Implementing Childhood Asthma Prevention Study (CAPS)

Model implementation summary last updated: 2014

The information in this implementation report reflects feedback, if provided, from this model’s developer as of the above date. The description of the implementation of the model(s) here may differ from how the model(s) was implemented in the manuscripts reviewed to determine this model’s evidence of effectiveness. Inclusion in the implementation report does not mean the practices described meet the HHS criteria for evidence of effectiveness. Please see the Effectiveness button on the left for more information about any research on the effectiveness of the model, including any version(s) of the model with effectiveness research. Versions of the model that are described in the Adaptations and enhancements section of this implementation report may include (1) versions that were identified by the model’s developer and (2) versions that have been implemented by researchers and have manuscripts that HomVEE rated high or moderate, but that are not supported by the model’s developer.

Model overview

Theoretical approach

There are no definitive risk factors for the development of childhood asthma. Therefore, many asthma-related primary prevention programs target children whose parents have asthma. As children with asthmatic parents represent only a small proportion of the total population of children with asthma, the Childhood Asthma Prevention Study (CAPS) aimed to intervene with a broader range of children at risk of developing asthma, namely young children who had experienced wheezing episodes. In addition to the standard allergen-reduction efforts undertaken in other programs, the CAPS model also targeted the psychosocial factors that might affect successful illness management, such as parental knowledge of health promotion activities and caregiver mental health issues.

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Implementation support

CAPS was designed and implemented by staff from National Jewish Health (formerly the National Jewish Medical and Research Center).

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Intended population

CAPS served young children living in low-income households, who were between 9 and 24 months and had at least three wheezing episodes that had been brought to the attention of a physician.

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Targeted outcomes

The intervention was designed to reduce children’s wheezing-related morbidity by reducing household allergens and increasing caregiver illness-management capabilities.

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Model services

CAPS provided home-based services that addressed allergen and environmental tobacco smoke reduction, illness management, parent-child relationships, and caregiver mental health. The home visitors guided and supported caregivers’ efforts to achieve health promotion goals through education, problem solving, and referrals for additional services.

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Model intensity and length

The intervention consisted of 18 home visits delivered over the course of a year. No information is available on the length of the visits.

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Location

The project was implemented in the Denver, Colorado, metropolitan area.

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Adaptations and enhancements

No information is available.

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Implementation notes

The information contained on this page was last updated in May 2014. In addition, the information contained in this profile was reviewed for accuracy by Dr. Mary D. Klinnert at National Jewish Health in May 2014. HomVEE reserves the right to edit the profile for clarity and consistency.

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