Improving asthma outcomes in minority children: A randomized, controlled trial of parent mentors

Glenn Flores, Christina Bridon, Sylvia Torres, Ruth Perez, Tim Walter, Jane Brotanek, Hua Lin, Sandy Tomany-Korman

Research output: Contribution to journalArticle

61 Scopus citations

Abstract

OBJECTIVE: Because asthma disproportionately affects minorities, we evaluated the effects of parent mentors (PMs) on asthma outcomes in minority children. METHODS: This randomized, controlled trial allocated minority asthmatic children to the PM intervention or traditional asthma care. Intervention families were assigned PMs (experienced parents of asthmatic children who received specialized training). PMs met monthly with children and families at community sites, phoned parents monthly, and made home visits. Ten asthma outcomes and costs were monitored for 1 year. Outcomes were examined by using both intention-to-treat analyses and stratified analyses for high participants (attending ≥25% of community meetings and completing ≥50% of PM phone interactions). RESULTS: Patients were randomly assigned to PMs (n = 112) or the control group (n = 108). In intention-to-treat analyses, intervention but not control children experienced significantly reduced rapid-breathing episodes, asthma exacerbations, and emergency department (ED) visits. High participants (but not controls or low participants) experienced significantly reduced wheezing, asthma exacerbations, and ED visits and improved parental efficacy in knowing when breathing problems are controllable at home. Mean reductions in missed parental work days were greater for high participants than controls. The average monthly cost per patient for the PM program was $60.42, and net savings of $46.16 for high participants. CONCLUSIONS: For asthmatic minority children, PMs can reduce wheezing, asthma exacerbations, ED visits, and missed parental work days while improving parental self-efficacy. These outcomes are achieved at a reasonable cost and with net cost savings for high participants. PMs may be a promising, cost-effective means for reducing childhood asthma disparities.

Original languageEnglish (US)
Pages (from-to)1522-1532
Number of pages11
JournalPediatrics
Volume124
Issue number6
DOIs
StatePublished - Dec 1 2009

Keywords

  • African-American
  • Asthma
  • Children
  • Controlled trials
  • Hispanic
  • Minority groups
  • Randomized

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Fingerprint Dive into the research topics of 'Improving asthma outcomes in minority children: A randomized, controlled trial of parent mentors'. Together they form a unique fingerprint.

  • Cite this

    Flores, G., Bridon, C., Torres, S., Perez, R., Walter, T., Brotanek, J., Lin, H., & Tomany-Korman, S. (2009). Improving asthma outcomes in minority children: A randomized, controlled trial of parent mentors. Pediatrics, 124(6), 1522-1532. https://doi.org/10.1542/peds.2009-0230