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(Chest. 2005;128:1163-1167.)
© 2005 American College of Chest Physicians

Results of a Culturally Directed Asthma Intervention Program in an Inner-city Latino Community*

Vianessa Tatis, BBA; Digna Remache and Emily DiMango, MD

* From Alianza Dominicana (Ms. Tatis), Columbia University College of Physicians and Surgeons (Dr. DiMango), and The New York Presbyterian Hospital (Ms. Remache), New York, NY.

Correspondence to: Emily DiMango, MD, Columbia University College of Physicians and Surgeons, 622 West 168th St, New York, NY 10032; e-mail: ead3{at}columbia.edu

Study objectives: To determine the effect of an asthma intervention program targeted to a predominantly Latino population of inner-city, adult asthma patients with a recent emergency department (ED) visit for asthma care.

Design: A prospective study measuring changes in asthma quality of life (QOL), asthma knowledge, and ED and hospital utilization in a group of patients enrolled in an outpatient asthma intervention program.

Setting: Academic medical center located in New York City (NYC) and a local community-based organization.

Participants: One hundred ninety-eight patients with asthma > 18 years of age and residing in Washington Heights/Inwood, a predominantly Latino community in NYC.

Measurements: Changes were assessed by hospital and ED utilization and mini-Juniper QOL score before and after the intervention.

Results: From July 2000 through December 2002, 198 patients agreed to be enrolled into an asthma intervention program. The mini-Juniper QOL score improved by 0.67 points. There was a 40% reduction in ED visits and a 36% reduction in hospitalizations over 1 year, compared with a 10% reduction in ED visits and no reduction in hospitalization rate for a control group who declined the intervention.

Conclusion: A culturally targeted asthma intervention program in adult individuals living in a predominantly Latino area of NYC is effective in reducing ED and hospital utilization for asthma, and improving overall asthma-related QOL.

Key Words: asthma • intervention • minority






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