Asthma is the leading cause of hospitalization and absenteeism among children in New York City (NYC). Since 2005 the Long Island College Hospital Asthma Center (LICH-AC) 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) is a 2 year study to assess the impact of education initiatives for parents and daycare staff on outcomes in asthmatic preschool children.
20 daycare centers were recruited in central Brooklyn. Asthmatics identified using a Brief Respiratory Questionnaire (BRQ), a validated tool from the NYC-DOHMH program. The LICH-AC developed a parent survey to assess asthma management and control in children with positive BRQs. Daycare staff were trained to administer the surveys which are collected initially and after 6 months of educational interventions per the protocol.
BAP/BENY is ongoing. Pre-intervention data are available. 1230 children were screened and 333 (27%) are positive for asthma via BRQ. Pre-intervention parental surveys were completed in 239 (71.7%) of 333 with positive BRQ. Pre-intervention data are shown in the table.
Asthmatic children in daycare are frequently symptomatic, frequently absent from school, and have frequent ED or urgent care visits. Reliever Rx and oral steroid usage is high. Controller Rx is under-used.
Our interim data identifies key problems in an inner city population of preschool children with asthma. Data on the impact of parental and daycare staff education in improving outcomes will be forthcoming.
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