Home visiting for intervention delivery to improve rural family asthma management.
The focus of this article is on the use of home visits in an asthma self-management intervention study with rural families who have a school-aged child with asthma. The study design involved randomization of the sample by elementary schools, then baseline (pretest) and postintervention data collection.(1) The purpose of this article is to describe challenges with, and pose solutions for, implementing home visits for asthma self-management in rural areas. Home visiting is a strategy for program delivery that takes advantage of the home context for tailoring services to address the family's individual needs. The advantages of intervening in the home include being able to (a) use actual home conditions for individualizing the asthma education to meet families' needs; (b) match home visitors with family in terms of ethnicity and language; (c) retain a high percentage of families over the year-long duration of the study; and (d) not add to family burden of managing asthma.
Horner
Sharon D
SD
The University of Texas at Austin, School of Nursing, Austin, TX, USA. s.horner@mail.utexas.edu
D001249:Asthma / Q000517:prevention & control*; D002648:Child; D002662:Child Health Services / Q000458:organization & administration*; D003152:Community Health Nursing / Q000458:organization & administration*; D019468:Disease Management; D005260:Female; D006699:Home Care Services / Q000458:organization & administration; D006792:House Calls; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D015337:Multicenter Studies as Topic / Q000451:nursing; D015403:Nursing Evaluation Research; D016272:Occupational Health; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration; D010865:Pilot Projects; D016730:Program Development; D016032:Randomized Controlled Trials as Topic / Q000451:nursing; D019035:Rural Health Services / Q000458:organization & administration*; D017751:Safety Management; D012648:Self Care; D015206:Southwestern United States; D017749:Total Quality Management / Q000458:organization & administration