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Vol. 22 No. 1, July 2009
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AAP Grand Rounds 22:6 (2009)
© 2009 American Academy of Pediatrics

PEDIATRIC PULMONOLOGY

Evaluation of Community Coaching to Reduce Asthma Hospitalization

Source: Fisher EB, Strunk RC, Gabrielle R, et al. A randomized controlled evaluation of the effect of community health workers on hospitalization for asthma: the asthma coach. Arch Pediatr Adolesc Med. 2009;163(3):225–232; doi:10.1001/archpediatrics. 2008.577[Abstract/Free Full Text]

The first 20% of the full text of this article appears below.


PICO

Question: Among African American children on Medicaid, does the use of a community health coach educator reduce re-hospitalization for asthma?

Question type: Intervention

Study design: Randomized controlled trial

 

To address the high rate of hospitalizations for asthma among innercity children on Medicaid and determine whether an asthma coach could reduce re-hospitalization, a randomized controlled trial compared use of a nonprofessional asthma coach with usual care. An asthma coach of the child’s same ethnicity and from the same community as the child would attempt to maintain a planned schedule of contacts to achieve a standard set of key behavioral objectives over a two-year period.

Children 2 to 8 years of age of African American ethnicity with Medicaid coverage were recruited following hospitalization for asthma at St. Louis Children’s Hospital. From a . . . [Full Text of this Article]

Miles M. Weinberger, MD, FAAP
Pediatrics, University of Iowa, Iowa City, IA