+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Compliance of asthmatic families with a primary prevention programme of asthma and effectiveness of measures to reduce inhalant allergens - a randomized trial



Compliance of asthmatic families with a primary prevention programme of asthma and effectiveness of measures to reduce inhalant allergens - a randomized trial



Clinical and Experimental Allergy 34(7): 1024-1031



Compliance to and the effect of pre- and post-natal exposure reduction measures to prevent asthma in high-risk children from asthmatic families were studied. Families were randomized to a special care group (n=222) and a control group (n=221). Educational advice on measures to reduce their newborn's exposure to allergens and smoke was provided to the special care group during three visits (two pre-natal and one post-natal). The control group (n=221) received usual care. After the intervention, the special care group differed significantly (P<0.01) from the usual care group in: use of anti-mite encasings (parental: 88% vs. 14%; baby: 98% vs. 10%); keeping pets outside (51% vs. 19%); combined breast- and hypoallergenic formula feeding (55% vs. 22%); first solids postponement until after the sixth month (71% vs. 28%); maternal post-natal smoking (52% vs. 28%). Little or no compliance was found for other sanitary measures (cleaning habits, providing a smooth floor covering, ventilation/airing, pet removal), exclusive breastfeeding, pre-natal smoking and partner smoking. In spite of pre-existent low allergen levels in both groups, there was a significant reduction of mite, cat, and dog allergens on the mattresses and mite and cat allergens in the living room in the special care group and were significantly lower compared with the usual care group after 1 year. High compliance was found for the use of anti-mite encasings; substantial compliance for using hypoallergenic formula, solid food postponement, keeping pets outside and reported post-natal maternal smoking. There was no compliance for sanitary measures and the reduction of maternal pre-natal passive smoking. Mite and pet allergens on mattresses were strongly reduced by anti-mite encasings.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 004084470

Download citation: RISBibTeXText

PMID: 15248845

DOI: 10.1111/j.1365-2222.2004.01991.x


Related references

Effectiveness of the Strengthening Families Programme 10-14 in Poland for the prevention of alcohol and drug misuse: protocol for a randomized controlled trial. Bmc Public Health 12: 319, 2012

The Örebro prevention programme revisited: a cluster-randomized effectiveness trial of programme effects on youth drinking. Addiction 106(12): 2134-2143, 2011

Frequency and specific sensitization to inhalant allergens within nuclear families of children with asthma and/or rhinitis. Annals of Allergy Asthma and Immunology 79(6): 512-516, 1997

The Childhood Asthma Prevention Study (CAPS): Design and research protocol of a randomized trial for the primary prevention of asthma. Controlled Clinical Trials 22(3): 333-354, 2001

Beginner's guide to primary inhalant allergens. Part 5: Tree families. Ear Nose and Throat Journal 73(8): 520-521, 1994

Beginner's guide to primary inhalant allergens. Part 3: Weed and fern families. Ear Nose and Throat Journal 73(5): 306-308, 1994

Beginner's guide to primary inhalant allergens. Part 4: Non-asteracean weed families. Ear Nose and Throat Journal 73(6): 365-366, 1994

Can a minimal intervention reduce secondhand smoke exposure among children with asthma from low income minority families? Results of a randomized trial. Journal of Immigrant and Minority Health 16(2): 256-264, 2014

The Vitamin D Antenatal Asthma Reduction Trial (VDAART): rationale, design, and methods of a randomized, controlled trial of vitamin D supplementation in pregnancy for the primary prevention of asthma and allergies in children. Contemporary Clinical Trials 38(1): 37-50, 2014

The effectiveness of an osteoporosis prevention education programme for women in Hong Kong: a randomized controlled trial. Journal of Clinical Nursing 14(9): 1112-1123, 2005

Effectiveness of the 'Healthy School and Drugs' prevention programme on adolescents' substance use: a randomized clustered trial. Addiction 109(6): 1031-1040, 2014

A randomized controlled trial of eicosapentaenoic acid and/or aspirin for colorectal adenoma prevention during colonoscopic surveillance in the NHS Bowel Cancer Screening Programme (The seAFOod Polyp Prevention Trial): study protocol for a randomized controlled trial. Trials 14: 237, 2013

The Strengthening Washington D.C. Families project: a randomized effectiveness trial of family-based prevention. Prevention Science 7(1): 57-74, 2006