Efficacy of Environmental Interventions on Asthma-Related Quality of Life

  • J. E. Clougherty
Reference work entry


Asthma is a significant and costly public health problem in developed nations, and the rise in prevalence of severe asthma in recent decades has disproportionately affected children in lower-income urban communities. Because asthma is a highly complex multi-faceted illness, inter-disciplinary approaches combining environmental, social, medical, and genetic analyses are needed to understand the etiology and exacerbation of asthma, especially in urban settings. In recent years, a number of indoor  environmental intervention studies have examined the possibility of reducing childhood asthma symptoms by reducing indoor allergen exposures. Interventions investigated have included mattress replacement, pillow and mattress encasement to reduce dist mite exposures, structural interventions to control mold and moisture, smoking cessation, and integrated pest management. Most such studies have documented some improvements in environmental conditions and childhood asthma symptoms. Recent interest in  asthma-related quality-of-life (AQOL) as a broad-based measure of asthma well-being in both asthmatics and caregivers has allowed for the assessment of environmental changes on broader life conditions, and for the consideration of auxiliary benefits to other household members. Evidence suggests that  environmental interventions can improve AQOL for asthmatics and caregivers, and that intervention efficacy can vary significantly by other facets of the social, physical, and medical environment.


Asthmatic Child Environmental Tobacco Smoke Environmental Intervention Indoor Allergen Cockroach Allergen 

List of Abbreviations:


Airway Questionnaire 20


Airway Questionnaire 30


Juniper Caregiver Asthma Quality of Life Questionnaires


Asthma-related quality of life


 community-based participatory research


Community Health Advocate CHW – Community Health Worker


environmentally attributable factor


environmental tobacco smoke


forced expiratory volume in 1 s


forced vital capacity


Boston Healthy Public Housing Initiative


U.S. Institute of Medicine


Integrated pest management


Marks Asthma Quality of Life Questionnaire


U.S. National Center for Health Statistics


U.S. National Cooperative Inner-City Asthma Study


U.S. National Heart, Lung, and Blood Institute


Juniper Paedeatric Asthma Quality of Life Questionnaire


quality of life


St George’s Respiratory Questionnaire


volatile organic compounds


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© Springer Science+Business Media LLC 2010

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  • J. E. Clougherty

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