Evid Based Nurs 8:43 doi:10.1136/ebn.8.2.43
  • Treatment

A multifaceted, home based, environmental intervention reduced asthma related morbidity in children with atopic asthma

 Q Is a multifaceted, home based, environmental intervention (HBEI) effective for improving asthma related outcomes in inner city children with atopic asthma?



randomised controlled trial.




blinded (outcome assessors).

GraphicFollow up period:

1 year of intervention followed up by a 1 year observational period.


7 major cities in the US.


937 children 5–11 years of age (mean age 7.7 y, 63% boys) who had atopic asthma and resided in districts in which ⩾20% of households had incomes below the federal poverty level. Children were also required to have had ⩾1 asthma related hospital admission or 2 unscheduled asthma related visits to a clinic or emergency department during the previous 6 months and a positive skin test in response to ⩾1 of 11 indoor allergens.


a 1 year HBEI (n = 469) or home evaluation only (control group, n = 468). The HBEI was tailored to each child’s sensitisation and environmental risk profile. Each child’s caretaker was provided with …

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