Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
International Programs: Canada
Controlled Trial of a Home and Ambulatory Program
Izaak Walton Killam Children's Hospital
B3J 3G9 Canada
Daniel M. Hughes, MD, FRCP
The Izaak Walton Killam Children Hospital undertook the study, A Controlled Trial of a Home and Ambulatory Program for Asthmatic Children, in Nova Scotia, Canada in the late eighties. The study sought to measure the impact of a program of home and ambulatory asthma management on various objective outcome measures on children aged 06-16 with asthma.
The study consisted of both home and clinic visits for the treatment group. The initial intake clinic visit was conducted by a nurse who gathered information about family history, asthma knowledge, medication use and inhaler technique and did a skin test. Subsequent visits took place every three months for a year with a pediatric respirologist and a nurse coordinator. Each visit was tailored to the individual family's needs and covered trigger avoidance, medication use, inhaler technique and promotion of exercise.
The home visits were conducted by the nurse coordinator. He/she went into the family home after school at least twice in the 1 year period to discuss the results of the skin test and suspected allergens. Trigger remediation, asthma management and inhaler technique were also reviewed.
The program ended prior to 1991.
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