Author
Listed:
- Esther Hafkamp-de Groen
- Ralf J P van der Valk
- Ashna D Mohangoo
- Johannes C van der Wouden
- Liesbeth Duijts
- Vincent W Jaddoe
- Albert Hofman
- Harry J de Koning
- Johan C de Jongste
- Hein Raat
Abstract
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.
Suggested Citation
Esther Hafkamp-de Groen & Ralf J P van der Valk & Ashna D Mohangoo & Johannes C van der Wouden & Liesbeth Duijts & Vincent W Jaddoe & Albert Hofman & Harry J de Koning & Johan C de Jongste & Hein Raat, 2014.
"Evaluation of Systematic Assessment of Asthma-Like Symptoms and Tobacco Smoke Exposure in Early Childhood by Well-Child Professionals: A Randomised Trial,"
PLOS ONE, Public Library of Science, vol. 9(3), pages 1-11, March.
Handle:
RePEc:plo:pone00:0090982
DOI: 10.1371/journal.pone.0090982
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