Date of Degree


Document Type

Doctoral Project

Degree Name

Doctor of Nursing Practice (DNP)




Danielle Gunter


Linda Hook


Background: Nationally, there are currently 6 million children under the age of 18 with asthma. There are a variety of social determinants and in-home environmental triggers that can contribute to the development of or exacerbation of asthma in children. Therefore, it is important to recognize and improve the needs of children with asthma in older homes and in households with a lower socioeconomic status.

Aim: The aim of this project was to decrease the number of in-home environmental asthma triggers within at-risk homes in San Antonio, Texas.

Purpose: The purpose of this evidence-based practice project was to improve asthma outcomes for children in lower socioeconomic homes in the Bexar County area.

Key Activities: Three in-home visits, for a total of five families were completed, during which three different assessments were performed. These assessments were completed by using the Environmental Protection Agency Environmental Checklist, a knowledge test pre and post scores, and the total score of the Asthma Control Test. In-home assessment tool will increase surveillance of asthma triggers and ultimately decrease the negative health outcomes related to asthma in children.

Results: Objective one there was a 0% improvement in the Environmental Protection Agency Environmental Checklist scores for all five families. Objective two did not meet the 50% and 75% increase did not occur, as the families all did so well to begin with. Objective three also did not meet the 50% or 75% anticipated changes, but there were changes between each visit in 4 out of the 5 families.