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Asthma counselor intervention.
Another goal was to implement and assess a novel asthma counselor intervention that provided both asthma case management and guidance for environmental remediation.
Results from these evaluations were used to characterize post-Katrina environmental exposures in children with asthma as described above, tailor the asthma counselor intervention to the child's sensitivity and exposure, and assess the effectiveness of the asthma counselor intervention at reducing allergens in the home.
The goals of the asthma counselor intervention were to empower caretakers to better manage their children's symptoms, improve interactions with primary care providers, reduce home allergen levels, and manage psychosocial issues and stress resulting from Katrina.
With the new study design, data collection (morbidity, skin sensitivity, exposures) remained the same, and the quarterly end points could still be used to examine relationships between morbidity and exposures and to assess the effectiveness of the asthma counselor intervention.
HEAL was a pre post interventional study that aimed to a) characterize relationships between environmental exposures and childhood asthma morbidity in post-Katrina NOLA; b) assess a novel asthma counselor intervention; and c) collect biological and environmental specimens to support future studies.
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The counselor initiated intervention includes six scheduled telephone sessions of a behavioral intervention and provision of 8 weeks of NRT.
Results showed that potential participants preferred mixed groups or meeting individually with a counselor, extensive intervention design/data collection options were less favored than single sessions, incentives help to increase participation, homogenous ethnicity of staff decreases participation while 'a mix of races and ethnicities' increases the odds of participation.
The reason for this is that all patients who experience AWR are referred to an expert counselor whose intervention may mitigate the psychological sequelae of AWR.
Objectives: We implemented a unique hybrid asthma counselor and environmental intervention based on successful National Institutes of Health asthma interventions from the National Cooperative Inner City Asthma (NCICAS) and Inner-City Asthma (ICAS) Studies with the goal of reducing asthma symptoms in New Orleans children after Hurricane Katrina.
HEAL adapted components of these two evidence-based interventions into a novel, field-applicable, hybrid asthma counselor and environmental intervention to provide support for families with asthma in the aftermath of Hurricane Katrina.
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