Journal of Community Health

, Volume 37, Issue 6, pp 1296–1300 | Cite as

The Impact of Asthma Health Education for Parents of Children Attending Head Start Centers

  • Genny Carrillo Zuniga
  • Sarah Kirk
  • Nelda Mier
  • Norma I. Garza
  • Rose L. Lucio
  • Miguel A. Zuniga
Original Paper

Abstract

Parents of children who attend Head Start Centers are key participants in the health promotion and care of their own children. This non-randomized, longitudinal study aimed to test the effectiveness of an educational intervention based on the asthma and healthy homes curriculum targeting parents of Head Start children with or without an asthma diagnosis. One hundred and fifteen parents of children in Head Start Centers received an educational intervention at their corresponding sites, additionally pre- and post-test surveys were administered to measure educational intervention outcomes. A follow-up survey was conducted 6 months after the educational intervention was offered. Results showed a statistically significant increase in asthma and healthy home-knowledge (p < 0.001) in several areas. At 6 months post-intervention (54.4 %) (61 participants) were contacted and 98.4 % of made changes in their households as a result of their training. This study suggests that education can improve knowledge and change behaviors for the well-being of the residents of that household.

Keywords

Head start centers Asthma Healthy homes Health promotion Promotoras 

Notes

Acknowledgments

This project was undertaken with funds obtained from the Texas Department of State Health Services, and the Texas Asthma Control Program—Centers for Disease Control, Texas Asthma Control Program Contract No. 2010-034647. The authors wish to extend their gratitude to the administrators, staff and parents from the Hidalgo County Head Start Centers for their interest and willingness to collaborate in this study. Special acknowledgment and thanks go to Mr. Aldo Martinez and Ms. Celene Vela, Master of Public Health Candidates at the Texas A&M Health Science Center–School of Rural Public Health, for their collaboration in the delivery of training at Head Start Centers in Hidalgo County.

References

  1. 1.
    Biksey, T., Zickmund, S., & Wu, F. (2011). Disparities in risk communication: A pilot study of asthmatic children, their parents, and home environments. Journal of the National Medical Association, 103(5), 388–391.PubMedGoogle Scholar
  2. 2.
    Chan-Yeung, M., Manfreda, J., Dimich-Ward, H., Ferguson, A., Watson, W., & Becker, A. (2000). A randomized controlled study on the effectiveness of a multifaceted intervention program in the primary prevention of asthma in high-risk infants. Archives of Pediatrics and Adolescent Medicine, 154(7), 657.PubMedGoogle Scholar
  3. 3.
    Chilmonczyk, B. A., Salmun, L. M., Megathlin, K. N., Neveux, L. M., Palomaki, G. E., Knight, G., et al. (1993). Association between exposure to environmental tobacco smoke and exacerbations of asthma in children. New England Journal of Medicine, 328(23), 1665–1669.PubMedCrossRefGoogle Scholar
  4. 4.
    Dixon, S. L., Fowler, C., Harris, J., Moffat, S., Martinez, Y., et al. (2009). An examination of interventions to reduce respiratory health and injury hazards in homes of low-income families. Environmental Research, 109(1), 123–130.PubMedCrossRefGoogle Scholar
  5. 5.
    Findley, S. E., Thomas, G., Madera-Reese, R., McLeod, N., Kintala, S., Andres Martinez, R., et al. (2011). A community-based strategy for improving asthma management and outcomes for preschoolers. Journal of Urban Health: Bulletin of the New York Academy of Medicine, 88(Suppl. 1), 85–99. doi: 10.1007/s11524-010-9479-8.Google Scholar
  6. 6.
    Largo, T. W., Borgialli, M., Wisinski, C. L., Wahl, R. L., & Priem, W. F. (2011). Healthy Homes University: A home-based environmental intervention and education program for families with pediatric asthma in Michigan. Public Health Reports, 126(Suppl. 1), 14–26.PubMedGoogle Scholar
  7. 7.
    Morgan, W. J., Crain, E. F., Gruchalla, R. S., O’Connor, G. T., Kattan, M., Evans III, R., et al. (2004). Results of a home-based environmental intervention among urban children with asthma. New England Journal of Medicine, 351(11), 1068–1080.PubMedCrossRefGoogle Scholar
  8. 8.
    Saegert, S. C., Klitzman, S., Freudenberg, N., Cooperman-Mroczek, J., & Nassar, S. (2003). Healthy housing: A structured review of published evaluations of US interventions to improve health by modifying housing in the United States, 1990–2001. American Journal of Public Health, 93(9), 1471.PubMedCrossRefGoogle Scholar
  9. 9.
    Texas Asthma Control Program. (2011). Adult and child age-adjusted asthma hospitalizations by demographics and county, 2006, 2007, 2008, 2009.Google Scholar
  10. 10.
    Torpy, J. M., Campbell, A., & Glass, R. M. (2010). Chronic diseases of children. JAMA, 303(7), 682.PubMedCrossRefGoogle Scholar
  11. 11.
    U.S. Census Bureau. (2010). Hidalgo County, Texas quickfacts. Retrieved 27 April 2012, from http://quickfacts.census.gov/qfd/states/48/48215.html.
  12. 12.
    Vargas, P. A., Simpson, P. M., Gary Wheeler, J., Goel, R., Feild, C. R., Tilford, J. M., et al. (2004). Characteristics of children with asthma who are enrolled in a Head Start Program. Journal of Allergy and Clinical Immunology, 114(3), 499–504.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Genny Carrillo Zuniga
    • 1
  • Sarah Kirk
    • 2
  • Nelda Mier
    • 3
  • Norma I. Garza
    • 4
  • Rose L. Lucio
    • 4
  • Miguel A. Zuniga
    • 5
  1. 1.Department of Environmental and Occupational Health, School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA
  2. 2.Texas Asthma Control Program, Adult Health and Chronic Disease BranchTexas Department of State Health ServicesAustinUSA
  3. 3.Department of Social and Behavioral Health, School of Rural Public HealthTexas A&M Health Science CenterMcAllenUSA
  4. 4.School of Rural Public HealthTexas A&M Health Science Center, McAllen CampusMcAllenUSA
  5. 5.Department of Health Policy and Management, School of Rural and Public HealthTexas A&M Health Science CenterMcAllenUSA

Personalised recommendations