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A multifaceted, home based, environmental intervention modestly reduced asthma morbidity in children with atopic asthma
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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

Embedded ImageDesign:

randomised controlled trial.

Embedded ImageAllocation:

{concealed*}.

Embedded ImageBlinding:

blinded (clinical outcome assessors).*

Embedded ImageFollow up period:

1 year of intervention followed by a 1 year observational period.

Embedded ImageSetting:

7 major cities in the US.

Embedded ImagePatients:

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.

Embedded ImageIntervention:

a 1 year …

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