Reduction in Asthma Morbidity in Children as a Result of Home Remediation Aimed at Moisture Sources
2006

Reducing Asthma Symptoms in Children by Fixing Damp Homes

Sample size: 62 publication 10 minutes Evidence: moderate

Author Information

Author(s): Kercsmar Carolyn M., Dearborn Dorr G., Schluchter Mark, Xue Lintong, Kirchner H. Lester, Sobolewski John, Greenberg Stuart J., Vesper Stephen J., Allan Terry

Primary Institution: Case Western Reserve University, Department of Pediatrics, Rainbow Babies and Children’s Hospital

Hypothesis

Using a home environmental intervention involving construction remediation of sources of moisture and mold damage would significantly decrease asthma symptoms and health care use beyond that achieved by a standard asthma intervention alone.

Conclusion

Home remediation aimed at moisture sources significantly reduces asthma symptoms and health care use for children living in homes with mold problems.

Supporting Evidence

  • Children in the remediation group had a significant decrease in symptom days after home repairs.
  • The control group did not show significant changes in symptom days.
  • 36.4% of controls had acute care visits compared to 17.2% in the remediation group.
  • Pulmonary function improved in the remediation group at the first post-remediation visit.
  • Total visible mold scores were significantly lower in the remediation group compared to controls.

Takeaway

Fixing damp homes can help kids with asthma feel better and go to the doctor less often.

Methodology

A randomized controlled trial where symptomatic asthmatic children received either home remediation or standard cleaning information.

Potential Biases

Potential bias due to non-blinding of participants and study personnel to group assignments.

Limitations

The sample size was smaller than originally planned, which may affect the reliability of the results.

Participant Demographics

Children aged 2-17, primarily African American, with a significant portion from low-income families.

Statistical Information

P-Value

0.003

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.8742

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