Effectiveness of Educational and Behavioral Asthma Interventions

被引:58
作者
Clark, Noreen M. [1 ,2 ,3 ,4 ]
Mitchell, Herman E. [5 ]
Rand, Cynthia S. [6 ]
机构
[1] Univ Michigan, Ctr Managing Chron Dis, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Sch Publ Hlth, Ann Arbor, MI 48109 USA
[3] Univ Michigan, Dept Hlth Behav & Hlth Educ, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Dept Pediat & Communicable Dis, Ann Arbor, MI 48109 USA
[5] Rho Fed Syst Div, Chapel Hill, NC USA
[6] Johns Hopkins Univ, Dept Med, Div Pulm & Crit Care Med, Baltimore, MD USA
关键词
childhood asthma; asthma interventions; asthma research; INNER-CITY CHILDREN; RANDOMIZED CLINICAL-TRIAL; ENVIRONMENTAL INTERVENTION; PROGRAM; MANAGEMENT; MORBIDITY; EXPOSURE; IMPACT; REDUCE; CARE;
D O I
10.1542/peds.2008-2233I
中图分类号
R72 [儿科学];
学科分类号
100202 [儿科学];
摘要
In this article we discuss studies of individualized and community-based interventions for control of asthma in children. We posit that successful programs share 8 common characteristics: (1) recognition of the multiple factors affecting childhood asthma; (2) careful assessment of participants' risk factors and needs; (3) tailoring of program elements to address participants' risk factors and needs; (4) consideration of both physical and social environments; (5) use of sound learning and change theories; (6) family involvement; (7) focus on children with the most serious disease; and (8) selection of delivery venues at which learning can be optimized. Challenges for moving practice and research forward also are presented. Pediatrics 2009; 123:S185-S192
引用
收藏
页码:S185 / S192
页数:8
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