The Experts below are selected from a list of 89838 Experts worldwide ranked by ideXlab platform

Jeffrey S Sledge - One of the best experts on this subject based on the ideXlab platform.

Anthony Gass - One of the best experts on this subject based on the ideXlab platform.

  • impact of baltimore healthy eating zones an Environmental Intervention to improve diet among african american youth
    Health Education & Behavior, 2015
    Co-Authors: Ahyoung Shin, Pamela J Surkan, Anastasia J Coutinho, Sonali Suratkar, Rebecca K Campbell, Megan Rowan, Sangita Sharma, Lauren A Dennisuk, Micaela Karlsen, Anthony Gass
    Abstract:

    This study assessed the impact of a youth-targeted multilevel nutrition Intervention in Baltimore City. The study used a clustered randomized design in which 7 recreation centers and 21 corner stores received Interventions and 7 additional recreation centers served as comparison. The 8-month Intervention aimed to increase availability and selection of healthful foods through nutrition promotion and education using point-of purchase materials such as posters and flyers in stores and interactive sessions such as taste test and cooking demonstrations. Two hundred forty-two youth–caregiver dyads residing in low-income areas of Baltimore City recruited from recreation centers were surveyed at baseline using detailed instruments that contained questions about food-related psychosocial indicators (behavioral intentions, self-efficacy, outcome expectancies, and knowledge), healthful food purchasing and preparation methods, and anthropometric measures (height and weight). The Baltimore Healthy Eating Zones interve...

  • impact of baltimore healthy eating zones an Environmental Intervention to improve diet among african american youth
    Health Education & Behavior, 2015
    Co-Authors: Ahyoung Shin, Pamela J Surkan, Anastasia J Coutinho, Sonali Suratkar, Rebecca K Campbell, Megan Rowan, Sangita Sharma, Lauren A Dennisuk, Micaela Karlsen, Anthony Gass
    Abstract:

    This study assessed the impact of a youth-targeted multilevel nutrition Intervention in Baltimore City. The study used a clustered randomized design in which 7 recreation centers and 21 corner stores received Interventions and 7 additional recreation centers served as comparison. The 8-month Intervention aimed to increase availability and selection of healthful foods through nutrition promotion and education using point-of purchase materials such as posters and flyers in stores and interactive sessions such as taste test and cooking demonstrations. Two hundred forty-two youth-caregiver dyads residing in low-income areas of Baltimore City recruited from recreation centers were surveyed at baseline using detailed instruments that contained questions about food-related psychosocial indicators (behavioral intentions, self-efficacy, outcome expectancies, and knowledge), healthful food purchasing and preparation methods, and anthropometric measures (height and weight). The Baltimore Healthy Eating Zones Intervention was associated with reductions in youth body mass index percentile (p = .04). In subgroup analyses among overweight and obese girls, body mass index for age percentile decreased significantly in girls assigned to the Intervention group (p = .03) and in girls with high exposure to the Intervention (p = .013), as opposed to those in comparison or lower exposure groups. Intervention youth significantly improved food-related outcome expectancies (p = .02) and knowledge (p < .001). The study results suggest that the Baltimore Healthy Eating Zones multilevel Intervention had a modest impact in reducing overweight or obesity among already overweight low-income African American youth living in an environment where healthful foods are less available. Additional studies are needed to determine the relative impact of health communications and Environmental Interventions in this population, both alone and in combination.

Wayne J. Morgan - One of the best experts on this subject based on the ideXlab platform.

  • a multifaceted home based Environmental Intervention modestly reduced asthma morbidity in children with atopic asthma
    Evidence-based Medicine, 2005
    Co-Authors: Wayne J. Morgan, Ellen F. Crain, Rebecca S. Gruchalla, Daniele Radzik
    Abstract:

