Published online February 16, 2009
PEDIATRICS Vol. 123 Supplement March 2009, pp. S185-S192 (doi:10.1542/peds.2008-2233I)
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SUPPLEMENT ARTICLE


Effectiveness of Educational and Behavioral Asthma Interventions

Noreen M. Clark, PhDa,b,c,d, Herman E. Mitchell, PhDe and Cynthia S. Rand, PhDf

a School of Public Health
b Departments of Health Behavior and Health Education
c Pediatrics and Communicable Diseases
d Center for Managing Chronic Disease, University of Michigan, Ann Arbor, Michigan
e Rho Federal Systems Division, Chapel Hill, North Carolina
f Division of Pulmonary and Critical Care Medicine, Department of Medicine, Johns Hopkins University, Baltimore, Maryland

In this article we discuss studies of individualized and community-based interventions for control of asthma in children. We posit that successful programs share 8 common characteristics: (1) recognition of the multiple factors affecting childhood asthma; (2) careful assessment of participants' risk factors and needs; (3) tailoring of program elements to address participants' risk factors and needs; (4) consideration of both physical and social environments; (5) use of sound learning and change theories; (6) family involvement; (7) focus on children with the most serious disease; and (8) selection of delivery venues at which learning can be optimized. Challenges for moving practice and research forward also are presented.

Key Words: childhood asthma • asthma interventions • asthma research

Accepted Nov 4, 2008.


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