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Asthma Outreach Program

An Evidence-Based Practice

This practice has been Archived and is no longer maintained.

Description

Through this program, an Asthma Outreach Worker visited families in their homes at least once a month for the first 6 months of the project, and then at least once quarterly. A home assessment tool was developed for use by the Asthma Outreach Worker during home visits to assist in systematically evaluating the home environment. The Asthma Outreach Worker's role included providing social support and access to community resources, as well as assisting families with identifying and resolving the issues that could impede successful asthma management.

The program participants included 23 low-income children with moderate to severe asthma and their families at an inner-city pediatric clinic.

Goal / Mission

The goals of the project were to assess the feasibility of the Asthma Outreach Worker model and evaluate any impact on unscheduled health service use for asthma.

Results / Accomplishments

When comparing the intervention year to the preceding year for all participants, emergency department visits were significantly reduced (65% reduction, p=0.04) and scheduled asthma well visits to the clinic increased significantly (60% increase, p=0.01). Although not statistically significant, sick visits to the clinic were reduced by 45%, and total hospitalizations for the group were reduced by 56%.

About this Promising Practice

Organization(s)
Children's Hospital and Medical Center
Primary Contact
James W. Stout, M.D., M.P.H.
Odessa Brown Children’s Clinic
2101 Yesler Way
Seattle, WA 98122-5999.
http://www.odessabrown.org/index.php
Topics
Health / Children's Health
Health / Respiratory Diseases
Organization(s)
Children's Hospital and Medical Center
Source
Journal of Asthma
Date of publication
1998
Date of implementation
1995
Geographic Type
Urban
Location
Seattle
For more details
http://www.ncbi.nlm.nih.gov/pubmed/9513591
Target Audience
Children, Families

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  3. Asthma Basics for Children (ABC)
  4. CDC COMMUNITY GUIDE: Asthma Control: Home-Based Multi-Trigger, Multicomponent Environmental Interventions

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Related Content for: Asthma Outreach Program

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.
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