Reducing asthma health disparities in poor Puerto Rican children:: The effectiveness of a culturally tailored family intervention
Reducing asthma health disparities in poor Puerto Rican children:: The effectiveness of a culturally tailored family intervention
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DOI：
10.1016/j.jaci.2007.10.022
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发表时间：
2008-03-01
影响因子：
14.2
通讯作者：
Rand, Cynthia
中科院分区：
文献类型：
--
作者：
Canino, Glorisa;Vila, Doryliz;Rand, Cynthia
背景：岛屿和大陆波多黎各儿童的哮喘发病率和哮喘发病率是美国所有族群中最高的。目的：我们评估了一种适应文化的家庭哮喘管理干预措施 CALMA（西班牙语“控制、赋予自己权力并实现哮喘管理”的缩写）在降低患有哮喘的贫困波多黎各儿童的哮喘发病率方面的有效性。方法：从国家健康计划保险理赔数据库中选择患有持续性哮喘的低收入儿童通过使用计算机算法。基线后，家庭被随机分配到干预组或对照组。结果：在无症状天数的主要结局方面，对照组和干预组之间没有发现显着差异。然而，与对照组相比，CALMA 干预组的儿童无症状夜间数增加了 6.5%，哮喘得到控制的可能性增加了 3 倍，并且去急诊室和住院的可能性也更少。接受 CALMA 的护理人员因孩子的哮喘而感到无助、沮丧或不安的可能性显着降低，并且更有可能对控制孩子的哮喘充满信心。结论：针对低收入波多黎各家庭的文化需求量身定制的家庭哮喘干预计划是降低哮喘发病率的一种有前途的干预措施。
Background: Island and mainland Puerto Rican children have the highest rates of asthma and asthma morbidity of any ethnic group in the United States.Objective: We evaluated the effectiveness of a culturally adapted family asthma management intervention called CALMA (an acronym of the Spanish for "Take Control, Empower Yourself and Achieve Management of Asthma") in reducing asthma morbidity in poor Puerto Rican children with asthma.Methods: Low-income children with persistent asthma were selected from a national health plan insurance claims database by using a computerized algorithm. After baseline, families were randomly assigned to either the intervention or a control group.Results: No significant differences between control and intervention group were found for the primary outcome of symptom-free days. However, children in the CALMA intervention group had 6.5% more symptom-free nights, were 3 times more likely to have their asthma under control, and were less likely to visit the emergency department and be hospitalized as compared to the control group. Caregivers receiving CALMA were significantly less likely to feel helpless, frustrated, or upset because of their child's asthma and more likely to feel confident to manage their child's asthma.Conclusion: A home-based asthma intervention program tailored to the cultural needs of low income Puerto Rican families is a promising intervention for reducing asthma morbidity.