AI Article Synopsis
- The Asthma Action at Erie Trial, conducted from 2016 to 2019 in Cook County, focused on improving asthma control in children aged 5-16 by comparing the effectiveness of community health workers (CHWs) and certified asthma educators (AE-Cs).
- The study included 223 mainly Hispanic, low-income participants and showed significant improvements in asthma control scores for both groups, with the CHW group experiencing notably greater benefits.
- One year after the interventions ended, the CHW group reported a 42% reduction in days of activity limitation compared to the AE-C group, demonstrating the lasting impact of the CHW intervention even without home environmental remediation tools.
Article Abstract
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 to 2019 in Cook County, Illinois. Participants (aged 5‒16 years with uncontrolled asthma) were randomized to 10 home visits from clinically integrated asthma CHWs or 2 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 (b = 0.58; 95% confidence interval = 0.35, 0.96). Both interventions were associated with meaningful improvements in asthma control. Improvements continued for 1 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.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8355214 | PMC |
| http://dx.doi.org/10.2105/AJPH.2021.306272 | DOI Listing |
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