Project 171662

Primary prevention of asthma: The impact of the multifaceted intervention program in early life on outcomes in teenagers

171662

Primary prevention of asthma: The impact of the multifaceted intervention program in early life on outcomes in teenagers

$525,702
Project Information
Study Type: Trial Randomized_Controlled_Trial
Therapeutic Area: Respiratory
Research Theme: Biomedical
Disease Area: asthma
Data Type: Canadian
Institution & Funding
Principal Investigator(s): Becker, Allan B; Chan-Yeung, Moira
Co-Investigator(s): Chan, Edmond S; Chen, Edith; Ferguson, Alexander C; Hayglass, Kent T; Kozyrskyj, Anita L; Miller, Gregory E; Ward, Helen
Institution: University of Manitoba
CIHR Institute: Circulatory and Respiratory Health
Program: Operating Grant
Peer Review Committee: Respiratory System
Competition Year: 2008
Term: 3 yrs 0 mth
Abstract Summary

We undertook a multifaceted intervention program during the last trimester of pregnancy and the first twelve months of life in children at high risk for the development of asthma, based on a strong family history. This intervention during a "window of opportunity" in early life had a significant impact in follow-up at 1, 2 and 7 years of age for its ability to decrease asthma. We ask whether this early life intervention will continue to have impact in children in their teenage years. We will assess the progress of asthma in this group of children, measure the degree of airway responsiveness and presence of allergy and evaluate the impact of gender differences over time. We believe that early life and current psychosocial stressors will have impact on the clinical, physiologic, and immune status of these teenagers.

Research Characteristics

This project includes the following research characteristics:

Implementation Science
Patient Reported Outcomes
Patient Engagement
Ethics Focus
Environmental Health
Social Determinants
Cohort Establishment
Knowledge Translation Focus
Biomarker Endpoints
Vulnerable Populations
Study Justification

"We ask whether this early life intervention will continue to have impact in children in their teenage years."

Novelty Statement

"We believe that early life and current psychosocial stressors will have impact on the clinical, physiologic, and immune status of these teenagers."

Methodology Innovation

long-term follow-up of a primary prevention trial for asthma, assessing the impact of an early life intervention on teenage outcomes

Keywords
Allergy Asthma Children Environment Primary Prevention