Sustainability of residential environmental interventions and health outcomes in the elderly
| Autor: | Kelechi Lauretta Adejumo, Susan Woskie, Kim-Judy You, Rebecca Gore, David A. Turcotte, Emily Chaves |
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| Rok vydání: | 2020 |
| Předmět: |
Gerontology
Aging in place Population Psychological intervention Biochemistry 03 medical and health sciences 0302 clinical medicine Intervention (counseling) Health care Medicine 030212 general & internal medicine Healthy housing education Asthma lcsh:RC705-779 education.field_of_study 030505 public health business.industry Research Organic Chemistry lcsh:Diseases of the respiratory system medicine.disease Environmental health Health assessment Sustainability 0305 other medical science business |
| Zdroj: | Asthma Research and Practice, Vol 6, Iss 1, Pp 1-8 (2020) Asthma Research and Practice |
| ISSN: | 2054-7064 |
| Popis: | Background Research has documented that housing conditions can negatively impact the health of residents. Asthma has many known indoor environmental triggers including dust, pests, smoke and mold, as evidenced by the 25 million people in the U.S. population who have asthma. The paper describes a follow-up study involving elder adults with asthma who participated in a multifaceted home educational and environmental intervention shown to produce significant health benefits. On average the time between the end of the prior intervention study and the follow-up was 2.3 years. The objective of this study was to evaluate whether improvements in environmental conditions and health outcomes resulting from the original Older Adult Study (OAS, multifaceted educational and environmental interventions) would be maintained or decline over time for these low income seniors with asthma. Methods Health assessment included data on respiratory health outcomes included the Saint George’s Respiratory Questionnaire (SGRQ) and Asthma Control Test from the original Older Adult Study (OAS) and this follow-up Older Adult Study (OAFS) along with health care utilization data. Environmental assessments included evaluation of asthma trigger activities (ATAs) and exposures before and after the original healthy homes intervention (questionnaire, home survey) and at this follow-up. Assessments were conducted in English, Khmer and Spanish. Results At assessment in the Older Adult Follow-up Study (OAFS), the older adults maintained some of the health improvements gained during the OAS when compared to the OAS pre-intervention baseline. However, health outcomes declined from the OAS final assessment to the OAFS (only the SGRQ Impact scores were significantly different). Conclusion These findings suggest that further study with a larger population is needed to determine if the significant health outcome improvements from multifaceted home educational and environmental interventions (OAS) could be more strongly maintained by providing additional follow-up “booster” interventions to this older adult population with asthma. |
| Databáze: | OpenAIRE |
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