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Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial

OBJECTIVES: This study aimed to evaluate the effectiveness of systematic assessment of asthma-like symptoms and environmental tobacco smoke (ETS) exposure during regular preventive well-child visits between age 1 and 4 years by well-child professionals. METHODS: Sixteen well-child centres in Rotterd...

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Autores principales: Hafkamp-de Groen, Esther, van der Valk, Ralf J. P., Mohangoo, Ashna D., van der Wouden, Johannes C., Duijts, Liesbeth, Jaddoe, Vincent W., Hofman, Albert, de Koning, Harry J., de Jongste, Johan C., Raat, Hein
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953324/
https://www.ncbi.nlm.nih.gov/pubmed/24626147
http://dx.doi.org/10.1371/journal.pone.0090982
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author Hafkamp-de Groen, Esther
van der Valk, Ralf J. P.
Mohangoo, Ashna D.
van der Wouden, Johannes C.
Duijts, Liesbeth
Jaddoe, Vincent W.
Hofman, Albert
de Koning, Harry J.
de Jongste, Johan C.
Raat, Hein
author_facet Hafkamp-de Groen, Esther
van der Valk, Ralf J. P.
Mohangoo, Ashna D.
van der Wouden, Johannes C.
Duijts, Liesbeth
Jaddoe, Vincent W.
Hofman, Albert
de Koning, Harry J.
de Jongste, Johan C.
Raat, Hein
author_sort Hafkamp-de Groen, Esther
collection PubMed
description OBJECTIVES: This study aimed to evaluate the effectiveness of systematic assessment of asthma-like symptoms and environmental tobacco smoke (ETS) exposure during regular preventive well-child visits between age 1 and 4 years by well-child professionals. METHODS: Sixteen well-child centres in Rotterdam, the Netherlands, were randomised into 8 centres where the brief assessment form regarding asthma-like symptoms and ETS exposure was used and 8 centres that applied usual care. 3596 and 4179 children (born between April 2002 and January 2006) and their parents visited the intervention and control centres, respectively. At child’s age 6 years, physician-diagnosed asthma ever, wheezing, fractional exhaled nitric oxide (FeNO), airway resistance (Rint), health-related quality of life (HRQOL) and ETS exposure at home ever were measured. Linear mixed models were applied. RESULTS: No differences in asthma, wheezing, FeNO, Rint or HRQOL measurements between intervention and control group were found using multilevel regression in an intention-to-treat analysis (p>0.05). Children of whom the parents were interviewed by using the brief assessment form at the intervention well-child centres had a decreased risk on ETS exposure at home ever, compared to children who visited the control well-child centres, in an explorative per-protocol analysis (aOR = 0.71, 95% CI:0.59–0.87). CONCLUSIONS: Systematic assessment and counselling of asthma-like symptoms and ETS exposure in early childhood by well-child care professionals using a brief assessment form was not effective in reducing the prevalence of physician-diagnosed asthma ever and wheezing, and did not improve FeNO, Rint or HRQOL at age 6 years. Our results hold some promise for interviewing parents and using information leaflets at well-child centres to reduce ETS exposure at home in preschool children. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN15790308.
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spelling pubmed-39533242014-03-18 Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial Hafkamp-de Groen, Esther van der Valk, Ralf J. P. Mohangoo, Ashna D. van der Wouden, Johannes C. Duijts, Liesbeth Jaddoe, Vincent W. Hofman, Albert de Koning, Harry J. de Jongste, Johan C. Raat, Hein PLoS One Research Article OBJECTIVES: This study aimed to evaluate the effectiveness of systematic assessment of asthma-like symptoms and environmental tobacco smoke (ETS) exposure during regular preventive well-child visits between age 1 and 4 years by well-child professionals. METHODS: Sixteen well-child centres in Rotterdam, the Netherlands, were randomised into 8 centres where the brief assessment form regarding asthma-like symptoms and ETS exposure was used and 8 centres that applied usual care. 3596 and 4179 children (born between April 2002 and January 2006) and their parents visited the intervention and control centres, respectively. At child’s age 6 years, physician-diagnosed asthma ever, wheezing, fractional exhaled nitric oxide (FeNO), airway resistance (Rint), health-related quality of life (HRQOL) and ETS exposure at home ever were measured. Linear mixed models were applied. RESULTS: No differences in asthma, wheezing, FeNO, Rint or HRQOL measurements between intervention and control group were found using multilevel regression in an intention-to-treat analysis (p>0.05). Children of whom the parents were interviewed by using the brief assessment form at the intervention well-child centres had a decreased risk on ETS exposure at home ever, compared to children who visited the control well-child centres, in an explorative per-protocol analysis (aOR = 0.71, 95% CI:0.59–0.87). CONCLUSIONS: Systematic assessment and counselling of asthma-like symptoms and ETS exposure in early childhood by well-child care professionals using a brief assessment form was not effective in reducing the prevalence of physician-diagnosed asthma ever and wheezing, and did not improve FeNO, Rint or HRQOL at age 6 years. Our results hold some promise for interviewing parents and using information leaflets at well-child centres to reduce ETS exposure at home in preschool children. TRIAL REGISTRATION: Controlled-Trials.com ISRCTN15790308. Public Library of Science 2014-03-13 /pmc/articles/PMC3953324/ /pubmed/24626147 http://dx.doi.org/10.1371/journal.pone.0090982 Text en © 2014 Hafkamp-de Groen et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Hafkamp-de Groen, Esther
van der Valk, Ralf J. P.
Mohangoo, Ashna D.
van der Wouden, Johannes C.
Duijts, Liesbeth
Jaddoe, Vincent W.
Hofman, Albert
de Koning, Harry J.
de Jongste, Johan C.
Raat, Hein
Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial
title Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial
title_full Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial
title_fullStr Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial
title_full_unstemmed Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial
title_short Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial
title_sort evaluation of systematic assessment of asthma-like symptoms and tobacco smoke exposure in early childhood by well-child professionals: a randomised trial
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3953324/
https://www.ncbi.nlm.nih.gov/pubmed/24626147
http://dx.doi.org/10.1371/journal.pone.0090982
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