    Morgan WJ, Crain EF, Gruchalla RS, et al. Results of a home-based Environmental Intervention among urban children with asthma. N Engl J Med 2004;351:1068–80. [OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4] 
 Q In inner city children with atopic asthma, is a multifaceted, home based, Environmental Intervention (HBEI) effective for improving asthma related outcomes? Clinical impact ratings Paediatrics ★★★★★★☆ Respirology ★★★★★★☆ Immunology ★★★★★☆☆ Allergy and Immunology ★★★★★☆☆ ### ![Graphic][5] Design: randomised controlled trial. ### ![Graphic][6] Allocation: {concealed*}†. ### ![Graphic][7] Blinding: blinded (clinical outcome assessors).* ### ![Graphic][8] Follow up period: 1 year of Intervention followed by a 1 year observational period. ### ![Graphic][9] Setting: 7 major cities in the US. ### ![Graphic][10] Patients: 937 children 5–11 years of age (mean age 7.7 y, 63% boys) with atopic asthma who were residents of census tracts in which ⩾20% of the households had incomes below the federal poverty level. Children were also required to have had ⩾1 asthma related hospital admission or 2 unscheduled, asthma related visits to the clinic or emergency department during the previous 6 months and a positive skin test in response to ⩾1 of 11 indoor allergens. ### ![Graphic][11] Intervention: a 1 year … [1]: {openurl}?query=rft.jtitle%253DNew%2BEngland%2BJournal%2Bof%2BMedicine%26rft.stitle%253DNEJM%26rft.issn%253D0028-4793%26rft.aulast%253DMorgan%26rft.auinit1%253DW.%2BJ.%26rft.volume%253D351%26rft.issue%253D11%26rft.spage%253D1068%26rft.epage%253D1080%26rft.atitle%253DResults%2Bof%2Ba%2BHome-Based%2BEnvironmental%2BIntervention%2Bamong%2BUrban%2BChildren%2Bwith%2BAsthma%26rft_id%253Dinfo%253Adoi%252F10.1056%252FNEJMoa032097%26rft_id%253Dinfo%253Apmid%252F15356304%26rft.genre%253Darticle%26rft_val_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Ajournal%26ctx_ver%253DZ39.88-2004%26url_ver%253DZ39.88-2004%26url_ctx_fmt%253Dinfo%253Aofi%252Ffmt%253Akev%253Amtx%253Actx [2]: /lookup/external-ref?access_num=10.1056/NEJMoa032097&link_type=DOI [3]: /lookup/external-ref?access_num=15356304&link_type=MED&atom=%2Febmed%2F10%2F2%2F51.atom [4]: /lookup/external-ref?access_num=000223733900006&link_type=ISI [5]: /embed/inline-graphic-1.gif [6]: /embed/inline-graphic-2.gif [7]: /embed/inline-graphic-3.gif [8]: /embed/inline-graphic-4.gif [9]: /embed/inline-graphic-5.gif [10]: /embed/inline-graphic-6.gif [11]: /embed/inline-graphic-7.gif

  • Cost-effectiveness of a home-based Environmental Intervention for inner-city children with asthma
    Journal of Allergy and Clinical Immunology, 2005
    Co-Authors: Meyer Kattan, James W. Stout, Ellen F. Crain, Rebecca S. Gruchalla, Cynthia M. Visness, Wayne J. Morgan, Peter J Gergen, Sally C Stearns, Richard Evans, George T. O'connor
    Abstract:

    Background: Exposure to indoor allergens contributes to increased asthma morbidity. The Inner-City Asthma Study, a randomized trial involving home Environmental allergen and irritant remediation among children aged 6 through 11 years with moderate-to-severe asthma, successfully reduced asthma symptoms. A cost-effectiveness analysis can help stakeholders to evaluate the potential costs and benefits of adopting such a program. Objective: We sought to assess the cost-effectiveness of the Environmental Intervention of the Inner-City Asthma Study. Methods: Incremental cost-effectiveness ratios for a 2-year study period were calculated. Health outcome was measured as symptom-free days. Resource use measures included ambulatory visits, hospitalizations, and pharmaceutical use. CIs were obtained by using bootstrapping. Results: The Intervention, which cost $1469 per family, led to statistically significant reductions in symptom days, unscheduled clinic visits, and use of β-agonist inhalers. Over the year of the Intervention and a year of follow-up, the Intervention cost was $27.57 per additional symptom-free day (95% CI, $7.46-$67.42). Subgroup analysis showed that targeting the Intervention to selected high-risk subgroups did not reduce the incremental cost-effectiveness ratio. Conclusions: A targeted home-based Environmental Intervention improved health and reduced service use in inner-city children with moderate-to-severe asthma. The Intervention is cost-effective when the aim is to reduce asthma symptom days and the associated costs.

