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Rastogi D, Madhok N, Kipperman S. Caregiver Asthma Knowledge, Aptitude, and Practice in High Healthcare Utilizing Children: Effect of an Educational Intervention. Pediatr Allergy Immunol Pulmonol. 2013;26(3):128-139doi: 10.1089/ped.2013.0226.
Rastogi, D., Madhok, N., & Kipperman, S. (2013). Caregiver Asthma Knowledge, Aptitude, and Practice in High Healthcare Utilizing Children: Effect of an Educational Intervention. Pediatric allergy, immunology, and pulmonology, 26(3), 128-139. https://doi.org/10.1089/ped.2013.0226
Rastogi, Deepa, et al. "Caregiver Asthma Knowledge, Aptitude, and Practice in High Healthcare Utilizing Children: Effect of an Educational Intervention." Pediatric allergy, immunology, and pulmonology vol. 26,3 (2013): 128-139. doi: https://doi.org/10.1089/ped.2013.0226
Rastogi D, Madhok N, Kipperman S. Caregiver Asthma Knowledge, Aptitude, and Practice in High Healthcare Utilizing Children: Effect of an Educational Intervention. Pediatr Allergy Immunol Pulmonol. 2013 Sep;26(3):128-139. doi: 10.1089/ped.2013.0226. PMID: 24066262; PMCID: PMC3777550.
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Pediatr Allergy Immunol Pulmonol. 2013 Sep;26(3):128-139. doi: 10.1089/ped.2013.0226.

Caregiver Asthma Knowledge, Aptitude, and Practice in High Healthcare Utilizing Children: Effect of an Educational Intervention.

Pediatric allergy, immunology, and pulmonology

Deepa Rastogi, Neha Madhok, Stacy Kipperman

Affiliations

  1. Children's Hospital at Montefiore, Albert Einstein College of Medicine , Bronx, New York.

PMID: 24066262 PMCID: PMC3777550 DOI: 10.1089/ped.2013.0226

Abstract

Factors underlying high healthcare utilization among Hispanic and African American (AA) children with asthma are not well known. We hypothesized that low parental knowledge and suboptimal practices are associated with high healthcare utlization and sought to elucidate these factors and identify ethnicity-specific differences. We also hypothesized that a targeted educational intervention will decrease emergency department (ED) visits and hospitalizations. A 57-item questionnaire investigating asthma knowledge, aptitude, and practice was administered during a hospitalization to 268 caregivers (158 Hispanic and 110 AA) of high healthcare utilizer children. Responses were compared between ethnicities. Participants were randomized into an education group and a control group to investigate the impact of an in-hospital educational intervention on future ED visits and hospitalizations. More than 80% of caregivers knew that asthma is associated with muscle constriction and mucus production. Overall, 66.7%-86.9% of caregivers found preventive steps including allergen avoidance, regular primary care physician (PCP) follow-up, and medication adherence helpful, but only 45.2% reported adherence to controller medications. Similarly, caregivers found management steps, including albuterol use, avoidance of ineffective medications, and need to contact PCP helpful but 33% Hispanic caregivers contacted their child's PCP at the time of the exacerbation leading the current hospitalization, compared with 17% AA caregivers (

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