PEDIATRICS Vol. 78 No. 3 September 1986, pp. 543
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Comprehensive Asthma Care Reduces Hospitalization

CHARLES E. LEWIS MD, ScD1, GARY S. RACHELEFSKY MD1, MARY ANN LEWIS RN, DrPH1, ANN DE LA SOTA MA1, and MICHAEL S. KAPLAN MD1

1 University of California, Los Angeles, Los Angeles, CA 90024

To the Editor.—

The article describing a trial of "Asthma Command" by Rubin et al1 represents another interesting addition to the armamentarium of programs to enhance the self-management capacities of children with asthma. The program achieved an increase in knowledge, which is not surprising. (Tests designed to evaluate a specific intervention not provided to others should demonstrate a significant gain among the experimental group.) The failure to demonstrate differences in morbidity data in terms of children's visits to physicians, emergency rooms, and hospitals is not surprising.