  • results of a home based Environmental Intervention among urban children with asthma
    The New England Journal of Medicine, 2004
    Co-Authors: Wayne J. Morgan, James W. Stout, Ellen F. Crain, Rebecca S. Gruchalla, Meyer Kattan, Richard Evans, George T Oconnor, George S Malindzak, Ernestine Smartt, Marshall Plaut
    Abstract:

    background Children with asthma who live in the inner city are exposed to multiple indoor allergens and Environmental tobacco smoke in their homes. Reductions in these triggers of asthma have been difficult to achieve and have seldom been associated with decreased morbidity from asthma. The objective of this study was to determine whether an Environmental Intervention tailored to each child’s allergic sensitization and Environmental risk factors could improve asthma-related outcomes. methods We enrolled 937 children with atopic asthma (age, 5 to 11 years) in seven major U.S. cities in a randomized, controlled trial of an Environmental Intervention that lasted one year (Intervention year) and included education and remediation for exposure to both allergens and Environmental tobacco smoke. Home Environmental exposures were assessed every six months, and asthma-related complications were assessed every two months during the Intervention and for one year after the Intervention. results For every 2-week period, the Intervention group had fewer days with symptoms than did the control group both during the Intervention year (3.39 vs. 4.20 days, P<0.001) and the year afterward (2.62 vs. 3.21 days, P<0.001), as well as greater declines in the levels of allergens at home, such as Dermatophagoides farinae (Der f1) allergen in the bed (P<0.001) and on the bedroom floor (P=0.004), D. pteronyssinus in the bed (P=0.007), and cockroach allergen on the bedroom floor (P<0.001). Reductions in the levels of cockroach allergen and dust-mite allergen (Der f1) on the bedroom floor were significantly correlated with reduced complications of asthma (P<0.001). conclusions Among inner-city children with atopic asthma, an individualized, home-based, comprehensive Environmental Intervention decreases exposure to indoor allergens, including cockroach and dust-mite allergens, resulting in reduced asthma-associated morbidity.

  • home and allergic characteristics of children with asthma in seven u s urban communities and design of an Environmental Intervention the inner city asthma study
    Environmental Health Perspectives, 2002
    Co-Authors: Ellen F. Crain, Rebecca S. Gruchalla, Meyer Kattan, Richard Evans, Herman Mitchell, George T Oconnor, George S Malindzak, Michelle Walter, Paul Enright, Wayne J. Morgan
    Abstract:

    Most published Environmental remediation Interventions have been directed at single allergens and have employed demanding strategies; few have been performed in the homes of inner-city children disproportionately burdened by asthma. Our objective was a) to describe the allergen sensitivities, Environmental tobacco smoke (ETS) exposure, and home Environmental characteristics of a national sample of inner-city children with moderate to severe asthma and b) to develop and implement a multifaceted, home-based comprehensive Intervention to reduce home allergens and ETS, tailored to the specific sensitization and exposure profiles of those children. Allergen skin testing and a home evaluation were performed to determine the presence of ETS and factors known to be associated with increased indoor allergen levels. Based on published remediation techniques, a home Environmental Intervention, organized into modules, each addressing one of five specific allergen groups or ETS, was designed. Of 994 allergic children from seven U.S. urban communities, 937 successfully completed baseline interviews and home allergen surveys and were enrolled. More than 50% of children had positive skin tests to three or more allergen groups. Cockroaches were reported in 58% of homes, wall-to-wall carpeting in the child's bedroom in 55%, a smoker in 48%, mice or rats in 40%, and furry pets in 28%. More than 60% of enrolled families received four or more modules, and between 94% and 98% of all modules were completed. We conclude that most inner-city children with moderate to severe asthma are sensitized to multiple indoor allergens and that Environmental factors known to be associated with asthma severity are commonly present in their homes. The Intervention developed for the Inner-City Asthma Study employs accepted methods to address an array of allergens and ETS exposure while ensuring that the Intervention is tailored to the specific sensitization profiles and home characteristics of these children.

