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Culture-specific programs for children and adults from minority groups who have asthma

Bailey, Emily J., Cates, C., Kruske, Sue, Morris, Peter S., Brown, N. and Chang, Anne B. (2009). Culture-specific programs for children and adults from minority groups who have asthma. Cochrane Database of Systematic Reviews,2009(2):1-34.

Document type: Journal Article

IRMA ID 79260824xPUB9
Title Culture-specific programs for children and adults from minority groups who have asthma
Author Bailey, Emily J.
Cates, C.
Kruske, Sue
Morris, Peter S.
Brown, N.
Chang, Anne B.
Journal Name Cochrane Database of Systematic Reviews
Publication Date 2009
Volume Number 2009
Issue Number 2
ISSN 1469-493X   (check CDU catalogue  open catalogue search in new window)
Scopus ID 2-s2.0-70349116129
Start Page 1
End Page 34
Total Pages 34
Place of Publication UK
Publisher Update Software Ltd.
Field of Research 1103 - Clinical Sciences
1114 - Paediatrics and Reproductive Medicine
1117 - Public Health and Health Services
HERDC Category C1 - Journal Article (DEST)
Abstract Background
People with asthma who come from minority groups have poorer asthma outcomes and more asthma related visits to Emergency Departments (ED). Various programmes are used to educate and empower people with asthma and these have previously been shown to improve certain asthma outcomes. Models of care for chronic diseases in minority groups usually include a focus of the cultural context of the individual and not just the symptoms of the disease. Therefore, questions about whether culturally specific asthma education programmes for people from minority groups are effective at improving asthma outcomes, are feasible and are cost-effective need to be answered.

Objectives
To determine whether culture-specific asthma programmes, in comparison to generic asthma education programmes or usual care, improve asthma related outcomes in children and adults with asthma who belong to minority groups.

Search strategy
We searched the Cochrane Register of Controlled Trials (CENTRAL), the Cochrane Airways Group Specialised Register, MEDLINE, EMBASE, review articles and reference lists of relevant articles. The latest search was performed in May 2008.

Selection criteria
All randomised controlled trials (RCTs) comparing the use of culture-specific asthma education programmes with generic asthma education programmes, or usual care, in adults or children from minority groups who suffer from asthma.

Data collection and analysis
Two review authors independently selected, extracted and assessed the data for inclusion. We contacted authors for further information if required.

Main results
Four studies were eligible for inclusion in the review. A total of 617 patients, aged from 5 to 59 years were included in the meta-analysis of data. Use of a culture-specific programme was superior to generic programmes or usual care, in improving asthma quality of life scores in adults, pooled WMD 0.25 (95% CI 0.09 to 0.41), asthma knowledge scores in children, WMD 3.30 (95% CI 1.07 to 5.53), and in a single study, reducing asthma exacerbation in children (risk ratio for hospitalisations 0.32, 95%CI 0.15, 0.70).

Authors' conclusions
Current limited data show that culture-specific programmes for adults and children from minority groups with asthma, are more effective than generic programmes in improving most (quality of life, asthma knowledge, asthma exacerbations, asthma control) but not all asthma outcomes. This evidence is limited by the small number of included studies and the lack of reported outcomes. Further trials are required to answer this question conclusively.
DOI http://dx.doi.org/10.1002/14651858.CD006580.pub4   (check subscription with CDU E-Gateway service for CDU Staff and Students  check subscription with CDU E-Gateway in new window)
 
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Created: Wed, 13 May 2009, 10:04:04 CST by Sarena Wegener