PDF(Pubmed)
Abstract：
UNASSIGNED: The Louisiana Department of Health identified a need for greater outreach in low-income Black communities that addressed environmental asthma triggers. We piloted an asthma virtual home visit (VHV) program and evaluated its reach and ability to promote asthma self-management strategies in communities with a high prevalence of poorly controlled asthma.
UNASSIGNED: Participants from Louisiana were continuously recruited into the VHV program starting in March 2021 and provided with asthma education materials. Participants reporting poorly controlled asthma and environmental triggers were also offered 3 VHVs with a respiratory therapist. All participants were asked to complete a preintervention and postintervention knowledge test, an Asthma Control Test (ACT) (maximum score = 25; scores ≤19 indicate poorly controlled asthma), and a final survey that assessed perceptions about asthma management and reduction of environmental triggers.
UNASSIGNED: As of October 2022, 147 participants were enrolled in the program, and 52 had consented to and received ≥1 VHV. Forty VHV recipients (77%) were aged <18 years, 40 (77%) were Black people, and 46 (88%) were from families with extremely low or low incomes. Asthma symptoms improved across all participants, with a median increase of 2.4 points on the ACT. Knowledge tests revealed that 86% of participants learned about ≥1 new asthma trigger; a larger percentage of VHV recipients than nonrecipients (68% vs 36%) had an improved knowledge test score postintervention. Compared with preintervention, about three-quarters of participants reported feeling more empowered to self-manage their asthma and a significant improvement in their quality of life postintervention.
UNASSIGNED: The program provided virtual asthma education to communities with a high burden of asthma and improved asthma outcomes for participants. Similar virtual models can be used to promote health equity, especially in areas with limited access to health care.
UNASSIGNED: Participants from Louisiana were continuously recruited into the VHV program starting in March 2021 and provided with asthma education materials. Participants reporting poorly controlled asthma and environmental triggers were also offered 3 VHVs with a respiratory therapist. All participants were asked to complete a preintervention and postintervention knowledge test, an Asthma Control Test (ACT) (maximum score = 25; scores ≤19 indicate poorly controlled asthma), and a final survey that assessed perceptions about asthma management and reduction of environmental triggers.
UNASSIGNED: As of October 2022, 147 participants were enrolled in the program, and 52 had consented to and received ≥1 VHV. Forty VHV recipients (77%) were aged <18 years, 40 (77%) were Black people, and 46 (88%) were from families with extremely low or low incomes. Asthma symptoms improved across all participants, with a median increase of 2.4 points on the ACT. Knowledge tests revealed that 86% of participants learned about ≥1 new asthma trigger; a larger percentage of VHV recipients than nonrecipients (68% vs 36%) had an improved knowledge test score postintervention. Compared with preintervention, about three-quarters of participants reported feeling more empowered to self-manage their asthma and a significant improvement in their quality of life postintervention.
UNASSIGNED: The program provided virtual asthma education to communities with a high burden of asthma and improved asthma outcomes for participants. Similar virtual models can be used to promote health equity, especially in areas with limited access to health care.
摘要：
■路易斯安那州卫生部确定需要在低收入黑人社区中进行更大的宣传，以解决环境哮喘的诱因。我们试行了哮喘虚拟家庭访问（VHV）计划，并评估了其在哮喘控制不佳的高患病率社区中推广哮喘自我管理策略的范围和能力。
■从2021年3月开始，连续招募来自路易斯安那州的参与者参加VHV计划，并提供哮喘教育材料。报告哮喘和环境诱因控制不佳的参与者还与呼吸治疗师一起提供了3个VHV。要求所有参与者完成干预前和干预后知识测试，哮喘控制测试（ACT）（最大评分=25；评分≤19表示哮喘控制不佳），以及一项最终调查，评估了对哮喘管理和减少环境触发因素的看法。
■截至2022年10月，147名参与者参加了该计划，52人同意并接受≥1的VHV。40名VHV接受者(77%)年龄<18岁，40人（77%）是黑人，46人(88%)来自极低或低收入家庭。所有参与者的哮喘症状都得到了改善，ACT的中位数增加2.4点。知识测试显示，86％的参与者了解到≥1个新的哮喘触发因素；干预后，VHV接受者的知识测验得分比非接受者更高（68％vs36％）。与预先干预相比，约四分之三的参与者报告称,在干预后,他们更有能力自我管理哮喘,生活质量显著改善.
该计划为哮喘负担较高的社区提供了虚拟哮喘教育，并改善了参与者的哮喘结局。可以使用类似的虚拟模型来促进健康公平，特别是在获得医疗保健的机会有限的地区。
■从2021年3月开始，连续招募来自路易斯安那州的参与者参加VHV计划，并提供哮喘教育材料。报告哮喘和环境诱因控制不佳的参与者还与呼吸治疗师一起提供了3个VHV。要求所有参与者完成干预前和干预后知识测试，哮喘控制测试（ACT）（最大评分=25；评分≤19表示哮喘控制不佳），以及一项最终调查，评估了对哮喘管理和减少环境触发因素的看法。
■截至2022年10月，147名参与者参加了该计划，52人同意并接受≥1的VHV。40名VHV接受者(77%)年龄<18岁，40人（77%）是黑人，46人(88%)来自极低或低收入家庭。所有参与者的哮喘症状都得到了改善，ACT的中位数增加2.4点。知识测试显示，86％的参与者了解到≥1个新的哮喘触发因素；干预后，VHV接受者的知识测验得分比非接受者更高（68％vs36％）。与预先干预相比，约四分之三的参与者报告称,在干预后,他们更有能力自我管理哮喘,生活质量显著改善.
该计划为哮喘负担较高的社区提供了虚拟哮喘教育，并改善了参与者的哮喘结局。可以使用类似的虚拟模型来促进健康公平，特别是在获得医疗保健的机会有限的地区。