Meyer Kattan - One of the best experts on this subject based on the ideXlab platform.

  • Cost-effectiveness of a home-based Environmental Intervention for inner-city children with asthma
    Journal of Allergy and Clinical Immunology, 2005
    Co-Authors: Meyer Kattan, James W. Stout, Ellen F. Crain, Rebecca S. Gruchalla, Cynthia M. Visness, Wayne J. Morgan, Peter J Gergen, Sally C Stearns, Richard Evans, George T. O'connor
    Abstract:

    Background: Exposure to indoor allergens contributes to increased asthma morbidity. The Inner-City Asthma Study, a randomized trial involving home Environmental allergen and irritant remediation among children aged 6 through 11 years with moderate-to-severe asthma, successfully reduced asthma symptoms. A cost-effectiveness analysis can help stakeholders to evaluate the potential costs and benefits of adopting such a program. Objective: We sought to assess the cost-effectiveness of the Environmental Intervention of the Inner-City Asthma Study. Methods: Incremental cost-effectiveness ratios for a 2-year study period were calculated. Health outcome was measured as symptom-free days. Resource use measures included ambulatory visits, hospitalizations, and pharmaceutical use. CIs were obtained by using bootstrapping. Results: The Intervention, which cost $1469 per family, led to statistically significant reductions in symptom days, unscheduled clinic visits, and use of β-agonist inhalers. Over the year of the Intervention and a year of follow-up, the Intervention cost was $27.57 per additional symptom-free day (95% CI, $7.46-$67.42). Subgroup analysis showed that targeting the Intervention to selected high-risk subgroups did not reduce the incremental cost-effectiveness ratio. Conclusions: A targeted home-based Environmental Intervention improved health and reduced service use in inner-city children with moderate-to-severe asthma. The Intervention is cost-effective when the aim is to reduce asthma symptom days and the associated costs.

  • results of a home based Environmental Intervention among urban children with asthma
    The New England Journal of Medicine, 2004
    Co-Authors: Wayne J. Morgan, James W. Stout, Ellen F. Crain, Rebecca S. Gruchalla, Meyer Kattan, Richard Evans, George T Oconnor, George S Malindzak, Ernestine Smartt, Marshall Plaut
    Abstract:

    background Children with asthma who live in the inner city are exposed to multiple indoor allergens and Environmental tobacco smoke in their homes. Reductions in these triggers of asthma have been difficult to achieve and have seldom been associated with decreased morbidity from asthma. The objective of this study was to determine whether an Environmental Intervention tailored to each child’s allergic sensitization and Environmental risk factors could improve asthma-related outcomes. methods We enrolled 937 children with atopic asthma (age, 5 to 11 years) in seven major U.S. cities in a randomized, controlled trial of an Environmental Intervention that lasted one year (Intervention year) and included education and remediation for exposure to both allergens and Environmental tobacco smoke. Home Environmental exposures were assessed every six months, and asthma-related complications were assessed every two months during the Intervention and for one year after the Intervention. results For every 2-week period, the Intervention group had fewer days with symptoms than did the control group both during the Intervention year (3.39 vs. 4.20 days, P<0.001) and the year afterward (2.62 vs. 3.21 days, P<0.001), as well as greater declines in the levels of allergens at home, such as Dermatophagoides farinae (Der f1) allergen in the bed (P<0.001) and on the bedroom floor (P=0.004), D. pteronyssinus in the bed (P=0.007), and cockroach allergen on the bedroom floor (P<0.001). Reductions in the levels of cockroach allergen and dust-mite allergen (Der f1) on the bedroom floor were significantly correlated with reduced complications of asthma (P<0.001). conclusions Among inner-city children with atopic asthma, an individualized, home-based, comprehensive Environmental Intervention decreases exposure to indoor allergens, including cockroach and dust-mite allergens, resulting in reduced asthma-associated morbidity.

