YOUNG CHILDREN W/ ASTHMA--HOME-BASED NURSE INTERVENTION

描述(改编自《调查者摘要》)：年轻的内城 儿童受哮喘的影响不成比例。虽然以诊所为基础 以学校为基础的哮喘教育项目已经被证明增加了 有效的哮喘家庭自我管理，这样的项目反复进行 报告没有确保低收入父母入学的情况。该计划的目的是 随机对照研究是为了证明一种居家护理 针对患有中度哮喘的市中心儿童的哮喘教育计划 向重症哮喘及其家人提供帮助是可行的，也将是：增加 有效的小学生哮喘自我管理实践的利用 照顾者和儿童；提高初级保健人员的生活质量 照顾者和儿童；加强对儿童哮喘的控制； 并减少急性哮喘的就诊次数(无论在哪里) 病情加重。样本将包括80名低收入儿童和他们的 家庭，他们将从一个哮喘/过敏诊所招募 市中心，公立，儿童医院。参与的标准： 儿童包括，年龄在1岁到6.99岁之间，有中到重度 哮喘。这些儿童将被随机分配到干预和 对照(常规临床治疗)组，每组40人 儿童；组将根据年龄(3岁和3岁)进行分层 年)和哮喘严重程度(中度或重度)。干预措施 包括每周8次1.5小时的家访，利用Wee Wheezer #岁以下哮喘儿童家长教育方案 七号，已经改装用于家访并进行了试点测试 有10个家庭。措施将在注册时收集(基线)和 在3个月(紧接干预干预后 集团)和注册后12个月。主要结果变量将 BE：哮喘症状(包括最大呼气流量测量)和医疗 因哮喘急性加重而就诊。次要结果变量将是： 生活质量、哮喘管理实践和哮喘管理技能 照顾者和孩子。干预方案的可行性 还将使用方案执行措施和一项 年儿童就诊费用比较评估 干预组和对照组。

DESCRIPTION (Adapted from the Investigator's Abstract): Young inner-city children are disproportionately affected by asthma. Although clinic-based and school-based asthma education programs have been shown to increase effective asthma self management of families, such programs repeatedly report failure to secure attendance of low-income parents. The aim of the randomized control study is to demonstrate that a home-based nursing asthma-education program targeting young inner-city children with moderate to severe asthma and their families is feasible and will: increase the utilization of effective asthma self-management practices of primary caregivers and children; improve the quality of life of the primary caregivers and the children; increase the control of asthma in the children; and decrease medical visits (regardless of site) for acute asthma exacerbations. The sample will consist of 80 low-income children and their families, who will be recruited from an Asthma/Allergy Clinic in an inner-city, public, children's hospital. Criteria for participation of the child include, age 1 year to 6.99 years, and having moderate to severe asthma. The children will be randomly assigned to an intervention and a comparison (usual clinic treatment) group, each group consisting of 40 children; groups will be stratified with respect to age (<3 years and >3 years) and severity of asthma (moderate or severe). The intervention consists of 8 weekly 1.5 hour home visits utilizing the Wee Wheezers Educational Program for Parents of children with Asthma Under the Age of Seven, which has been adapted for home visiting and has been pilot tested with 10 families. Measures will be collected at enrollment (baseline) and at 3 months (immediately following the intervention for the intervention group) and 12 months following enrollment. Primary outcome variables will be: Asthma symptoms (including peak expiratory flow measures) and medical visits for acute asthma exacerbations. Secondary outcome variables will be: Quality of life, asthma management practices, and asthma management skills of caregivers and children. The feasibility of the intervention program will also be assessed, using program implementation measures, and a comparative cost assessment of medical visits made by the children in the intervention and comparison groups.