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Economic value of home-based, multi-trigger, multicomponent interventions with an environmental focus for reducing asthma morbidity a community guide systematic review

Environmental Health Economic Analysis Annotated Bibliography

Details

Review (systematic) Cost-benefit analysis (CBA), Cost-effectiveness analysis (CEA)
Authors
Nurmagambetov TA, Barnett SB, Jacob V, Chattopadhyay SK, Hopkins DP, Crocker DD, Dumitru GG, Kinyota S, and Task Force on Community Preventive Services
Journal
American Journal of Preventive Medicine
Summary
This systematic review identified the effectiveness and economic value of home-based interventions to reduce childhood asthma morbidity. The researchers found that the benefits of interventions with an environmental focus can match or even exceed program costs. Results of this review showed that home-based programs can provide a good value for dollars spent on the interventions.
Population
Nine studies included children and adolescents (≤ 19 years) with asthma; three studies included participants of all ages with asthma

Health Outcomes

  • Reviewed publications that examined — respiratory outcomes (asthma)

Environmental Agents

List of Environmental Agents:

  • Reviewed publications that examined — air pollutants
  • indoor allergens

Source of Environmental Agents: (Not available)

Economic Evaluation / Methods and Source

Type:

  • Cost-benefit analysis (CBA)
  • Cost-effectiveness analysis (CEA)

Cost Measured:

  • Reviewed publications that examined program costs (costs of resources required to implement intervention) which varied based on the following factors — home visitor type (e.g., nurse, sanitarian), number of home visits, remediation type (e.g., allergen impermeable pillow covers/mattresses, installation of air filters/dehumidifiers, pest management, repairs), and education content

Potential Cost Measures: (Not available)

Benefits Measures:

  • Reviewed publications that examined benefits such as — symptom free asthma days
  • averted healthcare utilization
  • averted missed school and work days due to illness
  • averted productivity losses

Potential Benefits:

  • Reduction of indirect costs such as costs related to quality of life and pain/suffering for asthma patients and caregivers

Location:

  • Eleven studies in the United States
  • two studies in the United Kingdom

Models Used: (Not available)

Methods Used:

  • The authors systematically assessed the economic efficiency of home-based, multi-trigger, multi-component interventions with an environmental focus to improve asthma-related morbidity outcomes. The authors — 1) conducted a systematic literature review to retrieve relevant studies; 2) vetted the results using inclusion/exclusion criteria; and 3) analyzed program costs and changes in symptom free days.

Sources Used:

  • The Watcombe Housing Study: the short term effect of improving housing conditions on the health of residents (Barton et al., 2007); Housing and health: does installing heating in their homes improve the health of children with asthma? (Somerville et al., 2000); Home environmental intervention in inner-city asthma: a randomized controlled clinical trial (Eggleston, 2005); Reducing environmental triggers of asthma in homes of Minnesota children (Oatman, 2007); The effect of pediatric asthma management program provided by respiratory therapists on patient outcomes and cost (Shelledy, 2005); An evaluation of the asthma intervention of the New York State Healthy Neighborhoods Program (Lin et al., 2004); additional sources cited in publication

Economic Evaluation / Methods and Source

Citation:

  • Nurmagambetov TA, Barnett SB, Jacob V, Chattopadhyay SK, Hopkins DP, Crocker DD, Dumitru GG, Kinyota S, and Task Force on Community Preventive Services. 2011. Economic value of home-based, multi-trigger, multicomponent interventions with an environmental focus for reducing asthma morbidity a community guide systematic review. American Journal of Preventive Medicine.

Pubmed:

DOI:

NIEHS Funding: (Not available)

Other Funding: (Not available)