title: Improving pediatrician knowledge about environmental triggers of asthma.
abstract: BACKGROUND
  Control of environmental triggers (ETs) greatly improves asthma outcomes in children. Disseminating these findings to general pediatricians has not been well established.
  
  
  METHODS
  After delivering a structured and standardized presentation on ET identification and control to pediatricians, we surveyed them about knowledge and practices of ET assessment and management. We analyzed matched responses for pre/post and 3- to 6-month follow-up using McNemar's χ(2) test.
  
  
  RESULTS
  Matched data were available for 367 participants, and 3- to 6-month follow-up data were available for 83. There was a significant posttraining increase in intention to ask about ETs and recommend ET management. After 3 to 6 months, all responses remained significantly higher than baseline, except "likely to refer to an asthma specialist."
  
  
  CONCLUSIONS
  Pediatricians reported a significant improvement in knowledge about ETs of asthma and a willingness to incorporate exposure history questions and remediation recommendations in their routine practice.
authors.affiliation: Medical University of South Carolina, Charelston, SC 29425, USA. robertsj@musc.edu
authors.forename: James R
authors.initials: JR
authors.lastname: Roberts
authors.forename: Catherine J
authors.initials: CJ
authors.lastname: Karr
authors.forename: Lisa
authors.initials: L
authors.lastname: de Ybarrondo
authors.forename: Leyla E
authors.initials: LE
authors.lastname: McCurdy
authors.forename: Katherine D
authors.initials: KD
authors.lastname: Freeland
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Hulsey
authors.forename: Joel
authors.initials: J
authors.lastname: Forman
mesh_terms: D001249:Asthma / Q000209:etiology*; D004777:Environment; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D010372:Pediatrics; D010820:Physicians / Q000523:psychology*; D011795:Surveys and Questionnaires; D014481:United States
keywords: asthma; education; environmental health; environmental triggers; pediatric
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