Lachance L., Friedman A., Stoll S., Awad D., Clark N.M. Are Asthma Programs Positioned for Impact? Factors Associated with Success. Annual Meeting of the American Thoracic Society (ATS), San Francisco, CA, May 2007.
Center for Managing Chronic Disease
University of Michigan
Original Title
Are Asthma Programs Positioned for Impact Factors Associated With Success
Lachance L., Friedman A., Stoll S., Awad D., Clark N.M. Are Asthma Programs Positioned for Impact? Factors Associated with Success. Annual Meeting of the American Thoracic Society (ATS), San Francisco, CA, May 2007.
Center for Managing Chronic Disease
University of Michigan
Lachance L., Friedman A., Stoll S., Awad D., Clark N.M. Are Asthma Programs Positioned for Impact? Factors Associated with Success. Annual Meeting of the American Thoracic Society (ATS), San Francisco, CA, May 2007.
Center for Managing Chronic Disease
University of Michigan
Lachance L, PhD; Friedman AR, MPH; Stoll S, MPH; Awad D, MA; Clark N, PhD CENTER FOR MANAGING CHRONIC DISEASE, UNIVERSITY OF MICHIGAN, ANN ARBOR, MICHIGAN
BACKGROUND RESULTS CONCLUSIONS
Programs and services aimed at improving the health and
quality of life for those with asthma have proliferated, and 14 programmatic Clinically Connected Responsive to Need Collaborative Community Centered the complexity of asthma has shaped the variety of approaches designed to address the disease. The Asthma factors were found to Health Outcomes Project (AHOP) collected data from national and international asthma programs to identify Program Factor Improved Outcome Program Factor Improved Outcome Program Factor Improved Outcome Program Factor Improved Outcome be associated with programmatic factors associated with successful health one or more positive outcomes and describe how widely program practices are Involved implemented across the field. Correlated Educated healthcare School absences Conducted a needs School absences/ Collaborated with Hospitalizations community- Health care health outcomes. (1) providers (including (4) and/or resource work loss (8) other agencies or (g) (12) based utilization programmatic school nurses) (p=0.02) assessment (d) (p=0.02) institutions (p=0.02) organizations in planning the (p=0.03) Descriptive categories factors and of successful METHODS Component program reported positive of a program Emergency health outcomes (2) took place in department Assessed trigger (5) exposure as an Quality of life for adults (9) Collaborated with governmental Emergency department (13) Collaborated with community-based Health care utilization programs are: a doctor’s visits Through a wide-reaching outreach campaign, AHOP identified 532 asthma programs worldwide, 223 of which (n=111) office (p=0.01) environmental strategy (p=0.02) agencies visits (p=0.04) (h) organizations (p=0.04) clinically connected, or a clinic (e) met the inclusion criteria: (1) focused on asthma; (2) Quality of life Tailored content or Hospitalizations responsive to need, included an environmental component (e.g., education about triggers, policy action); (3) completed an evaluation (3) Tailored intervention based on an for children and/or delivery based (6) on individual Asthma symptoms (p=0.03) and quality of Collaborated with other (10) agencies/orgs School absences (p=0.01) and (14) Had an office located in the (p=0.04), ED visits (p=0.04), and continuously assessment of parents/caregivers medication use target that showed a positive impact on at least one health outcome. trigger sensitivity and/or adults participants’ health or educational needs life (p<0.01) on policy action (i) (p=0.04) community health care utilization (p=0.01) collaborative, and (p<0.01) (f) community centered. Collaborated with Designed Quality of life for other agencies or Health care ANALYSIS (7) program to target parents/caregivers (11) organizations (j) utilization
How are these
a particular race or ethnic group (p=0.02) on technical assistance (p=0.04) Among the 14 factors A focused analysis was conducted on programs with factors reflected significantly evaluation results reported in peer-reviewed publications (n=111). Relationships between programmatic factors and in the field? associated with health outcomes were analyzed with chi-square statistics using Fisher's exact tests. (p < 0.05) Yes No Yes No Yes No Yes No positive health Data from both published and unpublished programs were outcomes, ten were (4) 130 51 (8) 163 18 used to describe how widely these factors were (1) 110 104 (12) 104 50 reported by 50% or implemented among the programs studied. Percent of programs more of the relevant (5) 164 58 (9) 91 72 Total Programs reporting programs for which n=532 (2) 107 113 (13) 66 97 programmatic (6) 168 32 (10) 69 90 data were available. Not Eligible n=105 Eligible n=427 factors (n=223) (3) 44 9 (14) 163 12 Not Evaluated Evaluated* (7) 45 176 (11) 95 65 n=194 n=223 Research funded by grant XA- Unpublished Published** 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% 0% 20% 40% 60% 80% 100% 83042901 from the Indoor n=112 n=111 Percent of Responding Programs Percent of Responding Programs Percent of Responding Programs Percent of Responding Programs Environments Division of the US * Frequencies to describe current practice Environmental Protection ** Analysis of program factors and asthma health outcomes Agency
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