  • home and allergic characteristics of children with asthma in seven u s urban communities and design of an Environmental Intervention the inner city asthma study
    Environmental Health Perspectives, 2002
    Co-Authors: Ellen F. Crain, Rebecca S. Gruchalla, Meyer Kattan, Richard Evans, Herman Mitchell, George T Oconnor, George S Malindzak, Michelle Walter, Paul Enright, Wayne J. Morgan
    Abstract:

    Most published Environmental remediation Interventions have been directed at single allergens and have employed demanding strategies; few have been performed in the homes of inner-city children disproportionately burdened by asthma. Our objective was a) to describe the allergen sensitivities, Environmental tobacco smoke (ETS) exposure, and home Environmental characteristics of a national sample of inner-city children with moderate to severe asthma and b) to develop and implement a multifaceted, home-based comprehensive Intervention to reduce home allergens and ETS, tailored to the specific sensitization and exposure profiles of those children. Allergen skin testing and a home evaluation were performed to determine the presence of ETS and factors known to be associated with increased indoor allergen levels. Based on published remediation techniques, a home Environmental Intervention, organized into modules, each addressing one of five specific allergen groups or ETS, was designed. Of 994 allergic children from seven U.S. urban communities, 937 successfully completed baseline interviews and home allergen surveys and were enrolled. More than 50% of children had positive skin tests to three or more allergen groups. Cockroaches were reported in 58% of homes, wall-to-wall carpeting in the child's bedroom in 55%, a smoker in 48%, mice or rats in 40%, and furry pets in 28%. More than 60% of enrolled families received four or more modules, and between 94% and 98% of all modules were completed. We conclude that most inner-city children with moderate to severe asthma are sensitized to multiple indoor allergens and that Environmental factors known to be associated with asthma severity are commonly present in their homes. The Intervention developed for the Inner-City Asthma Study employs accepted methods to address an array of allergens and ETS exposure while ensuring that the Intervention is tailored to the specific sensitization profiles and home characteristics of these children.

  • results of the national cooperative inner city asthma study ncicas Environmental Intervention to reduce cockroach allergen exposure in inner city homes
    The Journal of Allergy and Clinical Immunology, 1999
    Co-Authors: Peter J Gergen, Meyer Kattan, Herman Mitchell, Peyton A. Eggleston, Kathleen M Mortimer, David L Rosenstreich, Dennis R Ownby, Dean Baker, Elizabeth C Wright, Raymond G Slavin
    Abstract:

    Abstract Background: Cockroach allergen is important in asthma. Practical methods to reduce exposure are needed. Objective: We sought to evaluate the effectiveness of house cleaning and professional extermination on lowering cockroach antigen levels in inner-city dwellings. Methods: As part of the National Cooperative Inner-City Asthma Study Intervention, 265 of 331 families with asthmatic children who had positive skin test responses to cockroach allergen consented to a professional home extermination with 2 applications of a cockroach insecticide (Abamectin, Avert) combined with directed education on cockroach allergen removal. On a random subset of 48 homes undergoing cockroach extermination in the Intervention group, Bla g 1 was measured in settled dust from the kitchen, bedroom, and TV/living room. The first sample was collected 1 week before extermination, with additional samples after the exterminations at approximately 2, 6, and 12 months after the first sample. Self-reported problems with cockroaches were collected at baseline and after 12 months of follow-up in both the Intervention and control group. Results: The geometric mean kitchen level of Bla g 1 decreased at 2 months (33.6 U/g) relative to preextermination levels (68.7 U/g, P P P Conclusions: Despite a significant, but short-lived, decrease the cockroach allergen burden remained well above levels previously found to be clinically significant. (J Allergy Clin Immunol 1999;103:501-6.)

Sonali Suratkar - One of the best experts on this subject based on the ideXlab platform.

