Integrating Asthma Prevention and Control: The Roles of the Coalition

Krieger, James; Bourcier, Emily; Lara, Marielena; Peterson, Jane W.; Rosenthal, Michael P.; Taylor-Fishwick, Judith C.; Friedman, Amy R.; Lachance, Laurie; Doctor, Linda Jo

doi:10.1177/1524839906287059

Cited by 20 publications

(11 citation statements)

References 23 publications

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“…A range of explanations for this lack of progress in asthma control has included failure of clinicians to use the recommended Asthma control: reducing the effects of disease on physical and psychosocial health status Community-based interventions: socially and behaviorally focused programs occurring outside the clinical setting therapeutic regimens for asthma (10), failure of patients to follow recommendations when given (35), failure of health services to reach and assist those most at risk for complications of asthma (25), lack of integration and coordination of services within clinics and between clinics and community settings (51), and mismatch between needed services and financial reimbursement for those services (26).…”

Section: Asthma Controlmentioning

confidence: 99%

Community-Based Approaches to Controlling Childhood Asthma

Clark

2012

Annu. Rev. Public Health

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The prevalence and burden of childhood asthma remain high and are increasing. Asthma hot spot neighborhoods around the country face particular challenges in controlling the effects of the condition. Increasing attention is being paid to developing interventions that recognize the child and family as the primary managers of disease and to introducing assistance that reaches beyond the clinical care setting into the places where families live and work. A range of types of community-focused interventions has been assessed in the past decade in schools, homes, and community health clinics, and programs using electronic media and phone links have been evaluated. Stronger evidence for all these approaches is needed. However, school-based programs and community coalitions designed to bring about policy and systems changes show particular promise for achieving sustainable improvements in asthma control. Research is needed that emphasizes comparisons among proven asthma control interventions, translation of effective approaches to new settings and communities, and institutionalization of effective strategies.

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Section: Asthma Controlmentioning

confidence: 99%

Community-Based Approaches to Controlling Childhood Asthma

Clark

2012

Annu. Rev. Public Health

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“…10 Much of the CAACP projects' work entailed creating communication and linkages to compensate for the fragmented US healthcare system. The CAACP community-based coalitions, designed to address that fragmentation, drew heavily upon the experience and materials of previous coalition-driven asthma projects 16,17 . The Added Value of Coalitions paper in this supplement further advances the literature on coalitions by presenting a methodology for identifying outcomes that would have not occurred without coalitions, or that the participation of coalitions had substantially enhanced 18 .…”

Section: Major Themesmentioning

confidence: 99%

Controlling Asthma in American Cities: Major Themes, Persistent Challenges, and Next Steps

Meurer

Lyon-Callo²

2011

J Urban Health

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The papers in this special supplement provide a sampling of the accomplishments, challenges, and contributions of the Controlling Asthma in American Cities Project (CAACP)-a large, complex project implemented through community-based coalitions at seven inner-city sites. The core purpose of the CAACP was to improve asthma control for children suffering from a high disease burden. The epidemiologic trends and increasing public health burden that drove the initial funding of this project appear in the introductory paper; the conceptual and theoretic framework behind the design of the project are presented in the second. Subsequent papers detail individual site interventions or specific interventions as implemented across sites. This supplement will be of interest to a variety of audiences including community asthma coalitions, community-based organizations that serve children, healthcare provider groups and organizations, insurers (including Medicaid programs), state asthma programs, and academics. This editorial analyzes the major themes reflected in the papers, summarizes the persistent challenges, and suggests next steps for improving asthma control in urban communities.The CAACP is an important translational initiative and a step in the progression from intervention-focused efficacy research through project-based implementation to scaled-up field implementation by coalitions, healthcare systems, and state asthma programs. As an example of this progression, in-home interventions to provide selfmanagement training and reduce asthma triggers, a component of all the CAACP projects, was first proven effective through a research design in the NIH-funded National Cooperative Inner City Asthma Study 1 , then shown to work in additional settings through the Allies Against Asthma community coalitions 2 and CAACP communities 3 , and has now been recommended by the Task Force on Community Preventive Services for use in other communities. A similar model of coalitionimplemented multi-faceted asthma projects, including in-home interventions, continues currently with the Merck Childhood Asthma Network 4 . Such a translational progression shows that interventions can work with various sources of support and that the interventions can be effectively modified for different contexts. CAACP provided valuable information about the factors which led community partners to sustain interventions without further funding.As with previous projects and studies, the target population of the CAACP project was children with asthma. The intent was to implement evidence-based interventions appropriate to local cultures and needs and at multiple levels (individual, interpersonal, community, institutional, and policy) 5 . There was room

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“…Reliability analysis of questions from CSAS using categories based on previous factor analyses by Kenney and Sofaer (2000) are used to formulate indices for further descriptive analysis, bivariate analysis, and regression model building. Articles in this issue by , Peterson et al (2006), Kelly et al (2006), and Krieger et al (2006) provide current CSAS results.…”

Section: Context Surveymentioning

confidence: 99%

Collaborative Design and Implementation of a Multisite Community Coalition Evaluation

Lachance

Houle

Cassidy

et al. 2006

Health Promotion Practice

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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

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Integrating Asthma Prevention and Control: The Roles of the Coalition

Cited by 20 publications

References 23 publications

Community-Based Approaches to Controlling Childhood Asthma

Community-Based Approaches to Controlling Childhood Asthma

Controlling Asthma in American Cities: Major Themes, Persistent Challenges, and Next Steps

Collaborative Design and Implementation of a Multisite Community Coalition Evaluation

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