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Q In inner city children with atopic asthma, is a multifaceted, home based, environmental intervention (HBEI) effective for improving asthma related outcomes?
Clinical impact ratings Paediatrics ★★★★★★☆ Respirology ★★★★★★☆ Immunology ★★★★★☆☆ Allergy and Immunology ★★★★★☆☆
METHODS
Design:
randomised controlled trial.
Allocation:
{concealed*}†.
Blinding:
blinded (clinical outcome assessors).*
Follow up period:
1 year of intervention followed by a 1 year observational period.
Setting:
7 major cities in the US.
Patients:
937 children 5–11 years of age (mean age 7.7 y, 63% boys) with atopic asthma who were residents of census tracts in which ⩾20% of the households had incomes below the federal poverty level. Children were also required to have had ⩾1 asthma related hospital admission or 2 unscheduled, asthma related visits to the clinic or emergency department during the previous 6 months and a positive skin test in response to ⩾1 of 11 indoor allergens.
Intervention:
a 1 year …
Footnotes
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↵† Information provided by author.
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For correspondence: Dr W J Morgan, Arizona Respiratory Center, University of Arizona, Tucson, AZ, USA. wmorganarc.arizona.edu
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Sources of funding: National Institute of Allergy and Infectious Disease; National Institute of Environmental Health Sciences; National Institutes of Health.
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