Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: South Carolina
Carolina Asthma Surveillance and Emergency Department-Based Intervention
University of South Carolina (USC) and Centers for Disease Control and Prevention (CDC)
Deborah Hurley, MSPH
The Carolina Asthma Surveillance and Emergency Department-based Intervention project, managed under a cooperative agreement between the CDC and University of South Carolina, was implemented from 2002-2003 in seven counties from Columbia to Charlotte, SC.
The project aimed to develop an effective intervention to reduce preventable ED visits for asthma attacks among a target population that is rural, Southern, poor, and disproportionately African-American. The study took place in three EDs ranging from nationally recognized asthma research centers to small rural facilities. Children age 6-16 presenting to the participating EDs were invited to participate in the study.
Home visits were conducted which included face-to-face counseling regarding symptom management, trigger recognition, and appropriate medication use, as well as in-home training to teach self-monitoring and personal responsibility for care. An in-depth assessment of indoor and outdoor local environments was conducted to identify asthma triggers. Written educational materials and the Starbright asthma education CD-ROM were provided to all participants.
Along with the emergency department-based intervention, a major focus of the project was to develop a statewide asthma surveillance system and collect survey data to assess emotional and psychological co-morbidites for asthma.
Pre-post evaluation results on a sample of 51 participating children showed that the ED-based intervention resulted in a reduction in ED visits and an improvement in quality of life for both children and parents.
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