title: Removing asthma triggers and improving children's health: The Asthma Partnership Demonstration project.
abstract: Studies have revealed the efficacy of home-based environmental interventions on reduction of asthma symptoms as a strategy for managing asthma in children. A focus on education and behavior change alone is generally too limited to reduce exposure to asthma triggers that exist because of adverse housing conditions.
  
  
  
  To demonstrate that housing conditions as a focus of a health intervention should be considered more widely as an effective means of addressing serious health problems such as asthma.
  
  
  
  Residences of 41 families of children identified with some of the highest rates of asthma-related hospital visits were assessed for the presence of asthma triggers.
  
  
  
  The intervention had a positive effect on lessening the effect of the child's asthma on the family's lives and activities. Reductions in frequency of negative effects of children's asthma on sleeping, job or work around the house, and family activity plans, fewer worries or concerns about children getting enough sleep and performing normal daily activities, and fewer adverse effects of children's asthma medications were reported. Reduced use of asthma medication, medication applications, and health visits were noted. Households with return visits had 50% lower hospital bills for childhood asthma treatment.
  
  
  
  Home environment conditions that lead to or exacerbate asthma may be reduced or eliminated by making minor repairs and introducing reasonable cleaning regimens that address sources of asthma triggers. This can produce greater awareness on the part of families about the presence of asthma triggers and motivate future action to address the conditions associated with these triggers.
authors.affiliation: Center for Youth, Family, and Community Partnerships, University of North Carolina at Greensboro, Greensboro, North Carolina. Electronic address: kjgruber@uncg.edu.
authors.forename: Kenneth J
authors.initials: KJ
authors.lastname: Gruber
authors.affiliation: Greensboro Housing Coalition, Greensboro, North Carolina.
authors.forename: Beth
authors.initials: B
authors.lastname: McKee-Huger
authors.affiliation: Greensboro Housing Coalition, Greensboro, North Carolina.
authors.forename: April
authors.initials: A
authors.lastname: Richard
authors.affiliation: Greensboro Housing Coalition, Greensboro, North Carolina.
authors.forename: Brett
authors.initials: B
authors.lastname: Byerly
authors.affiliation: Greensboro Housing Coalition, Greensboro, North Carolina.
authors.forename: Jana L
authors.initials: JL
authors.lastname: Raczkowski
authors.affiliation: Triad Healthcare Network, Cone Health, Greensboro, North Carolina.
authors.forename: Thomas C
authors.initials: TC
authors.lastname: Wall
mesh_terms: D000293:Adolescent; D001249:Asthma / Q000188:drug therapy / Q000209:etiology / Q000517:prevention & control*; D002648:Child; D000067576:Child Health; D002675:Child, Preschool; D004781:Environmental Exposure / Q000009:adverse effects / Q000517:prevention & control; D005260:Female; D006266:Health Education; D017722:Hospital Charges; D006760:Hospitalization / Q000191:economics / Q000706:statistics & numerical data; D006798:Housing; D006801:Humans; D008297:Male