Cross-sectional evaluation demonstrates improved health outcomes in asthma management, suggesting effective community interventions.
Context: Asthma Home Visiting (HV) programs offer community-based education and environmental interventions to improve asthma control and reduce health care use. Objective: To evaluate the health, quality of life (QoL), and cost outcomes of a multi-site asthma HV program implemented across Illinois from 2020 to 2023. Design: Cross-sectional program evaluation using pre- and post- intervention comparisons of health outcomes and health care utilization data. Setting: Four Illinois-based HV programs supported by the Illinois Department of Public Health and funded by the Centers for Disease Control and Prevention. Participants: A total of 209 participants (58.4% children) with physician-diagnosed asthma who received HV services between 2020 and 2023. Main Outcome Measure(s): Changes in emergency department (ED) visits, hospitalizations, QoL indicators (Asthma Control Rating, ACT scores, and missed school/workdays), and program cost–benefit ratio. Results: ED visits declined from 17.8% to 6% ( P < .05), and hospitalizations from 7.6% to 0% ( P < .05). QoL indicators improved significantly, with ACT well-controlled scores increasing from 24.8% to 45.4%. Estimated annual savings totaled $1.4 million, exceeding program costs of $1.04 million (benefit–cost ratio = 1.34). Conclusions: The Illinois asthma HV program improved health outcomes and reduced health care utilization, supporting its inclusion in comprehensive asthma care strategies.
No takes yet. Share an insight, caveat, or question.
Patel et al. (2026) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: