An Individualized Intervention to Improve Asthma Management Among Urban Latino and African-American Families

We hypothesized that an educational intervention based on a readiness model would lead to improved health outcomes among patients with asthma. Within a randomized control design in an urban Latino and African-American community, we conducted an intensive three-month pediatric intervention. A Family...

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Bibliographic Details
Published in:The Journal of asthma 2002-01, Vol.39 (2), p.167-179
Main Authors: Bonner, Sebastian, Zimmerman, Barry J., Evans, David, Irigoyen, Matilde, Resnick, David, Mellins, Robert B.
Format: Article
Language:English
Subjects:
African Americans
Anti-Asthmatic Agents - therapeutic use
Asthma
Asthma - physiopathology
Asthma - therapy
Behavioral change
Biological and medical sciences
Child
Family - psychology
Health education
Health Knowledge, Attitudes, Practice
Hispanic Americans
Humans
Hypersensitivity - physiopathology
Individualized
Intervention program
Medical Records
Medical sciences
Patient Compliance
Patient Education as Topic
Peak Expiratory Flow Rate
Pharmacology. Drug treatments
Physician-Patient Relations
Prevention
Respiratory system
Self Care
Self-management
Self-regulation
Severity of Illness Index
Urban Population
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Summary:We hypothesized that an educational intervention based on a readiness model would lead to improved health outcomes among patients with asthma. Within a randomized control design in an urban Latino and African-American community, we conducted an intensive three-month pediatric intervention. A Family Coordinator provided patient education based on a readiness-to-learn model, and facilitated improved interactions between the patient and the doctor. Family education addressed the most basic learning needs of patients with asthma by improving their perception of asthma symptom persistence using asthma diaries and peak flow measures. The physician intervention focused clinicians' attention on patients' diary records and peak flow measures, and encouraged physicians to use stepped action plans. Patients were also tested for allergic sensitization and provided strategies to reduce contact with allergens and other asthma triggers. The results showed significant improvements by intervention group families on measures of knowledge, health beliefs, self-efficacy, self- regulatory skill, and adherence; decreases in symptom persistence and activity restriction; and increased prescription of anti-inflammatory medication by the physicians of the intervention group families.
ISSN:0277-0903
1532-4303
DOI:10.1081/JAS-120002198