Case Management and Environmental Control in Asthma

Asthma among low-income, minority children remains a prime example of health disparities that are resistant to change. Controlled demonstrations of reductions in disproportionate hospital or emergency care are limited. We performed a controlled clinical trial of an "Asthma Coach" to reduce hospitalizations among low-income, African American children.

Inclusion Criteria:

• 2-8 years of age
• Admitted to hospital for acute asthma
• African American ethnicity
• Medicaid coverage

Exclusion Criteria:

• Parent refusal to sign consent
• Living outside service area