  • impact of baltimore healthy eating zones an Environmental Intervention to improve diet among african american youth
    Health Education & Behavior, 2015
    Co-Authors: Ahyoung Shin, Pamela J Surkan, Anastasia J Coutinho, Sonali Suratkar, Rebecca K Campbell, Megan Rowan, Sangita Sharma, Lauren A Dennisuk, Micaela Karlsen, Anthony Gass
    Abstract:

    This study assessed the impact of a youth-targeted multilevel nutrition Intervention in Baltimore City. The study used a clustered randomized design in which 7 recreation centers and 21 corner stores received Interventions and 7 additional recreation centers served as comparison. The 8-month Intervention aimed to increase availability and selection of healthful foods through nutrition promotion and education using point-of purchase materials such as posters and flyers in stores and interactive sessions such as taste test and cooking demonstrations. Two hundred forty-two youth–caregiver dyads residing in low-income areas of Baltimore City recruited from recreation centers were surveyed at baseline using detailed instruments that contained questions about food-related psychosocial indicators (behavioral intentions, self-efficacy, outcome expectancies, and knowledge), healthful food purchasing and preparation methods, and anthropometric measures (height and weight). The Baltimore Healthy Eating Zones interve...

  • impact of baltimore healthy eating zones an Environmental Intervention to improve diet among african american youth
    Health Education & Behavior, 2015
    Co-Authors: Ahyoung Shin, Pamela J Surkan, Anastasia J Coutinho, Sonali Suratkar, Rebecca K Campbell, Megan Rowan, Sangita Sharma, Lauren A Dennisuk, Micaela Karlsen, Anthony Gass
    Abstract:

    This study assessed the impact of a youth-targeted multilevel nutrition Intervention in Baltimore City. The study used a clustered randomized design in which 7 recreation centers and 21 corner stores received Interventions and 7 additional recreation centers served as comparison. The 8-month Intervention aimed to increase availability and selection of healthful foods through nutrition promotion and education using point-of purchase materials such as posters and flyers in stores and interactive sessions such as taste test and cooking demonstrations. Two hundred forty-two youth-caregiver dyads residing in low-income areas of Baltimore City recruited from recreation centers were surveyed at baseline using detailed instruments that contained questions about food-related psychosocial indicators (behavioral intentions, self-efficacy, outcome expectancies, and knowledge), healthful food purchasing and preparation methods, and anthropometric measures (height and weight). The Baltimore Healthy Eating Zones Intervention was associated with reductions in youth body mass index percentile (p = .04). In subgroup analyses among overweight and obese girls, body mass index for age percentile decreased significantly in girls assigned to the Intervention group (p = .03) and in girls with high exposure to the Intervention (p = .013), as opposed to those in comparison or lower exposure groups. Intervention youth significantly improved food-related outcome expectancies (p = .02) and knowledge (p < .001). The study results suggest that the Baltimore Healthy Eating Zones multilevel Intervention had a modest impact in reducing overweight or obesity among already overweight low-income African American youth living in an environment where healthful foods are less available. Additional studies are needed to determine the relative impact of health communications and Environmental Interventions in this population, both alone and in combination.

  • process evaluation of baltimore healthy stores a pilot health Intervention program with supermarkets and corner stores in baltimore city
    Health Promotion Practice, 2010
    Co-Authors: Joel Gittelsohn, Sonali Suratkar, Sangita Sharma, Heejung Song, Suzanne Sacher, Radha Rajan, Irit R Rasooly, Erin Bednarek, Jean Anliker
    Abstract:

    Reduced access to affordable healthy foods is linked to higher rates of chronic diseases in low-income urban settings. The authors conduct a feasibility study of an Environmental Intervention (Baltimore Healthy Stores) in seven corner stores owned by Korean Americans and two supermarkets in low-income East Baltimore. The goal is to increase the availability of healthy food options and to promote them at the point of purchase. The process evaluation is conducted largely by external evaluators. Participating stores stock promoted foods, and print materials are displayed with moderate to high fidelity. Interactive consumer taste tests are implemented with high reach and dose. Materials developed specifically for Korean American corner store owners are implemented with moderate to high fidelity and dose. Results indicate that small food store–based Intervention programs are feasible to implement and are a viable means of increasing healthy food availability and a good location for point-of-purchase promotions in low-income urban settings.