Randomized Trial of Interventions to Improve Childhood Asthma in Homes with Wood-burning Stoves

@article{Noonan2017RandomizedTO,
  title={Randomized Trial of Interventions to Improve Childhood Asthma in Homes with Wood-burning Stoves},
  author={Curtis W Noonan and Erin O'Brien Semmens and Paul Smith and Solomon W. Harrar and Luke Montrose and Emily C Weiler and Marcy L. McNamara and Tony J. Ward},
  journal={Environmental Health Perspectives},
  year={2017},
  volume={125}
}
Background: Household air pollution due to biomass combustion for residential heating adversely affects vulnerable populations. Randomized controlled trials to improve indoor air quality in homes of children with asthma are limited, and no such studies have been conducted in homes using wood for heating. Objectives: Our aims were to test the hypothesis that household-level interventions, specifically improved-technology wood-burning appliances or air-filtration devices, would improve health… 
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References

SHOWING 1-10 OF 51 REFERENCES

Asthma randomized trial of indoor wood smoke (ARTIS): rationale and methods.

Efficacy of interventions targeting household air pollution from residential wood stoves

Wood is commonly used for residential heating, but there are limited evidence-based interventions for reducing wood smoke exposures in the indoor environment. The Asthma Randomized Trial of Indoor…

Effects of improved home heating on asthma in community dwelling children: randomised controlled trial

Installing non-polluting, more effective heating in the homes of children with asthma did not significantly improve lung function but did significantly reduce symptoms of asthma, days off school, healthcare utilisation, and visits to a pharmacist.

Home environmental intervention in inner-city asthma: a randomized controlled clinical trial.

  • P. EgglestonA. Butz J. Krishnan
  • Medicine
    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology
  • 2005

A randomized trial of air cleaners and a health coach to improve indoor air quality for inner-city children with asthma and secondhand smoke exposure.

Although the use of air cleaners can result in a significant reduction in indoor PM concentrations and a significant increase in symptom-free days, it is not enough to prevent exposure to secondhand smoke.

Results of a home-based environmental intervention among urban children with asthma.

Among inner-city children with atopic asthma, an individualized, home-based, comprehensive environmental intervention decreases exposure to indoor allergens, including cockroach and dust-mite allergen, resulting in reduced asthma-associated morbidity.

The Seattle-King County Healthy Homes Project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers.

Community health workers reduced asthma symptom days and urgent health services use while improving caregiver quality-of-life score, and improvement was greater with a higher-intensity intervention.

Indoor particulate matter in rural, wood stove heated homes.

A community-based participatory research study of multifaceted in-home environmental interventions for pediatric asthmatics in public housing.

The impact of an urban home-based intervention program on asthma outcomes in children.

This multifaceted home-based intervention decreased asthma triggers and improved asthma outcomes in children, and improved the quality of life of their caregivers.
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