Table 3.
Selected Randomized Controlled Trials Documenting Benefit of Home Interventions in Asthma
| Study | Population | Intervention | Outcomes |
|---|---|---|---|
| Morgan et al,87 2004 | Children with poorly controlled asthma and documented sensitivity to home allergens | Visual inspection and dust collection All participants receive allergen-impermeable bed covers and HEPA filtration vacuums Child-specific interventions included HEPA air filters and pest control measures |
Intervention reduced symptoms at 1- and 2-y follow-up time points |
| Evans et al,85 1999 | Children with moderate or severe asthma | Allergen-impermeable bed covers and education about minimizing exposure to tobacco smoke, pets, and pests Social worker-administered global asthma intervention based on the Asthma Risk Assessment Tool |
Intervention reduced symptom days and hospitalizations over a 2-y follow-up period |
| Kercsmar et al,86 2006 | Children with symptomatic asthma living in a home with visible mold | Control group education about home cleaning and asthma management Intervention group also received home repairs aimed at remediation of water infiltration and mold (eg, HVAC maintenance) |
Intervention reduced symptom days and exacerbations over 12 mo of follow-up |
HEPA = high-efficiency particulate air; HVAC = heating, ventilation, and air conditioning.