ARTICLE A Randomized Controlled Trial of Asthma Self-management Support Comparing Clinic-Based Nurses and In-Home Community Health Workers The Seattle–King County Healthy Homes II Project James Krieger, MD, MPH; Tim K. Takaro, MD, MPH, MS; Lin Song, PhD; Nancy Beaudet, MS; Kristine Edwards, RN, MN, MPH Objective: To compare the marginal benefit of in- Results: Both groups showed significant increases in care- home asthma self-management support provided by com- taker quality of life (nurse-only group: 0.4 points; 95% con- munity health workers (CHWs) with standard asthma fidence interval [CI], 0.3-0.6; nurse CHW group: 0.6 education from clinic-based nurses. points; 95% CI, 0.4-0.8) and number of symptom-free days (nurse only: 1.3 days; 95% CI, 0.5-2.1; nurse CHW: 1.9 days; 95% CI, 1.1-2.8), and absolute decreases in the pro- Design: Randomized controlled trial. portion of children who used urgent health services in the prior 3 months (nurse only: 17.6%; 95% CI, 8.1%-27.2%; Setting: Community and public health clinics and homes. nurse CHW: 23.1%; 95% CI, 13.6%-32.6%). Quality of life improved by 0.22 more points in the nurse CHW Participants: Three hundred nine children aged 3 to group (95% CI, 0.00-0.44; P = .049). The number of symp- 13 years with asthma living
JAMA Pediatrics – American Medical Association
Published: Feb 1, 2009
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