ABC system reduces asthma-related ED visits in preschool kids greatly One in eleven preschool children in the U ed pills .S. Has been identified as having asthma and in some inner city neighborhoods, the figure is nearer to one in seven. But, few asthma management programs were created for parents of preschool children. The Asthma Essentials for Children plan, set up by Columbia University’s Mailman School of Public Health and a coalition of community provider organizations, educators, parenting applications, and community pediatric companies, addressed this need with a multi-layered strategy that offers educational actions to parents and children in 31 Northern Manhattan daycare centers as well as schooling to community pediatric providers. Following participation in the program, 85 percent % of parents reported reducing their child’s asthma triggers. The % of kids with asthma-related visits to crisis departments declined sharply from 74 percent to 47 percent, as did asthma-related hospitalizations, dropping from 24 percent to 11 percent. Full study findings are released in the February 2011 Journal of Urban Health. The ABC Program provided multiple opportunities for parents to understand about asthma signs and triggers in health units at the daycare centers. The multi-level intervention included social workers, peer counselors and qualified health educators, as in various other community-based asthma coalitions ; but promoted parent participation by offering flexible workshop scheduling also; reinforcing text messages to parents through daycare center activities for their children; and adding a provider-education component to improve conversation between parents and suppliers. The Columbia researchers found that parent participation rates in the analysis exceeded rates found in most other preschool or school-centered asthma programs. Although emergency room visits and hospitalization rates for this age group are more than twice that of teenagers with asthma, until we created the ABC model, only a small number of applications had been designed to promote better asthma management by their parents, stated Sally P. Findley, PhD, first writer on the paper. Our study shows that the benefits of such an application are huge. Related StoriesAnxiety connected with poor asthma outcomesSMU and University of Maryland experts awarded NIH grant to combat pediatric asthmaUtah researchers awarded NIH grant to build up informatics platform to identify cause of pediatric asthmaThe research also discovered that over a two-week period the %age of children reporting any daytime symptoms dropped from 78 percent to 42 percent, any nighttime symptoms fell from 81 percent to 49 percent during a month, and any daycare absences declined from 56 percent to 38 percent in the last six months. Another important element of the ABC strategy was linking asthma education actions in the daycare placing with improving the standard of asthma treatment by healthcare providers. Parents in this program confided that they were often reluctant to talk about concerns with their physician, especially about possible side effects of daily use of medications to regulate asthma. After participating in the program, 89 percent found it better to talk to their doctor, and 80 percent said these were assured in their capability to manage their child’s asthma. In the mixed group without parent training, only 31 percent had used at least one step toward reducing triggers, 49 percent reported that talking to their child’s doctor was less difficult, and 49 percent expressed self-confidence in controlling their child’s asthma. When parents participated in the scheduled plan, those reporting these behaviors increased to 40 percent, 62 percent, and 71 percent, respectively. Children with both parents and health care providers reported the greatest boosts in these behaviors: 76 percent, 82 percent, and 86 percent, respectively. The two-pronged strategy of strengthening communication skills of parents and their child’s healthcare provider is likely to possess contributed to the changes in asthma management behaviors, improved confidence, and improved asthma control, observes Dr. Findley. Asthma control outcomes improved progressively as the child’s contact with ABC’s multi-layered interventions elevated. This study show that you can improve asthma outcomes for preschoolers with a strategy that integrates actions for kids, parents, teachers, and healthcare suppliers, noted Dr. Findley, clinical professor of Sociomedical Population and Sciences and Family Health at the Mailman School. The greatest impact takes place when you combine education interventions at all of these levels. .
ACAAI allergist open to discuss importance of immediate access to epinephrine This week a seven-year-old elementary school student in Chesterfield County, Virginia, died after suffering an allergic attack at school. Allergist Dr. Stanley Fineman, president of the American University of Allergy, Asthma and Immunology, is available to discuss the need for immediate access to epinephrine, the first-series treatment for an allergic emergency or anaphylactic response. Delay in treating these reactions can have serious consequences including death. Recent deaths of teenagers in Georgia and Illinois, who didn’t have immediate access to epinephrine, underscore the need for instant treatment. We are saddened at the news headlines of this little girl’s loss of life, said Dr. Fineman. While we don’t know the specifics of the event, we can say for certain that, with appropriate education and instant treatment, almost all severe allergies are preventable. ACAAI recommends that those with a previous background of severe allergic attack see an allergist, get and fill up a prescription for epinephrine, carry the epinephrine with them at all times and use it immediately at the first sign of an allergic reaction.