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©2005 Refworks LLC
RT Dissertation
ID 2118
A1 Catrambone,C.D.
T1 Effect of a case management intervention on symptoms of asthma in high risk
children
YR 2000
SP 141
K1 Case Management Asthma -- Therapy -- In Infancy and Childhood Treatment
Outcomes -- In Infancy and Childhood (Minor): Prospective Studies Comparative Studies
Infant Child Adolescence Outpatients Asthma -- Symptoms
AB Statement of the problem. One approach to addressing the health care needs of
patients with chronic medical problems is case management. Little is known about the
effectiveness of case management in the treatment of children with asthma. Few
randomized controlled studies of asthma case management have been conducted. In
these studies, follow-up was limited to a one-year period. The purpose of this study was
to determine the effectiveness of a one-year primary-care based asthma case
management (ACM) strategy on symptoms of asthma in high risk children at 15 and 18
months post-intervention. Methods. Twenty-eight parent caregivers of children with
asthma aged 1 to 15 years, who participated in the ACM intervention the year prior to
the start of this study, agreed to participate. The ACM group (n = 15) received one year
of asthma case management and the usual care (UC) group (n = 13) received one year
of routine outpatient care. Results. Child asthma symptoms, affects on parent lifestyle,
and health system utilization were assessed. Based on caregiver four-week recall, the
ACM group experienced fewer annual wheezing days compared to the UC group. 25.17
(36.55) versus 71.61 (80.01) that was statistically significant (p = 0.03). There were no
statistically significant differences between the ACM and UC groups in the cumulative
18-month estimate of child night-time coughing and awakening, parent night-time
awakening due to the child's asthma symptoms and worrying, parent change in plans
and missed work, and asthma-related physician office visits, emergency department
visits, and hospitalizations. Conclusion. A primary-care based asthma case management
intervention was effective in reducing annual wheezing days in high-risk children with
asthma when followed up to 18 months.
NO Update Code: 20011116
PB Rush University, College of Nursing
PP Oceanside, CA, USA
SN 0-599-73664-X
AN 2001107680
LA English
SF CINAHL; doctoral dissertation; research
RT Book, Whole
ID 391
A1 Caudill,Margaret A.
T1 Managing pain before it manages you: Revised Edition
YR 2002
SP 222
K1 Chronic Pain
K1 Coping Behavior
K1 Goals
K1 Pain Management
K1 Alternative Medicine
K1 Anxiety
