Results of the RVA Breathes randomized controlled trial.

IF 2.7 3区心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL

Journal of Pediatric Psychology Pub Date : 2024-10-01 DOI:10.1093/jpepsy/jsae052

Robin S Everhart, Katherine D Lohr, Rachel L Holder, Sarah C M Morton, Ashley Miller, Rosalie Corona, Suzanne E Mazzeo, Leroy R Thacker Ii, Michael S Schechter

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引用次数: 0

Abstract

Objective: This study tested a randomized controlled trial of RVA Breathes, a community asthma program, in reducing asthma-related healthcare utilization among children living in an area with a high poverty rate.

Methods: Participants included 250 caregivers (78% African American/Black; 73.3% household income<$25,000/year) and their children with asthma (5-11 years). Inclusion criteria included an asthma-related emergency department (ED) visit, hospitalization, unscheduled doctor's visit, or systemic steroids in the past 2 years. Families were randomized to a full active intervention (asthma education with community health workers [CHWs], home remediation with home assessors, and a school nurse component; n = 118), partial active intervention (asthma education and home remediation; n = 69), or a control group (n = 63) for 9 months. Measures on healthcare utilization and asthma-related factors were collected. Follow-up assessments occurred across a 9-month period.

Results: Although we did not find any significant effects, there was a trend toward significance for a group by time effect with objective healthcare utilization as the outcome (F4,365 = 2.28, p = .061). The full intervention group experienced a significant decrease from baseline to 9-month follow-up compared with the other groups (p < .001). Only the full intervention group experienced a significant increase in reported asthma action plans across time (no significant group effect).

Conclusions: In the context of the unprecedented COVID-19 pandemic, which led to a substantial global decrease in healthcare utilization, the study's main hypotheses were not supported. Nevertheless, findings support the benefit of community asthma programs that integrate care across multiple settings and connect families with CHWs.

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RVA 呼吸随机对照试验的结果。

研究目的本研究对社区哮喘项目 "RVA 呼吸 "的随机对照试验进行了测试，以减少生活在高贫困率地区的儿童对哮喘相关医疗服务的使用：参与者包括 250 名照顾者（78% 为非洲裔美国人/黑人；73.3% 为家庭收入）：虽然我们没有发现任何显著的效果，但以客观医疗保健使用率为结果的组间时间效应有显著的趋势（F4,365 = 2.28, p = .061）。与其他组相比，全面干预组从基线到 9 个月随访期间的用药量明显减少（p 结论：全面干预组的用药量与其他组相比明显减少（p 结论：全面干预组的用药量与其他组相比明显减少）：在 COVID-19 史无前例的大流行导致全球医疗保健利用率大幅下降的背景下，该研究的主要假设未得到支持。不过，研究结果支持社区哮喘计划的益处，该计划整合了多种环境下的医疗服务，并将家庭与社区保健员联系起来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-

CiteScore

6.00

自引率

11.10%

发文量

期刊介绍： The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.