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Journal article
Ancillary Benefits for Caregivers of Children with Asthma Participating in an Environmental Intervention Study to Alleviate Asthma Symptoms
Journal of urban health, v 86(2), pp 214-229
01 Mar 2009
PMID: 19184446
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Providing care for children with asthma can be demanding and time-intensive with far-reaching effects on caregivers' lives. Studies have documented childhood asthma symptom reductions and improved asthma-related quality of life (AQOL) with indoor allergen-reducing environmental interventions. Few such studies, however, have considered ancillary benefits to caregivers or other family members. Ancillary benefits could be derived from child health improvements and reduced caregiving burden or from factors such as improved living environments or social support that often accompanies intensive residential intervention efforts. As part of the Boston Healthy Public Housing Initiative (HPHI), a longitudinal single-cohort intervention study of asthmatic children, we examined trends in caregivers' quality of life related to their child's asthma (caregiver AQOL) using monthly Juniper Caregiver Asthma Quality of Life Questionnaires (AQLQ) for 32 primary caregivers to 42 asthmatic children aged 4 to 17 years. Longitudinal analyses were used to examine caregiver AQOL trends and their relationship to the child's AQOL, then to consider additional predictors of caregiver AQOL. Caregiver AQLQ improved significantly over the course of the study with overall improvements significantly correlated with child AQOL (p = 0.005). However, caregiver AQOL improved most in the months before environmental interventions, while children's AQOL improved most in the months following. Time trends in caregiver AQOL, controlling for child AQOL, were not explained by available social support or caregiver stress measures. Our findings suggest potential participation effects not adequately captured by standard measures. Future environmental intervention studies should more formally consider social support and participation effects for both children and caregivers.
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Details
- Title
- Ancillary Benefits for Caregivers of Children with Asthma Participating in an Environmental Intervention Study to Alleviate Asthma Symptoms
- Creators
- Jane E. Clougherty - Harvard UniversityLaura D. Kubzansky - Harvard UniversityJohn D. Spengler - Harvard UniversityJonathan I. Levy - Harvard University
- Publication Details
- Journal of urban health, v 86(2), pp 214-229
- Publisher
- Springer Nature
- Number of pages
- 16
- Grant note
- W. K. Kellogg Foundation MALHH0077-00 / U. S. Department of Housing and Urban Development's Office of Healthy Homes and Lead Hazard Control American Lung Association Jessie B. Cox Charitable Trust Akira Yamaguchi Endowment Ford Foundation Boston Foundation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Dana and David Dornsife School of Public Health; Drexel University; Environmental and Occupational Health
- Web of Science ID
- WOS:000263798000006
- Scopus ID
- 2-s2.0-61449097433
- Other Identifier
- 991020100090804721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Public, Environmental & Occupational Health