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Patients in lower socioeconomic groups are affected disproportionately by asthma, and many adult patients do not know how to self-manage their disease. Researchers in Seattle randomized 366 lower-income adults with uncontrolled asthma to home-based asthma management or usual asthma care. The home-based program included five in-home visits during 7 months from trained community health workers who provided asthma education (e.g., asthma action plans, spacers, inhalers, allergen avoidance measures) and social services support.
During the 12-month study, participants in the home-based group (compared with the usual-care group) averaged 2 more symptom-free days during each 2-week period (number needed to treat [NNT] to gain 2 symptom-free days pe…