TREATMENT
Review: culture-specific programmes improve some asthma-related outcomes in children and adults from ethnic minority groups
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Do culture-specific education programmes improve asthma-related outcomes in children and adults from ethnic minority groups?
Included studies compared culture-specific asthma education programmes with generic programmes or usual care in children or adults from ethnic minority groups who had asthma. Studies of patients with eosinophilic bronchitis, bronchiectasis, chronic obstructive airway disease, cough variant asthma, or wheezy bronchitis were excluded. Outcomes included asthma control, hospital admission, emergency department (ED) visits, and quality of life.
Medline, EMBASE/Excerpta Medica, Cochrane Airways Group Specialised Trials Register, Cochrane Central Register of Controlled Trials, and references were searched to May 2008, and authors were contacted for randomised controlled trials (RCTs). 4 RCTs (n = 617, age range 5–59 y, 40% children) met the selection criteria.
A single RCT showed that culture-specific programmes increased asthma control and reduced hospital admissions in children (table). 1 RCT showed that culture-specific programmes reduced ED visits in children, but another RCT showed
School of Nursing, Memorial University, St John's, Newfoundland, Canada
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