Objective: This study seeks to identify helpful components of a nurse-supervised Community Health Worker asthma home-visiting program, obtain feedback from parents and families about their experiences, and receive suggestions for new services that the program could provide.
Methods:Likert scale ratings and semi-structured qualitative interviews were conducted with parents who were selected from a representative sample and previously participated in the program. Five-point Likert scale ratings from 1 (not helpful) to 5 (very helpful) were obtained for 11 program components. Interviews were analyzed using a grounded theory participatory approach. Data were analyzed and themes were identified by two different coders using Dedoose software.Results: 22 participants were enrolled and 20 participants completed Likert scale ratings and qualitative interviews. Likert scale ratings (mean, [SD]) show that program strengths include asthma education (4.75, [0.55]), supplies (4.65, [0.99]), help with housing conditions (3.94 [1.56], pest management (3.79, [1.69]) and greater access to community resources (3.70, [1.30]). The ratings suggest that families need more help with other social determinants of health, such as school, lack of enough money or food, and mental health and behavioral concerns (3.05, [1.78]). Interviews echoed these ratings and revealed several themes about family and parental stress, children's activity limitations, desire for outreach after the 12-month intervention, a need for help with other social determinants and more emotional support.
Conclusions:This study shows that the program was well received and reveals the importance of addressing social determinants of health and behavioral health concerns.
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