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

60 Citations (Scopus)

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 2009

Fingerprint

Mentors
Asthma
Randomized Controlled Trials
Parents
Hospital Emergency Service
Costs and Cost Analysis
Intention to Treat Analysis
Respiratory Sounds
Respiration
House Calls
Cost Savings
Self Efficacy
Control Groups

Keywords

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

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Flores, G., Bridon, C., Torres, S., Perez, R., Walter, T., Brotanek, J., ... 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

Improving asthma outcomes in minority children : A randomized, controlled trial of parent mentors. / Flores, Glenn; Bridon, Christina; Torres, Sylvia; Perez, Ruth; Walter, Tim; Brotanek, Jane; Lin, Hua; Tomany-Korman, Sandy.

In: Pediatrics, Vol. 124, No. 6, 12.2009, p. 1522-1532.

Research output: Contribution to journalArticle

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, vol. 124, no. 6, pp. 1522-1532. https://doi.org/10.1542/peds.2009-0230
Flores G, Bridon C, Torres S, Perez R, Walter T, Brotanek J et al. Improving asthma outcomes in minority children: A randomized, controlled trial of parent mentors. Pediatrics. 2009 Dec;124(6):1522-1532. https://doi.org/10.1542/peds.2009-0230
Flores, Glenn ; Bridon, Christina ; Torres, Sylvia ; Perez, Ruth ; Walter, Tim ; Brotanek, Jane ; Lin, Hua ; Tomany-Korman, Sandy. / Improving asthma outcomes in minority children : A randomized, controlled trial of parent mentors. In: Pediatrics. 2009 ; Vol. 124, No. 6. pp. 1522-1532.
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