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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: North Carolina (cont’d)Back to Index

NCICAS: National Cooperative Inner-City Asthma Study

Chapel Hill, NC

Herman Mitchell, PhD

hmitchell@rhoworld.com

The National Cooperative Inner-City Asthma Study phase II intervention was a comprehensive, individualized, multifactor intervention implemented in 1991 and based on the NCICAS Phase I broad-based epidemiology study. The intervention was designed to reduce asthma symptoms to improve the quality of life for inner-city children with asthma, age 5-11, in 8 Asthma Study Units  (Baltimore, MD, Bronx, NY, Chicago, IL, Cleveland, OH, Detroit, MI, New York, NY, St. Louis, MO, and Washington, DC).

The intervention was family-focused and tailored to each family's individual asthma risk profile assessed at baseline. The intervention was delivered by Masters-level social workers, called Asthma Counselors (AC's). The AC's worked with the child's caretaker to encourage improved communication between the family and physician. Physicians were provided with materials to encourage quality asthma management. Caretakers were invited to attend two adult group asthma education sessions based on the A+ Asthma program. Two group sessions for children were also conducted. All families were given environmental trigger control materials and instructed on ways to reduce environmental triggers. After the group sessions, the AC's and families met in person and spoke on the phone at least every two months for follow up.

The intervention was successful in reducing asthma symptoms among the study population.

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