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Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program

View Article: PubMed Central - PubMed

ABSTRACT

This evaluation examined whether participation in a home-based environmental educational intervention would reduce exposure to health and safety hazards and asthma-related medical visits. The home intervention program focused on vulnerable, low-income households, where children had asthma, were at risk for lead poisoning, or faced multiple unsafe housing conditions. Home visitors conducted two home visits, two months apart, consisting of an environmental home assessment, Healthy Homes education, and distribution of Healthy Homes supplies. Measured outcomes included changes in participant knowledge and awareness of environmental home-based hazards, rate of children’s asthma-related medical use, and the presence of asthma triggers and safety hazards. Analysis of 2013–2014 baseline and post-intervention program data for a cohort of 150 families revealed a significantly lower three-month rate (p < 0.05) of children’s asthma-related doctor visits and hospital admissions at program completion. In addition, there were significantly reduced reports of the presence of home-based hazards, including basement or roof leaks (p = 0.011), plumbing leaks (p = 0.019), and use of an oven to heat the home (p < 0.001). Participants’ pre- and post- test scores showed significant improvement (p < 0.05) in knowledge and awareness of home hazards. Comprehensive home interventions may effectively reduce environmental home hazards and improve the health of asthmatic children in the short term.

No MeSH data available.


Box-and-whisker plots of participant median scores on Part II of the EHA Questionnaire: Awareness/Knowledge.
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ijerph-13-00900-f002: Box-and-whisker plots of participant median scores on Part II of the EHA Questionnaire: Awareness/Knowledge.

Mentions: For assessment of current knowledge and awareness of home-based hazards, paired t-test analysis indicated that participants had a mean score of 78/100 on the pre-test, and showed significant improvement (p = 0.008, 95% CI (0.01, 0.07)) on the post-test with a mean score of 82/100. Due to the slightly greater negative skew in post-test scores, results were also checked using a nonparametric test. A Wilcoxon Signed Rank Test confirmed significant improvement between pre- and post-test scores (p = 0.007) (Figure 2).


Evaluation of a Home-Based Environmental and Educational Intervention to Improve Health in Vulnerable Households: Southeastern Pennsylvania Lead and Healthy Homes Program
Box-and-whisker plots of participant median scores on Part II of the EHA Questionnaire: Awareness/Knowledge.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC5036733&req=5

ijerph-13-00900-f002: Box-and-whisker plots of participant median scores on Part II of the EHA Questionnaire: Awareness/Knowledge.
Mentions: For assessment of current knowledge and awareness of home-based hazards, paired t-test analysis indicated that participants had a mean score of 78/100 on the pre-test, and showed significant improvement (p = 0.008, 95% CI (0.01, 0.07)) on the post-test with a mean score of 82/100. Due to the slightly greater negative skew in post-test scores, results were also checked using a nonparametric test. A Wilcoxon Signed Rank Test confirmed significant improvement between pre- and post-test scores (p = 0.007) (Figure 2).

View Article: PubMed Central - PubMed

ABSTRACT

This evaluation examined whether participation in a home-based environmental educational intervention would reduce exposure to health and safety hazards and asthma-related medical visits. The home intervention program focused on vulnerable, low-income households, where children had asthma, were at risk for lead poisoning, or faced multiple unsafe housing conditions. Home visitors conducted two home visits, two months apart, consisting of an environmental home assessment, Healthy Homes education, and distribution of Healthy Homes supplies. Measured outcomes included changes in participant knowledge and awareness of environmental home-based hazards, rate of children’s asthma-related medical use, and the presence of asthma triggers and safety hazards. Analysis of 2013–2014 baseline and post-intervention program data for a cohort of 150 families revealed a significantly lower three-month rate (p < 0.05) of children’s asthma-related doctor visits and hospital admissions at program completion. In addition, there were significantly reduced reports of the presence of home-based hazards, including basement or roof leaks (p = 0.011), plumbing leaks (p = 0.019), and use of an oven to heat the home (p < 0.001). Participants’ pre- and post- test scores showed significant improvement (p < 0.05) in knowledge and awareness of home hazards. Comprehensive home interventions may effectively reduce environmental home hazards and improve the health of asthmatic children in the short term.

No MeSH data available.