheeze, loss of sleep, reduction in play activity) measured by a 2-week recall assessed at 2-month intervals over a 2-year follow-up period. The intervention was tailored to each family’s individual asthma risk profile assessed at baseline.
Results: Averaged over the first 12 months, participants in the intervention group (n = 515) reported 3.51 symptom days in the 2 weeks before each follow-up interview compared with 4.06 symptom days for the control group (n = 518), a difference of 0.55 (95% CI, 0.18 to 0.92,
P = .004). The reduction among children with severe asthma was approximately 3 times greater (1.54 d/2 wk). More children in the control group (18.9%) were hospitalized during the intervention compared with children in the intervention group (14.8%), a decrease of 4.19% (CI, –8.75 to 0.36,
P = .071). These improvements were maintained in the intervention group during the second year of follow-up, during which they did not have access to the asthma counselor.
Conclusions: We demonstrated that an individually tailored, multifaceted intervention carried out by Masters-level social workers trained in asthma management can reduce asthma symptoms among children in the inner city. (J Pediatr 1999;135:332-8)</description><subject>Asthma - complications</subject><subject>Asthma - epidemiology</subject><subject>Asthma - prevention & control</subject><subject>Asthma - psychology</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Counseling - organization & administration</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hospitalization - statistics & numerical data</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Morbidity</subject><subject>Parents - education</subject><subject>Pneumology</subject><subject>Program Evaluation</subject><subject>Quality of Life</subject><subject>Risk Factors</subject><subject>Severity of Illness Index</subject><subject>Social Work - organization & administration</subject><subject>United States - epidemiology</subject><subject>Urban Health Services - organization & administration</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkV-P1CAUxYnRuOPqR9DwYIw-VKHQUnwxk4l_Ntlo4uozoXBxMG0ZgW4yfge_s3Q6Ud984Yab3zmQcxB6TMlLSmj76oaQuq4YF-1zKV8IQhmpxB20oUSKqu0Yu4s2f5AL9CCl74QQyQm5jy4o4R0XUm7Qry2OerJh9D_BYjP4yRs94Bz9cgYcwc4GsE55P2o8hth76_MR6zFM37CfJoiVWRZm7wcbYXqNP0Oah5xwcDjvAX_U2YepuO1COEAst1vAVyfhbhFuV-ubPNvjQ3TP6SHBo_O8RF_fvf2y-1Bdf3p_tdteV6Zpmlx1tm41ZbrlnNYNMZ3rmr5vZN9bxl3LgblOCC6lcYK1hnZGakN70K7voK4lu0TPVt9DDD9mSFmNPhkYBj1BmJMShLCSHStgs4ImhpQiOHWIftTxqChRSw_q1INaQlZSqlMPShTdk_MDcz-C_Ue1Bl-Ap2dApxK4KyUYn_5ypSjW8YK9WTEoadx6iCoZD5MB6yOYrGzw__nJbxWGpq0</recordid><startdate>19990901</startdate><enddate>19990901</enddate><creator>Evans, Richard</creator><creator>Gergen, Peter J.</creator><creator>Mitchell, Herman</creator><creator>Kattan, Meyer</creator><creator>Kercsmar, Carolyn</creator><creator>Crain, Ellen</creator><creator>Anderson, John</creator><creator>Eggleston, Peyton</creator><creator>Malveaux, Floyd J.</creator><creator>Wedner, H.James</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19990901</creationdate><title>A randomized clinical trial to reduce asthma morbidity among inner-city children: Results of the National Cooperative Inner-City Asthma Study</title><author>Evans, Richard ; Gergen, Peter J. ; Mitchell, Herman ; Kattan, Meyer ; Kercsmar, Carolyn ; Crain, Ellen ; Anderson, John ; Eggleston, Peyton ; Malveaux, Floyd J. ; Wedner, H.James</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c555t-8d26a13a6441250c8f85bb59bbd34f64e3f877499cf736c18c9ac1beafb8e2293</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1999</creationdate><topic>Asthma - complications</topic><topic>Asthma - epidemiology</topic><topic>Asthma - prevention & control</topic><topic>Asthma - psychology</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Chronic obstructive pulmonary disease, asthma</topic><topic>Counseling - organization & administration</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hospitalization - statistics & numerical data</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Morbidity</topic><topic>Parents - education</topic><topic>Pneumology</topic><topic>Program Evaluation</topic><topic>Quality of Life</topic><topic>Risk Factors</topic><topic>Severity of Illness Index</topic><topic>Social Work - organization & administration</topic><topic>United States - epidemiology</topic><topic>Urban Health Services - organization & administration</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Evans, Richard</creatorcontrib><creatorcontrib>Gergen, Peter J.