Wood Pamela, Tumiel-Berhalter Laurene, Owen Steven, Taylor Kimberly, Kattan Meyer
Department of Pediatrics, University of Texas Health Science Center at San Antonio, San Antonio, Texas 78229-3900, USA.
Ann Allergy Asthma Immunol. 2006 Jul;97(1 Suppl 1):S20-4. doi: 10.1016/s1081-1206(10)60781-8.
Despite availability of asthma self-management interventions for children, few have been implemented in community-based settings.
To describe implementation of the Inner-City Asthma Intervention and factors associated with higher rates of program completion by enrollees.
Descriptive analyses of data from multiple data sources. Two-tailed Pearson correlation coefficients and analyses of variance were used to calculate associations of descriptive variables with the retention rate (percentage of enrolled children who completed the core intervention and had more than 1 follow-up visit) and with the percentage who had allergy testing done.
A total of 4,174 children were enrolled at 22 sites; 2,153 (52%) completed the core intervention and had more than 1 follow-up visit. A total of 2,014 enrolled children (48%) were tested for allergies. Retention was related to type and location of site, ease of obtaining written plans, language and ethnicity of asthma counselor, and on-site allergy testing. Higher rates of allergy testing were associated with the same factors, as well as flexibility in scheduling and selective enrollment of participants.
Inner-city children with asthma can be enrolled in the Inner-City Asthma Intervention outside a controlled research setting. However, completion of all intervention components is difficult to achieve. We identify having an asthma counselor who is representative of the community, access to asthma action plans, and on-site allergy testing as factors that facilitate the implementation of this intervention in community-based settings.
尽管有针对儿童的哮喘自我管理干预措施，但很少在社区环境中实施。
描述城市内哮喘干预措施的实施情况以及与参与者较高项目完成率相关的因素。
对来自多个数据源的数据进行描述性分析。使用双尾Pearson相关系数和方差分析来计算描述性变量与留存率（完成核心干预并进行了不止一次随访的登记儿童的百分比）以及进行过敏测试的儿童百分比之间的关联。
22个地点共登记了4174名儿童；2153名（52%）完成了核心干预并进行了不止一次随访。共有2014名登记儿童（48%）接受了过敏测试。留存率与地点类型和位置、获取书面计划的难易程度、哮喘顾问的语言和种族以及现场过敏测试有关。较高的过敏测试率与相同因素以及安排的灵活性和参与者的选择性登记有关。
患有哮喘的城市内儿童可以在非对照研究环境中参加城市内哮喘干预。然而，很难完成所有干预组成部分。我们确定，拥有一名具有社区代表性的哮喘顾问、获取哮喘行动计划以及现场过敏测试是促进在社区环境中实施该干预措施的因素。
