Community Coalitions to Control Chronic Disease: Allies Against Asthma as a Model and Case Study

Clark, Noreen M.; Doctor, Linda Jo; Friedman, Amy R.; Lachance, Laurie; Houle, Christy R.; Geng, Xin; Grisso, Jeane Ann

doi:10.1177/1524839906287055

Cited by 44 publications

(45 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Fisher et al 27 evaluated a neighborhood asthma coalition in St Louis and found a significant decrease in acute care rates for asthma among families with high levels of participation in coalition activities. Assessing 7 asthma coalitions across the United States, Clark et al 28 found that these partnerships achieved several system and policy changes. Two established community-wide patient registries.…”

Section: Community Coalitions and Partnershipsmentioning

confidence: 99%

Effectiveness of Educational and Behavioral Asthma Interventions

2009

Self Cite

View full text Add to dashboard Cite

In this article we discuss studies of individualized and community-based interventions for control of asthma in children. We posit that successful programs share 8 common characteristics: (1) recognition of the multiple factors affecting childhood asthma; (2) careful assessment of participants' risk factors and needs; (3) tailoring of program elements to address participants' risk factors and needs; (4) consideration of both physical and social environments; (5) use of sound learning and change theories; (6) family involvement; (7) focus on children with the most serious disease; and (8) selection of delivery venues at which learning can be optimized. Challenges for moving practice and research forward also are presented. Pediatrics 2009;123:S185-S192 T HE PARADOX OF asthma is that, although our understanding of its pathophysiological features and the therapies available for treating the disease have increased significantly over the past 2 decades, the prevalence of asthma, the health care use associated with it, and the disruptions it causes to family and community life have not decreased substantially. 1 These facts suggest a need for interventions that enable individuals, families, communities, and health care providers to manage asthma and its consequences effectively.Asthma control requires the attention and involvement of a wide range of stakeholders. Figure 1 depicts the patient at the center of effective disease management efforts and illustrates the relative levels of influence of people and institutions that can help the patient. Within the circle closest to the person with asthma is the family, which must provide extensive support, especially for children. Next are the clinicians and health care institutions whose expertise and services are required to guide the child and the family in their control efforts. Then comes the school (or the workplace, in the case of an adult), where optimal support and understanding are needed. Community organizations, agencies, and individuals must be aware of the prevalence of asthma in the community and the ways in which they can provide services and assistance to reduce the disease burden that families face. Appropriate environmental and other policies (eg, enabling children to carry medicines at school) are needed to ensure consistent, affordable, effective, system-wide, ameliorative actions that assist families in managing the condition.Significant advances have been made in recent years in the design of programs to enhance asthma management by patients and to improve the helping capacity of those within the patient's circles of influence. The challenge for both medicine and public health is how to mount proven programs that can address the needs of individual patients while reaching large numbers of people. This article provides examples of studies of programs that either target individual children with asthma or are designed to offer assistance in community venues such as schools, which provide opportunities for reaching maximal numbers of children.The us...

show abstract

Section: Community Coalitions and Partnershipsmentioning

confidence: 99%

Effectiveness of Educational and Behavioral Asthma Interventions

2009

Self Cite

View full text Add to dashboard Cite

show abstract

“…The CAACP drew heavily upon previous community-level, disease-specific projects, 14,15 particularly the design and experience of the Allies Against Asthma (Allies) Initiative, which was planned and implemented between January 2000 and July 2006 16 with funding from the Robert Wood Johnson Foundation and direction and technical assistance from the University of Michigan School of Public Health. Allies supported the development of seven community-based coalitions of professional and grassroots leaders to improve asthma care and coordination, and used standardized tools to evaluate coalition functioning and progression through previously described stages of coalition development.…”

Section: The Controlling Asthma In American Cities Projectmentioning

confidence: 99%

Conceptual Framework of the Controlling Asthma in American Cities Project

Herman

2011

J Urban Health

View full text Add to dashboard Cite

The Controlling Asthma in American Cities Project (CAACP) was designed to improve the control of asthma in inner-city populations of children with a disparate burden of symptoms and adverse outcomes. As with many chronic diseases, asthma is the manifestation of multiple biologic, environmental, and social determinants. In addition to appropriate medical management, individuals with asthma must have logistical, financial, and cultural access to environments that allow avoidance of asthma triggers and encourage good asthma management practices. In recognition of this complexity, the CAACP required the seven project sites to coordinate and synchronize multiple interventions (education, healthcare access, medical management, trigger reduction) at multiple levels (individual, home, school, community, and policy) through the collaboration of relevant groups, institutions, and individuals. This paper describes the "program theory" of the CAACP project-the assumptions about how the project worked, how the components were linked, and what outcomes were anticipated. It relates the subsequent papers in the supplement to the program theory and describes how the papers can inform and guide other community-based interventions, and advance the translation of scientific knowledge to effective interventions in communities of need.

show abstract

“…Influences that will affect the coalition's functioning and success include the cultural, political, and economic environment of the community; the history of collaboration; the presence of other coalitions; degree of cooperation and conflict among community agencies, geography, population diversity; and economic climate (Butterfoss & Kegler, 2002;Clark et al, 2006 [this issue]; Kenney & Sofaer, 2000;Lasker et al, 2001;McLeroy et al, 1994;Roussos & Fawcett, 2000;Wolff, 2001). Community readiness or preparedness for collaboration is another important dimension of community context and involves the ability of the community to take on its tasks and find ways to solve its own problems, usually involving multiple sectors (Wolff, 2001).…”

Section: Figure 1 Allies Against Asthma Cross-site Evaluationmentioning

confidence: 99%

“…A brief description of each coalition's primary interventions can be found in Appendix B, and a summary table found in the accompanying article by Clark et al (2006). Data regarding these activities have been gathered throughout the implementation period using Program Reach, a computerized Web-based tracking system, as described more fully below.…”

Section: Figure 1 Allies Against Asthma Cross-site Evaluationmentioning

confidence: 99%

Collaborative Design and Implementation of a Multisite Community Coalition Evaluation

Lachance

Houle

Cassidy

et al. 2006

Health Promotion Practice

Self Cite

View full text Add to dashboard Cite

T he purpose of this article is to describe the design and implementation of the Robert Wood Johnson Foundation's (RWJF) Allies Against Asthma crosssite evaluation. The Allies Against Asthma (Allies) program consists of seven coalition sites, each comprising various stakeholders such as local health care providers, schools and day care centers, community advocacy groups, businesses, local government organizations, managed care organizations, academic institutions, parent groups, and other community-based organizations, which aim to combat pediatric asthma. The evaluation approach for Allies was designed collaboratively by

show abstract

Community Coalitions to Control Chronic Disease: Allies Against Asthma as a Model and Case Study

Cited by 44 publications

References 10 publications

Effectiveness of Educational and Behavioral Asthma Interventions

Effectiveness of Educational and Behavioral Asthma Interventions

Conceptual Framework of the Controlling Asthma in American Cities Project

Collaborative Design and Implementation of a Multisite Community Coalition Evaluation

Contact Info

Product

Resources

About