Kseniya Chernushkin, Peter Loewen, Jane de Lemos, Amneet Aulakh, Joanne Jung, Karen Dahri
Diagnostic reasoning by hospital pharmacists: assessment of attitudes, knowledge, and skills
The Canadian journal of hospital pharmacy
pediatric asthma growing public health issue disproportionately affecting lowincome people people color exposure indoor asthma triggers plays important role development exacerbation asthma describe implementation seattleking county healthy homes project randomized controlled trial outreacheducation intervention improve asthmarelated health status reducing exposure allergens irritants home randomly assigned 274 lowincome children asthma ages 412 either high lowintensity group highintensity group community health workers called community home environmental specialists ches conducted initial home environmental assessments provided individualized action plans made additional visits 12month period provide education social support encouragement participant actions provision materials reduce exposures including bedding encasements assistance roach rodent eradication advocacy improved housing conditions members lowintensity group received initial assessment home action plan limited education assessment visit bedding encasements describe recruitment training ches challenges faced explain assessment exposure reduction protocols addressing dust mites mold tobacco smoke pets cockroaches rodents dust moisture toxic hazardous chemicals also discuss gap practices recommended literature feasible home accomplished home interventions participants found project useful project limited resolving structural housing quality issues contributed exposure indoor triggers