Evaluation of the Environmental Scoring System in Multiple Child Asthma Intervention Programs in Boston, Massachusetts

To test the applicability of the Environmental Scoring System, a quick and simple approach for quantitatively measuring environmental triggers collected during home visits, and to evaluate its contribution to improving asthma outcomes among various child asthma programs. We pooled and analyzed data...

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Bibliographic Details
Published in:American journal of public health (1971) 2018-01, Vol.108 (1), p.103-111
Main Authors: Dong, Zhao, Nath, Anjali, Guo, Jing, Bhaumik, Urmi, Chin, May Y, Dong, Sherry, Marshall, Erica, Murphy, Johnna S, Sandel, Megan T, Sommer, Susan J, Ursprung, W W Sanouri, Woods, Elizabeth R, Reid, Margaret, Adamkiewicz, Gary
Format: Article
Language:English
Subjects:
Adolescent
AJPH Research
Asthma
Asthma - epidemiology
Boston - epidemiology
Child
Child, Preschool
Children & youth
Collaboration
Community health care
Datasets
Demographics
Demography
Design
Emergency medical care
Environment
Female
House Calls
Housing and Health
Humans
Infant
Intervention
Male
Minority Children
Other Child and Adolescent Health
Other Statistics/Evaluation/Research
Pediatrics
Public health
Public Health Practice
Public Health Workers
Questionnaires
Reproducibility of Results
Socioeconomic Factors
Surveys and Questionnaires - standards
Training
Workers
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Description
Summary:To test the applicability of the Environmental Scoring System, a quick and simple approach for quantitatively measuring environmental triggers collected during home visits, and to evaluate its contribution to improving asthma outcomes among various child asthma programs. We pooled and analyzed data from multiple child asthma programs in the Greater Boston Area, Massachusetts, collected in 2011 to 2016, to examine the association of environmental scores (ES) with measures of asthma outcomes and compare the results across programs. Our analysis showed that demographics were important contributors to variability in asthma outcomes and total ES, and largely explained the differences among programs at baseline. Among all programs in general, we found that asthma outcomes were significantly improved and total ES significantly reduced over visits, with the total Asthma Control Test score negatively associated with total ES. Our study demonstrated that the Environmental Scoring System is a useful tool for measuring home asthma triggers and can be applied regardless of program and survey designs, and that demographics of the target population may influence the improvement in asthma outcomes.
ISSN:0090-0036
1541-0048
DOI:10.2105/AJPH.2017.304125