Source:Fisher EB, Strunk RC, Gabrielle R, et al. A randomized controlled evaluation of the effect of community health workers on hospitalization for asthma: the asthma coach.
Arch Pediatr Adolesc Med.
2009
;
163
(3):
225
–232; doi:10.1001/archpediatrics. 2008.577

To address the high rate of hospitalizations for asthma among innercity children on Medicaid and determine whether an asthma coach could reduce re-hospitalization, a randomized controlled trial compared use of a nonprofessional asthma coach with usual care. An asthma coach of the child’s same ethnicity and from the same community as the child would attempt to maintain a planned schedule of contacts to achieve a standard set of key behavioral objectives over a two-year period.

Children 2 to 8 years of age of African American ethnicity with Medicaid coverage were recruited following hospitalization for asthma at St. Louis Children’s Hospital. From a hospital-based sample of 306 children, 106 could not be...

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