219146 A Collaborative Asthma and Healthy Homes Training To Improve Well-Being of Families Living With Asthma in South Texas Colonias

Monday, November 8, 2010

Genny Carrillo Zuniga, MD, MPH, MSPH, ScD , Department of Environmental and Occupational Health, Texas A&M Health Sciences Center, School of Rural Public Health, McAllen, TX
Dora Hernandez , Adult Health & Chronic Disease Branch, Texas Department of State Health Services, Texas Asthma Control Program (TACP), Austin, TX
Rose Lucio, BBA , Social and Behavioral Health, Texas A&M Health Science Center, School of Rural Public Health, McAllen, TX
Yoon-Ho Seol, PhD , Department of Health Informatics, Georgia Health Sciences University, Augusta, GA
Miguel A. Zuniga, MD, DrPH , Department of Health Policy and Management, Texas A&M Health Science Center, McAllen, TX
Purpose: To assess the impact of a dual asthma and Healthy Homes educational training on well-being of families living with asthma.

Background: Asthma is a widespread public health problem that has increased in the past two decades in the United States and Texas. Childhood asthma rates are highest among minorities, and among those who reside in low-income communities.

Methods: This study utilized the healthy homes training approach, integrated pest management and identification of asthma triggers, as well as, teaching asthma case management to decrease the incidence of asthmatic episodes in identified families living with asthma. An outreach dual training using the healthy homes module combined with asthma education was implemented. A training pre and post test and a follow-up at 2 months were performed. An asthma management questionnaire was applied to 50 family participants who had a child 5-12 years of age with asthma in Hidalgo County. Certified promotoras identified, trained and administered the survey to parents. Results: Asthma management and healthy homes knowledge, attitudes and practices significantly improved after the implementation of the dual training program. Conclusions: This study suggests that colonia families living with asthma benefit from an integrated training approach to decrease the risk of more asthmatic episodes due to current household conditions. There is a need to promote home safety through educational interventions for children and their families in the Texas-Mexico border colonias.

Learning Areas:
Environmental health sciences
Implementation of health education strategies, interventions and programs
Public health or related research

Learning Objectives:
1) Identify the role of the promotora in implementing and evaluating a healthy homes and asthma intervention program 2) Evaluate the intervention delivered by the promotora including trigger mitigation methods and improvement of qualify of life, and 3) Discuss the need and benefits for healthy homes education and asthma among families with children with asthma.

Keywords: Asthma, Healthy Buildings

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of the study.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.