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Addressing asthma and obesity in children with community health workers: proof-of-concept intervention development

Overview of attention for article published in BMC Pediatrics, December 2016
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  • Above-average Attention Score compared to outputs of the same age and source (62nd percentile)

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Title
Addressing asthma and obesity in children with community health workers: proof-of-concept intervention development
Published in
BMC Pediatrics, December 2016
DOI 10.1186/s12887-016-0745-0
Pubmed ID
Authors

Molly A Martin, Steven K. Rothschild, Elizabeth Lynch, Katherine Kaufer Christoffel, Militza M. Pagán, Jose Luis Rodriguez, Anna Barnes, Kelly Karavolos, Antonieta Diaz, Lucretia M. Hoffman, Diana Plata, Sandra Villalpando

Abstract

The objective of this study was to design and test the feasibility and impact of a community health worker (CHW) intervention for comorbid asthma and obesity. Using a proof of concept study design, we collected pre/post outcomes from a single intervention cohort of urban low-income in a single community area. A community-based participatory research approach was employed. Forty-six children and their caregivers were recruited. Children were 5-12 years old with physician-diagnosed asthma and body mass index (BMI) > 85%. Families were offered 12 home visits from CHWs that integrated asthma and obesity core curriculums. The primary asthma outcome was asthma control, measured via the Childhood Asthma Control Test (cACT). The primary obesity outcome was child body mass index (BMI). Families received a median of 10 out of the 12 home visits over 1 year. At 1 year, there was a significant improvement in the number of children with controlled asthma as measured via cACT (85.7% at 1 year compared to 61.9% at baseline, p = 0.01). Activity limitations and emergency utilization were reduced while inhaler technique improved (p < 0.01 for all). Child BMI z-score was reduced: mean = 1.97 (SD 0.79) at 1 year compared to mean = 2.13 (SD 0.40) at baseline, p < 0.01. No association was seen between change in child BMI and change in asthma control. Worse baseline child depression scores were associated with less improvement in asthma control (p = 0.003) and higher baseline caregiver post-traumatic stress disorder scores were associated with increased child BMI (p = 0.012). The CHW intervention has promise for improving asthma and weight outcomes in high-risk children with comorbid asthma and obesity; this model warrants further development and investigation.

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X Demographics

The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 183 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 183 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 32 17%
Researcher 21 11%
Student > Bachelor 21 11%
Student > Ph. D. Student 19 10%
Student > Doctoral Student 14 8%
Other 23 13%
Unknown 53 29%
Readers by discipline Count As %
Medicine and Dentistry 43 23%
Nursing and Health Professions 29 16%
Psychology 15 8%
Social Sciences 11 6%
Sports and Recreations 5 3%
Other 20 11%
Unknown 60 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 4. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 June 2017.
All research outputs
#6,816,460
of 22,908,162 outputs
Outputs from BMC Pediatrics
#1,258
of 3,018 outputs
Outputs of similar age
#123,838
of 416,461 outputs
Outputs of similar age from BMC Pediatrics
#16
of 43 outputs
Altmetric has tracked 22,908,162 research outputs across all sources so far. This one has received more attention than most of these and is in the 70th percentile.
So far Altmetric has tracked 3,018 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 7.6. This one has gotten more attention than average, scoring higher than 58% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 416,461 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 70% of its contemporaries.
We're also able to compare this research output to 43 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 62% of its contemporaries.