Community Health Worker Asthma Interventions for Children: Results From a Clinically Integrated Randomized Comparative Effectiveness Trial (2016‒2019).
Community Health Worker Asthma Interventions for Children: Results From a Clinically Integrated Randomized Comparative Effectiveness Trial (2016‒2019).
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DOI：
10.2105/ajph.2021.306272
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发表时间：
2021-07
影响因子：
12.7
通讯作者：
Walton S
中科院分区：
文献类型：
--
作者：
Martin MA;Pugach O;Mosnaim G;Weinstein S;Rosales G;Roy A;Pappalardo AA;Walton S
比较接受社区卫生工作者（CHW）和认证哮喘教育者（AE-C）服务的儿童的哮喘控制情况。伊利哮喘行动试验是一项比较有效的试验，从2016年到2019年在伊利诺伊州库克县进行。参与者（5-16岁，未控制哮喘）被随机分配到临床整合哮喘CHWs的10次家访或AE-C的2次门诊。参与者（N=223）主要是西班牙裔（85%）和低收入者。随着时间的推移，两个干预组的哮喘控制评分都有了显著改善。干预结束后哮喘控制维持。CHW组在哮喘控制评分方面有更大的改善。停止干预一年后，与AE-C组相比，CHW组活动受限天数减少42% （0.58,95% CI 0.35, 0.96）。两种干预措施都与哮喘控制有意义的改善有关。干预停止后，改善持续了一年，CHW干预更强。不提供家庭环境修复设备的临床综合哮喘CHW和AE-C服务可能改善和维持哮喘控制。NCT02481986
To compare asthma control for children receiving either community health worker (CHW) or certified asthma educator (AE-C) services. The Asthma Action at Erie Trial is a comparative effectiveness trial that ran from 2016–2019 in Cook County, Illinois. Participants (5–16 years old with uncontrolled asthma) were randomized to ten home visits from clinically-integrated asthma CHWs or two in-clinic sessions from an AE-C. Participants (N=223) were mainly Hispanic (85%) and low-income. Both intervention groups showed significant improvement in asthma control scores over time. Asthma control was maintained after interventions ended. The CHW group experienced a greater improvement in asthma control scores. One year after intervention cessation, the CHW group had a 42% reduction in days of activity limitation relative to the AE-C group (0.58, 95% CI 0.35, 0.96). Both interventions were associated with meaningful improvements in asthma control. Improvements continued for one year after intervention cessation and were stronger with the CHW intervention. Clinically-integrated asthma CHW and AE-C services that do not provide home environmental remediation equipment may improve and sustain asthma control. NCT02481986