PURPOSE: Since 2005 the Long Island College Hospital Asthma Center has contracted with the NYC-Department of Health & Mental Hygiene (NYC-DOHMH) to provide asthma screening and education programs in daycare centers. The Brooklyn Asthma Project / Brownsville and East New York (BAP/BENY) was a one year study to assess the impact of education on asthma management and control in preschool children.
METHODS: 20 daycare centers were recruited in central Brooklyn. Children with asthma were identified using a Brief Respiratory Questionnaire (BRQ), a validated tool from the NYC-DOHMH program. Asthma education consisted of monthly sessions for parents and daycare staff given by an asthma educator and software programs developed by the NYC-DOHMH for daycare staff. A parental survey was administered initially and after 6 months of interventions to assess asthma-health status in children with positive BRQs. Statistics were performed using paired analysis and McNemar’ s Chi-Square.
RESULTS: 333 (27%) of 1230 children screened via BRQ were positive for asthma. 257 (77.2%) pre-intervention, and 193 (58%) post-intervention parental surveys were completed. There was significant improvement in parental comfort managing the child’ s asthma (P=.018). There were trends towards increased use of controller RX (P=.079) and reliever Rx (P=.070). No significant pre/post differences were found for asthma symptoms, missed school days, sleeplessness, emergency visits, or hospital admissions.
CONCLUSION: This study failed to show an impact of asthma education on key outcomes such as symptom frequency, urgent care visits and hospitalizations. There was improvement in parental comfort in managing their children’ s asthma and trends toward more consistent use of asthma medications. The latter results suggest a positive initial impact of the educational initiatives delivered. A larger trial of longer duration is needed to discern improvement in the more significant indicators of asthma control in this population.
CLINICAL IMPLICATIONS: Our data suggest that asthma education may be effectively provided for an inner city population of preschool children with asthma attending daycare.
DISCLOSURE: Kathy Garrett-Szymanski, Grant monies (from sources other than industry) New York Community Trust; Grant monies (from industry related sources) Affinity Health Plan; No Product/Research Disclosure Information