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

描述（改编自研究者摘要）：年轻的内城 儿童患哮喘的比例过高。 虽然基于临床 以学校为基础的哮喘教育项目已经被证明增加了 有效的哮喘自我管理的家庭，这样的节目反复 报告未能确保低收入父母上学。 的目的 一项随机对照研究旨在证明家庭护理 哮喘教育计划针对的是患有中度哮喘的市中心年轻儿童， 严重哮喘及其家庭是可行的，并将：增加 利用有效的哮喘自我管理实践， 照顾者和儿童;提高初级保健人员的生活质量 护理人员和儿童;增加儿童哮喘的控制; 并减少急性哮喘的医疗就诊（无论地点） 加重 样本将包括80名低收入儿童及其 家庭，他们将从哮喘/过敏诊所招募， 市中心公立儿童医院 参加标准 儿童包括，年龄1岁至6.99岁，并有中度至重度 哮喘 这些儿童将被随机分配到一个干预组和一个 对照组（常规临床治疗），每组40例 儿童;组将根据年龄（<3 years and >3 年）和哮喘的严重程度（中度或重度）。 干预 包括每周8次1.5小时的家庭访问，使用Wee Wheezers 为岁以下哮喘儿童的父母提供的教育计划 七个，已调整用于家访，并已进行试点测试 10个家庭。 将在入组（基线）时收集测量结果， 3个月时（干预后即刻） 组）和入组后12个月。 主要结果变量将 be：哮喘症状（包括呼气峰流量测量）和医疗 哮喘急性加重访视。 次要结局变量为： 生活质量、哮喘管理实践和哮喘管理技能 照顾者和孩子的。 干预方案的可行性 还将使用计划实施措施进行评估， 儿童就医费用比较评估 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.