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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: California (cont'd) Back to Index

A Controlled Trial of an Environmental Tobacco Smoke Reduction Intervention in Low-Income Children with Asthma

Department of Health Services Research

Palo Alto, CA

Sandra R. Wilson, PhD

(650) 853-2898         

wilsons@pamfri.org

A Controlled Trial of an Environmental Tobacco Smoke Reduction Intervention in Low-Income Children with Asthma was a randomized controlled trial that was implemented in 1996 in California to determine the effectiveness of a cotinine-feedback, behaviorally based education intervention in reducing environmental tobacco smoke (ETS) exposure and health-care utilization of children with asthma.

Participants included 87 ETS-exposed, low-income, predominantly minority children who were 3-12 years old and who were seen for asthma in the hospital's emergency, inpatient, and outpatient services departments.

The intervention included three nurse-led sessions (over approximately a 5-week period) in a hospital setting that employed behavior-changing strategies and basic asthma education. The sessions also incorporated repeated feedback on the child's urinary cotinine level.

The intervention significantly reduced asthma health-care utilization. Effects sizes for urine cotinine and proportion prohibiting smoking were moderate to large, but not statistically significant.

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