</creatorcontrib><creatorcontrib>Mitchell, Herman</creatorcontrib><creatorcontrib>Kattan, Meyer</creatorcontrib><creatorcontrib>Kercsmar, Carolyn</creatorcontrib><creatorcontrib>Crain, Ellen</creatorcontrib><creatorcontrib>Anderson, John</creatorcontrib><creatorcontrib>Eggleston, Peyton</creatorcontrib><creatorcontrib>Malveaux, Floyd J.</creatorcontrib><creatorcontrib>Wedner, H.James</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Evans, Richard</au><au>Gergen, Peter J.</au><au>Mitchell, Herman</au><au>Kattan, Meyer</au><au>Kercsmar, Carolyn</au><au>Crain, Ellen</au><au>Anderson, John</au><au>Eggleston, Peyton</au><au>Malveaux, Floyd J.</au><au>Wedner, H.James</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A randomized clinical trial to reduce asthma morbidity among inner-city children: Results of the National Cooperative Inner-City Asthma Study</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1999-09-01</date><risdate>1999</risdate><volume>135</volume><issue>3</issue><spage>332</spage><epage>338</epage><pages>332-338</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><coden>JOPDAB</coden><abstract>Objective: To evaluate a family-focused asthma intervention designed for inner-city children 5 to 11 years old with moderate to severe asthma.
Study design: Randomized, multisite, controlled trial to minimize symptom days (wheeze, loss of sleep, reduction in play activity) measured by a 2-week recall assessed at 2-month intervals over a 2-year follow-up period. The intervention was tailored to each family’s individual asthma risk profile assessed at baseline.
Results: Averaged over the first 12 months, participants in the intervention group (n = 515) reported 3.51 symptom days in the 2 weeks before each follow-up interview compared with 4.06 symptom days for the control group (n = 518), a difference of 0.55 (95% CI, 0.18 to 0.92,
P = .004). The reduction among children with severe asthma was approximately 3 times greater (1.54 d/2 wk). More children in the control group (18.9%) were hospitalized during the intervention compared with children in the intervention group (14.8%), a decrease of 4.19% (CI, –8.75 to 0.36,
P = .071). These improvements were maintained in the intervention group during the second year of follow-up, during which they did not have access to the asthma counselor.
Conclusions: We demonstrated that an individually tailored, multifaceted intervention carried out by Masters-level social workers trained in asthma management can reduce asthma symptoms among children in the inner city. (J Pediatr 1999;135:332-8)</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>10484799</pmid><doi>10.1016/S0022-3476(99)70130-7</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Journal of pediatrics, 1999-09, Vol.135 (3), p.332-338 |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Asthma - complications Asthma - epidemiology Asthma - prevention & control Asthma - psychology Biological and medical sciences Child Child, Preschool Chronic obstructive pulmonary disease, asthma Counseling - organization & administration Female Follow-Up Studies Hospitalization - statistics & numerical data Humans Male Medical sciences Morbidity Parents - education Pneumology Program Evaluation Quality of Life Risk Factors Severity of Illness Index Social Work - organization & administration United States - epidemiology Urban Health Services - organization & administration |
| title | A randomized clinical trial to reduce asthma morbidity among inner-city children: Results of the National Cooperative Inner-City Asthma Study |
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