Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: California (cont'd)
Partnership for Children's Respiratory Health: A demonstration project of integrated housing and health interventions
Alameda County Community Development Agency
Dennis Jordan, MSPH, CIH
In 2002, the Alameda County Lead Poisoning Prevention Program (ACLPPP) conducted a childhood asthma demonstration project, Partnership for Children's Respiratory Health: A demonstration project of integrated housing and health interventions.
Educational and environmental household interventions were used to attempt to reduce asthma severity in children residing in study homes. A total of 144 children diagnosed with asthma were recruited. Although the original intent was to limit subject ages to 5 years and under, the age of the recruited subjects ranged from 1 year to 12 years, with most subjects being over 6 years old.
The caregivers for all subject children received education by an ACLPPP health educator regarding environmental risk factors for childhood asthma, and all households received a free Healthy Homes kit. In addition, the households of 66 subject children (66/144, or 46%) were professionally cleaned to reduce the concentration of potential asthmogenic substances in the home. Some of the latter households (21 households) also received structural repairs related to moisture problems; repairs involved fixing plumbing and roof leaks, and installing exhaust ventilation fans in kitchens and bathrooms. Households in which caregivers received education and Healthy Homes kits, but which did not receive professional cleaning (or repairs), are termed the 'education only' group. Households which received professional cleaning (plus repairs in some units), and in which caregivers received education and Healthy Homes kits, are termed the 'intervention' group.
Program evaluations indicated a positive impact on the following health outcomes: healthcare utilization, quality of life, symptoms, functional status, self-management skills, and use of an asthma action plan. In addition, levels of dust mites and mouse urinary protein were reduced.
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