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Model for managing asthma in preschoolers leads to dramatic drop in ER visits and hospitalizations
Date:2/25/2011

a handful of programs had been designed to promote better asthma management by their parents," said Sally P. Findley, PhD, first author on the paper. "Our study suggests that the benefits of such a program are huge."

The study also found that over a two-week period the percentage of children reporting any daytime symptoms dropped from 78% to 42%, any nighttime symptoms fell from 81% to 49% during one month, and any daycare absences declined from 56% to 38% in the previous six months.

Another key element of the ABC strategy was linking asthma education activities in the daycare setting with improving the quality of asthma care by healthcare providers. Parents in this program confided that they were often reluctant to share concerns with their physician, especially about possible side effects of daily use of medications to control asthma. After participating in the program, 89% found it easier to talk to their doctor, and 80% said they were confident in their ability to manage their child's asthma. In the group without parent training, only 31% had taken at least one step toward reducing triggers, 49% reported that talking to their child's doctor was easier, and 49% expressed confidence in managing their child's asthma. When parents participated in the program, those reporting these behaviors increased to 40%, 62%, and 71%, respectively. Children with both parents and healthcare providers reported the greatest increases in these behaviors: 76%, 82%, and 86%, respectively. The two-pronged strategy of strengthening communication skills of parents and their child's healthcare provider is likely to have contributed to the changes in asthma management behaviors, improved confidence, and improved asthma control, observes Dr. Findley.

Asthma control outcomes improved progressively as the child's exposure to ABC's multi-layered interventions increased. "This study show that you can improve asthma outcomes for preschoolers with an approach that
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Contact: Stephanie Berger
sb2247@columbia.edu
212-305-4372
Columbia University's Mailman School of Public Health
Source:Eurekalert

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