BACKGROUND: A substantial proportion of low-income @entity1 with @entity565 living in rural western North Carolina have suboptimal @entity565 management. To address the needs of these underserved @entity1 , we developed and implemented the Regional Asthma Disease Management Program (RADMP); RADMP was selected as one of 13 demonstration projects for the National Asthma Control Initiative (NACI). METHODS: This observational intervention was conducted from 2009 to 2011 in 20 rural counties and the Eastern Band Cherokee Indian Reservation in western North Carolina. Community and individual intervention components included @entity565 education in-services and environmental assessments/remediation. The individual intervention also included clinical assessment and management. RESULTS: Environmental remediation was conducted in 13 childcare facilities and 50 homes; over 259 administrative staff received @entity565 education. Fifty @entity1 with mild to severe persistent @entity565 were followed for up to 2 years; 76% were enrolled in Medicaid. From 12-month pre-intervention to 12-month post-intervention, the total number of @entity565 -related @entity341 ( @entity341 ) visits decreased from 158 to 4 and hospital admissions from 62 to 1 (p   <   0.0001). From baseline to intervention completion, lung function FVC, FEV1, FEF 25-75 increased by 7.2%, 13.2% and 21.1%, respectively (all p   <   0.001), and average school absences dropped from 17 to 8.8 days. Healthcare cost avoided 12 months post-intervention were approximately  882   021. CONCLUSION: The RADMP program resulted in decreased @entity341 visits, hospitalizations, school absences and improved lung function and eNO. This was the first NACI demonstration project to show substantial improvements in healthcare utilization and clinical outcomes among rural @entity748 @entity1 .

The Regional Asthma Disease Management Program (RADMP) for low income underserved XXXX in rural western North Carolina: a National Asthma Control Initiative Demonstration Project.

@entity1 :: ('9606', 'Species') :: ['children'] @entity565 :: ('MESH:D001249', 'Disease') :: ['asthma'] @entity341 :: ('MESH:D004630', 'Disease') :: ['emergency department', 'ED'] @entity748 :: ('MESH:D013224', 'Disease') :: ['asthmatic']
@entity1 :: (9606,Species) :: ['children']
