Multicomponent Home-Based Environmental Interventions Are Effective In Reducing Morbidity Of Children With Asthma From Low Income Families

This study describes the implementation of a nurse home visiting asthma education program for low-income African American families of young children with asthma. Of 55 families, 71% completed the program consisting of eight lessons. The achievement of learning objectives was predicted by caregiver factors, such as education, presence of father or surrogate father in the household, and safety of the neighborhood, but not by child factors, such as age or severity of asthma as implied by the prescribed asthmamedication regimen. Incompatibility between the scheduling needs of the families and the nurse home visitors was a major obstacle in delivering the program on time, despite the flexibility of the nurse home visitors. The authors suggest that future home-based asthma education programs contain a more limited number of home visits but add telephone follow-ups and address the broader needs of low-income families that most likely function as barriers to program success.

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Contribution of Balcony on Thermal Comfort : Rusunawa Surabaya

Open House International ◽

10.1108/ohi-03-2018-b0003 ◽

2018 ◽

Vol 43 (3) ◽

pp. 14-21

Author(s):

Rika Kisnarini ◽

Johannes Krisdianto ◽

Iwan Adi Indrawan

Keyword(s):

Thermal Comfort ◽

Low Income ◽

Movement Control ◽

Thermal Conditions ◽

Functional Space ◽

Air Movement ◽

Home Based ◽

Absolute Requirement ◽

Human Need ◽

Low Income Families

Dwelling, which is a basic human need (Maslow, 1970) should act as an object of technology that serves as a place for individuals or families to conduct all their daily activities in order to meet their needs in life. In case of sustainability, thermal comfort is one of the most important comfort conditions that must be achieved (Szokolay SV, 1980). Proper air movement control may lessen the demand for energy, thus reducing the expense of providing a comfortable home (Boutet, 1987). However, to ensure the acceleration of air movement, the availability of both inlet and outlet openings in the building or space become an absolute requirement (Olgyay Victor, 1973). Rusunawa is a typical rental-apartment in Indonesia that served for low income families. The types of existing space generally include: a multi-functional space, a kitchen, and a bathroom/WC, and sometimes is furnished by a balcony. There is only one living space in rusunawa that is the multi-functional space which is often used for: living, sleeping, studying, watching TV, eating, storing, child-caring, and probably more other functions. Not to mention if the family has a home-based business. Among rusunawa unit types that existed in all fourteen locations in Surabaya, some of them were built without a really outdoor balcony, meaning that the balconies were provided indoor, instead of in the cantilever system. These indoor balconies accommodate the same household activities as those of outdoor balconies. However, the contribution to the internal thermal comfort may not be the same. By using Ecotect analysis 2011 program, This research intends to investigate the comparison of thermal conditions of the inner space between rusunawa unit having a balcony (outdoor), and rusunawa unit without a balcony (indoor). The result of this comparison is meant to convince the contribution of unit having a balcony to the thermal comfort of inner space, to ensure whether the design of the future rusunawa units should be equipped with a balcony or not. To further reassure its contribution, this experiment is continued by comparing between unit having just a balcony and unit having a balcony that equipped with sun-devices.

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The place of home-based enterprises in the household economics of the low-income families in Kumasi: analysis of contributions and linkages

Journal of Science and Technology (Ghana) ◽

10.4314/just.v23i1.32976 ◽

2006 ◽

Vol 23 (1) ◽

Author(s):

S Afrane

Keyword(s):

Low Income ◽

Household Economics ◽

Home Based ◽

Low Income Families

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Home-based family intervention for low-income children with asthma: A randomized controlled pilot study.

Journal of Family Psychology ◽

10.1037/a0027218 ◽

2012 ◽

Vol 26 (2) ◽

pp. 171-178 ◽

Cited By ~ 28

Author(s):

Marianne P. Celano ◽

Chanda Nicole Holsey ◽

Lisa J. Kobrynski

Keyword(s):

Pilot Study ◽

Low Income ◽

Family Intervention ◽

Randomized Controlled ◽

Low Income Children ◽

Home Based ◽

Children With Asthma

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Impacting Environmental and Public Health through the Use of Dual Targeted and Tailored Asthma Educational Interventions

Journal of Environmental and Public Health ◽

10.1155/2015/476173 ◽

2015 ◽

Vol 2015 ◽

pp. 1-7 ◽

Cited By ~ 3

Author(s):

Genny Carrillo ◽

Daikwon Han ◽

Rose L. Lucio ◽

Yoon-Ho Seol ◽

Betty Chong-Menard ◽

...

Keyword(s):

Educational Intervention ◽

Low Income ◽

Educational Interventions ◽

Behavior Changes ◽

Asthmatic Children ◽

Home Based ◽

Low Income Families ◽

The Individual ◽

And Behavior ◽

Asthma Triggers

Home-based asthma environmental education for parents of asthmatic children is needed since many health professionals lack the time to offer it. However, developing targeted and tailored education is important in order to address the individual needs of participants. This nonrandomized longitudinal study examined knowledge on asthma with an Asthma and Healthy Homes educational intervention training offered to parents of children from low income families who reside in the Rio Grande Valley of Texas. Eighty-nine parents received the training and pre- and posttest surveys were used to measure knowledge outcomes. A standardized assessment on asthma triggers was used to identify the different triggers each child was exposed to, and a follow-up survey was conducted 6 months after the educational intervention to identify how many parents reported household and behavior changes as a result of the training. Results showed significant changes in behavior by participants as a result of the training received. This study suggests that these behavioral changes are attributed to the dual “targeted” and “tailored” educational interventions delivered to parents which resulted in a greater understanding of how to manage asthma by eliminating asthma triggers in their respective homes.

