Skip Navigation
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Your Environment. Your Health.

Outcomes of a home-based environmental remediation for urban children with asthma

Environmental Health Economic Analysis Annotated Bibliography

Details

Research article Cost-benefit analysis (CBA)
Authors
Bryant-Stephens T and Li Y
Journal
Journal of the National Medical Association
Summary
This study examined the effectiveness of a home-based intervention for reducing environmental asthma triggers, and determined that children experienced fewer asthma-related hospitalizations, emergency room visits, sick visits, and asthma symptoms with the intervention. Study findings suggested that low-cost in-home education and environmental remediation may improve outcomes for asthmatic children, and that lay educators can deliver effective asthma-specific education that results in improved asthma control.
Population
Children and adolescents living in urban areas (2-16 years)

Health Outcomes

  • Respiratory outcomes (asthma, asthma symptoms (nighttime/daytime wheezing and coughing))

Environmental Agents

List of Environmental Agents:

  • Indoor allergens (cockroach, dust mite)
  • air pollutants (tobacco smoke)

Source of Environmental Agents:

  • Allergens from pests (cockroaches, rodents)
  • cigarette smoke (secondhand smoke)

Economic Evaluation / Methods and Source

Type:

  • Cost-benefit analysis (CBA)

Cost Measured:

  • Asthma-related inpatient hospitalizations (length of hospital stays)
  • number of emergency visits related to asthma
  • number of sick visits related to asthma
  • cost for environmental asthma trigger intervention
  • salary for home visitor

Potential Cost Measures: (Not available)

Benefits Measures:

  • Reduction in number of inpatient hospitalizations/visits
  • reduction in number of asthma-related emergency department visits and sick visits
  • reduction in frequency of daytime/nighttime asthma symptoms (wheezing, coughing, etc.)
  • reduced reliance on asthma medications (beta-agonists and controller medicines (e.g., albuterol))

Potential Benefits: (Not available)

Location:

  • Philadelphia, Pennsylvania

Models Used: (Not available)

Methods Used:

  • The authors used a prospective, randomized controlled trial design to study the effectiveness of a low-cost asthma intervention using lay educators to promote control of asthma triggers in the bedrooms of children with asthma. The authors — 1) enrolled patients in the study who received primary care at The Children's Hospital of Philadelphia between 1999 and 2002; 2) randomly assigned patients to either the observation only (OBS) group or the home visitor education and environmental intervention (HVE) group; 3) delivered in-home education visits which covered asthma physiology, asthma trigger avoidance and asthma management and conducted environmental remediation with the caregiver; and 4) monitored groups for 12 months.

Sources Used:

  • The authors collected the data used for the study described in this publication. No other existing datasets were used.

Economic Evaluation / Methods and Source

Citation:

  • Bryant-Stephens T and Li Y. 2008. Outcomes of a home-based environmental remediation for urban children with asthma. Journal of the National Medical Association.

Pubmed:

DOI: (Not available)

NIEHS Funding: (Not available)

Other Funding: (Not available)

Back
to Top