Effectiveness of a household environmental health intervention delivered by rural public health nurses

Patricia G Butterfield; Wade Hill; Julie Postma; Phillip W Butterfield; Tamara Odom-Maryon

doi:10.2105/AJPH.2011.300164

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Effectiveness of a household environmental health intervention delivered by rural public health nurses

Journal article

Open access

Peer reviewed

Effectiveness of a household environmental health intervention delivered by rural public health nurses

Patricia G Butterfield, Wade Hill, Julie Postma, Phillip W Butterfield and Tamara Odom-Maryon

American journal of public health (1971), Vol.101 Suppl 1(1), pp.S262-S270

12/2011

DOI: https://doi.org/10.2105/AJPH.2011.300164

Handle:

https://hdl.handle.net/2376/115595

PMCID: PMC3222509

PMID: 21836117

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Abstract

Hazardous Substances - analysis

Montana

Self Efficacy

Environmental Health

Health Promotion - methods

Humans

Public Health Nursing

Risk Factors

Environmental Exposure - prevention & control

Male

Socioeconomic Factors

Washington

Family Characteristics

Parents - psychology

Rural Population

Adult

Female

Consumer Health Information

Program Evaluation

Child

Parents need meaningful and actionable information if they are to reduce household environmental health risks to their children. To address this issue, we tested the effectiveness of a multi-risk social/cognitive intervention on rural low-income parents' (1) environmental health self-efficacy and (2) stage of environmental health precautionary adoption. Biomarker (lead, cotinine) and household samples (carbon monoxide, radon, mold/mildew, and drinking water contaminants) were collected from 235 families (399 adults, 441 children) in Montana and Washington states. Families were randomly assigned to intervention or control groups; intervention families received 4 visits from public health nurses who provided tailored information and guidance to parents; controls received usual and customary public health services. At 3 months, the intervention group had significantly higher scores on (1) all 6 risk-specific self-efficacy subscales (P < .01), (2) general environmental health self-efficacy (P < .001), (3) 5 of 6 risk-specific precaution adoption subscales (P < .05), and (4) general environmental health precaution adoption (P < .001). The intervention yielded significant improvements in both outcomes. This evidence supported the need for a policy discussion addressing the added value that broadbased public health nurse interventions might bring to children's environmental health.

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Title: Effectiveness of a household environmental health intervention delivered by rural public health nurses
Creators: Patricia G Butterfield - Washington State University College of Nursing, Spokane, WA 99210-1495, USA
Wade Hill
Julie Postma
Phillip W Butterfield
Tamara Odom-Maryon
Publication Details: American journal of public health (1971), Vol.101 Suppl 1(1), pp.S262-S270
Academic Unit: Nursing, College of; Elson S. Floyd College of Medicine
Publisher: United States
Grant note: K01NR009984 / NINR NIH HHS K01 NR009984 / NINR NIH HHS NIH R01NR009239 / NINR NIH HHS R01 NR009239 / NINR NIH HHS
Identifiers: 99900547950001842
Language: English
Resource Type: Journal article