Childhood Asthma Prevention Study (CAPS)
Placeholder for model effectiveness
Placeholder for manuscripts count 1
Placeholder for manuscripts count 2
Placeholder for results from well-defined research
Skip-to content here...
Description field here
Related models list
Where to find out more - can be model view mode
Here is the raw field value
44Here is the rendered field
Model effectiveness research report last updated: 2012
Effectiveness
Evidence of model effectiveness
| Title | General population | Tribal population | Domains with favorable effects |
|---|---|---|---|
| Childhood Asthma Prevention Study (CAPS) | Does not meet HHS criteria because the findings from high- or moderate-rated effectiveness studies of the model do not meet all required criteria. | Does not meet HHS criteria for tribal population because the model has not been evaluated with a tribal population. |
|
Model description
The Childhood Asthma Prevention Study (CAPS) was designed to reduce children’s wheezing-related morbidity by reducing household allergens and increasing caregiver illness-management skills. CAPS participants were low-income families living in the Denver metropolitan area with children between 9 and 24 months old who had experienced at least three wheezing episodes. Nurses trained as home visitors addressed allergen and tobacco smoke reduction, as well as psychosocial factors of illness management, including parental knowledge, parent-child relationships, and caregiver mental health. Home visitors guided and supported caregivers’ efforts to achieve health-promotion goals through education, problem solving, and referrals for additional services. CAPS consisted of 18 home visits delivered over the course of a year.
Extent of evidence
For more information, see the research database. For more information on the criteria used to rate research, please see details of HomVEE’s methods and standards.
Summary of findings
To see details on each manuscript HomVEE reviewed in well-designed research, click on the manuscript counts in the table.
Favorable:
A finding showing a statistically significant impact on an outcome measure in a direction that is beneficial for children and parents.
No effect:
Findings are not statistically significant.
Unfavorable:
A finding showing a statistically significant impact on an outcome measure in a direction that may indicate potential harm to children and/or parents.
| Outcomes | Manuscripts | Favorable Findings | No Effects Findings | Unfavorable Findings |
|---|---|---|---|---|
| Child development and school readiness | Not measured | - | - | - |
| Child health | View 2 Manuscripts | 0 | 4 | 0 |
| Family economic self-sufficiency | Not measured | - | - | - |
| Linkages and referrals | Not measured | - | - | - |
| Maternal health | View 1 Manuscript | 0 | 1 | 0 |
| Positive parenting practices | View 1 Manuscript | 3 | 3 | 0 |
| Reductions in child maltreatment | Not measured | - | - | - |
| Reductions in juvenile delinquency, family violence, and crime | Not measured | - | - | - |
Implementation
Model implementation profile last updated: 2014
Theoretical approach
There are no definitive risk factors for the development of childhood asthma. Therefore, many asthma-related primary prevention programs focus on 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.
Implementation support availability
CAPS was designed and implemented by staff from National Jewish Health (formerly the National Jewish Medical and Research Center).
No information was available about technical assistance.
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.
Targeted outcomes
The intervention was designed to reduce children’s wheezing-related morbidity by reducing household allergens and increasing caregiver illness-management capabilities.
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.
Caregivers received videos addressing asthma prevention and management, and handouts on topics relevant to their needs (such as child care or interactions with medical care providers).
Model intensity and length
The intervention consisted of 18 home visits delivered over the course of a year. No information was available about the length of the visits.
Adaptations and enhancements
No information was available about model adaptations or enhancements.
Organizational requirements
No information was available about the type or characteristics of organizations that could implement the model.
No information was available about whether the model specified any guidelines that implementing programs or home visitors were required to meet on an ongoing basis.
Staffing requirements
CAPS was implemented by nurse home visitors.
The home visitors who implemented CAPS had a bachelor of science degree in nursing and experience with community outreach.
There was no information available on supervision requirements.
Home visitors received training in asthma prevention and management. No information was available about whether home visitors were required to participate in ongoing professional development.
Where to find out more
Mary D. Klinnert, Ph.D.
National Jewish Health
1400 Jackson St., G320
Denver, CO 80206
HomVEE requests input and feedback from the model developers on their profiles. The information in this implementation profile reflects feedback, if provided, from this model’s developer as of the above date. HomVEE reserves the right to edit the profile for clarity and consistency. 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. Model developers are encouraged to notify HomVEE of any changes to their contact information on this page.