A Community-Based Intervention to Reduce Environmental Triggers for Asthma Among Children (Asthma Intervention)EPA Grant Number: R826710C003
Subproject: this is subproject number 003 , established and managed by the Center Director under grant R826710
(EPA does not fund or establish subprojects; EPA awards and manages the overall grant for this center).
Center: Michigan Center for the Environment and Children’s Health
Center Director: Israel, Barbara A.
Title: A Community-Based Intervention to Reduce Environmental Triggers for Asthma Among Children (Asthma Intervention)
Investigators: Israel, Barbara A. , Parker, Edith
Current Investigators: Israel, Barbara A. , Keeler, Gerald J. , Remick, Daniel , Parker, Edith , Philbert, Martin , Brown, Randall , Robins, Thomas , Lin, Xihong
Institution: University of Michigan
EPA Project Officer: Klieforth, Barbara I
Project Period: January 1, 1998 through January 1, 2002
Project Amount: Refer to main center abstract for funding details.
RFA: Centers for Children's Environmental Health and Disease Prevention Research (1998) RFA Text | Recipients Lists
Research Category: Children's Health , Health Effects , Health
Objective:The first specific aim of this household and neighborhood level community-based intervention research project is to reduce exposure of children to environmental contaminants within their homes and neighborhoods that trigger asthma, thereby improving asthma-related health status and reducing asthma-related medical care utilization. Asthmatic children will be identified through elementary school screenings and their parents will be asked to enroll in a household intervention in which outreach workers will visit each household 12 times in two years (9 times in the intensive first year, and 3 times in the second year.) Outreach workers will work with the family to reduce indoor household exposure factors identified as excerbating asthma, such as cockroach mites, cat dander, environmental tobacco smoke, and mold. Each household will also be supplied with educational materials and other resources to reduce indoor asthma triggers such as vacuum cleaners, bedding covers, cleaning kits, and mats. In the neighborhood component of the intervention, community organizers will work with neighborhood groups on asthma awareness and reduction of environmental threats to children's respiratory health. The second specific aim is to conduct a randomized, staggered design community-based intervention to test the following hypotheses: 1) The household level intervention will improve asthma-related health status (and other mental and physical health outcomes), and increase behaviors to reduce home environmental hazards; 2) A neighborhood level intervention when combined with a household level intervention will provide an enhanced effect on the outcomes at the household level; 3) A less intensive household intervention following an initial intensive intervention will maintain similar level effects; 4) A long-term neighborhood intervention, when combined with a household-level intervention, will result in greater intervention effects than a household level intervention with a short-term neighborhood component. The third specific aim is to conduct a process and context evaluation in addition to the outcome evaluation of both components of the intervention.
Publications and Presentations:Publications have been submitted on this subproject: View all 3 publications for this subproject | View all 45 publications for this center
Journal Articles:Journal Articles have been submitted on this subproject: View all 1 journal articles for this subproject | View all 22 journal articles for this center
Supplemental Keywords:children, health, asthma, exposure, home, mites, dander, smoke., RFA, Health, Scientific Discipline, Air, Environmental Chemistry, Health Risk Assessment, Susceptibility/Sensitive Population/Genetic Susceptibility, Risk Assessments, Allergens/Asthma, Children's Health, indoor air, genetic susceptability, Biology, asthma, dust mite, health effects, sensitive populations, school based study, asthma triggers, dust mites, dander, environmental triggers, community-based intervention, airway disease, exposure, second hand smoke, biological response, children, household, Human Health Risk Assessment, airway inflammation, human exposure, inhalation, assessment of exposure, childhood respiratory disease, mold, cigarette smoke, epidemeology, environmentally caused disease, environmental health hazard, environmental tobacco smoke, indoor air quality, tobacco smoke, dust , allergic response, allergen, disease, exposure assessment, human health risk, indoor environment, respiratory, toxics, cockroaches
Progress and Final Reports:
Main Center Abstract and Reports:R826710 Michigan Center for the Environment and Children’s Health
Subprojects under this Center: (EPA does not fund or establish subprojects; EPA awards and manages the overall grant for this center).
R826710C001 Indoor and Outdoor Air Contaminant Exposures and Asthma Aggravation Among Children (Asthma Exposure)
R826710C002 Chemokines in the Pathogenesis of Asthma (Asthma Chemokines)
R826710C003 A Community-Based Intervention to Reduce Environmental Triggers for Asthma Among Children (Asthma Intervention)