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Better Breathing or Better Living? A Qualitative Analysis of the Impact of Asthma Medication Acquisition on Standard of Living and Quality of Life in Low-income Families of Children With Asthma

Journal of Pediatric Health Care ◽

10.1016/j.pedhc.2005.06.004 ◽

2005 ◽

Vol 19 (6) ◽

pp. 354-362 ◽

Cited By ~ 8

Author(s):

Wendy J. Ungar ◽

Tony MacDonald ◽

Martha Cousins

Keyword(s):

Quality Of Life ◽

Qualitative Analysis ◽

Low Income ◽

Asthma Medication ◽

Standard Of Living ◽

Children With Asthma ◽

Low Income Families ◽

The Impact

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Home-Based Therapy for Young Children in Low-Income Families: A Student Training Program

The Family Journal ◽

10.1177/1066480710364316 ◽

2010 ◽

Vol 18 (2) ◽

pp. 189-194 ◽

Cited By ~ 5

Author(s):

Ryan J. Mattek ◽

Elizabeth T. Jorgenson ◽

Robert A. Fox

Keyword(s):

Young Children ◽

Training Program ◽

Low Income ◽

Home Based ◽

Student Training ◽

Low Income Families ◽

Home Based Therapy

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Development of home-based ready-to-use supplementary food (RUSF-HB) to overcome nutrition-related problems among children under five during the covid-19 pandemic

IOP Conference Series Earth and Environmental Science ◽

10.1088/1755-1315/883/1/012074 ◽

2021 ◽

Vol 883 (1) ◽

pp. 012074

Author(s):

S Sastrawan ◽

M Menap ◽

L Sulaiman ◽

H Hendrayani

Keyword(s):

Low Income ◽

Coconut Oil ◽

Rice Flour ◽

Local Foods ◽

Children Under Five ◽

Under Five ◽

Home Based ◽

Low Income Families ◽

Supplementary Foods ◽

Taste And Smell

Abstract The most direct causes of malnutrition are food consumption and infection. Yet the prolonged Covid-19 pandemic has limited low-income families’ ability to fulfil the need for nutrition consumption, particularly for children under five. Responding to this situation, we sought to develop home-based ready-to-use supplementary foods (RUSF-HB) from local ingredients that are energy-protein-dense, affordable, simple and easy to produce at home. We created three milk-free formulas (MFFs) and six standard formulas (STFs). Three cheap and abundant local foods: soybeans, cowpeas, and mung beans were combined with rice flour, refined sugar, and coconut oil. A cross-over study design was used to assess food organoleptic, which showed that the products were comparable in several sensory aspects except for the odour and the taste. Soybeans-based formulas contain slightly more energy and protein compared to mung beans or cowpeas-based ones. However, the mung beans-based formulas were more favourable to caregivers and children, particularly their taste and smell. The products contain slightly less energy than the recommended ones but high enough to supply macronutrient for those in need on a regular basis. The caregivers considered the total price for the products was affordable, and the formula was easy to follow.

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Health outcomes in low-income children with current asthma in Canada

Chronic Diseases in Canada ◽

10.24095/hpcdp.29.2.03 ◽

2009 ◽

Vol 29 (2) ◽

pp. 49-55 ◽

Cited By ~ 2

Author(s):

T. To ◽

S. Dell ◽

M. Tassoudji ◽

C. Wang

Keyword(s):

Health Services ◽

Health Outcomes ◽

Low Income ◽

Health Services Use ◽

Current Asthma ◽

Low Income Children ◽

Income Adequacy ◽

Children With Asthma ◽

Low Income Families ◽

Services Use

Data collected from the Canadian National Longitudinal Survey of Children and Youth (NLSCY) in 1994/95 and 1996/97 were used to measure longitudinal health outcomes among children with asthma. Over 10 000 children aged 1 to 11 years with complete data on asthma status in both years were included. Outcomes included hospitalizations and health services use (HSU). Current asthma was defined as children diagnosed with asthma by a physician and who took prescribed inhalants regularly, had wheezing or an attack in the previous year, or had their activities limited by asthma. Children having asthma significantly increased their odds of hospitalization (OR = 2.52; 95% CI: 1.71, 3.70) and health services use (OR = 3.80; 95% CI: 2.69, 5.37). Low‑income adequacy (LIA) in 1994/ 95 significantly predicts hospitalization and HSU in 1996/97 (OR = 2.68; 95% CI: 1.29, 5.59 and OR = 0.67; 95% CI: 0.45, 0.99, respectively). Our results confirmed that both having current asthma and living in low-income families had a significant impact on the health status of children in Canada. Programs seeking to decrease the economic burden of pediatric hospitalizations need to focus on asthma and low-income populations.

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