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Box 3. National Cooperative Inner-City Asthma Study Intervention

Chronic Care for Low-Income Children with Asthma

This is a comprehensive social-worker-based education program combined with environmental control.

  • Social workers were trained as asthma counselors (ACs) over a 3-month period.
  • Training included three separate 2 ½-day sessions plus attending local asthma clinics for at least 2 weeks.
  • ACs worked with child's caretaker to improve communications between family and physician.
  • Primary care physicians were sent a blank asthma care plan, a spacer, a peak flow meter, and National Heart, Lung, and Blood Institute's asthma treatment guidelines.
  • Caretakers attended two adult group asthma education sessions and one individual meeting with their AC during the 2 months after baseline assessments.
  • Group sessions covered asthma triggers, environmental controls, asthma physiology, strategies for problem solving, and communicating with their child's physician.
  • Two group sessions for children were conducted during the next 2-month period.
  • ACs met with caretakers in person every 2 months and spoke with them on the telephone on alternate months.
  • Families were given pillow and mattress covers and were encouraged to minimize exposure to tobacco smoke and pets.
  • All children participating were given comprehensive 2-hour baseline assessments regarding health status, asthma symptoms, use of health care services, and psychological status.

Source: Sullivan SD, Weiss K, Lynn H, et al. The cost-effectiveness of an inner-city asthma intervention for children. J Allergy Clin Immunol 2002; 110(4):576-81.

For additional information, contact Dr. Sean Sullivan at the University of Washington. E-mail:; telephone: (206)-685-8153.

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Page last reviewed June 2005
Internet Citation: Box 3. National Cooperative Inner-City Asthma Study Intervention: Chronic Care for Low-Income Children with Asthma. June 2005. Agency for Healthcare Research and Quality, Rockville, MD.