Community Health/Outreach Worker Tool

Asthma educators used The Asthma Education Inventory Tool, at baseline, 6 and 12 month follow-up, to collect information regarding:

• Demographics
• Type of visit
• Visit location
• Status of asthma action plan
• Impairment and risk factors
• Healthcare utilization
• Inhaler technique
• Medication use 

The Common Data Elements and Demographic survey instruments were created to collect
standardized outcome information from patients enrolled in the five MCAN sites. The Manual of
Operations provides instructions for administering the surveys, data entry and coding, formatting and
storage, delivery of the data to RTI International, and the schedule for data delivery. Appendix A
provides English and Spanish versions of the instrument and Appendix B provides an example of
coded data.

Objectives. We sought to estimate the return on investment of a streamlined version of an evidence-based community health worker (CHW) asthma home visit program.

Methods. We used a randomized parallel group trial of home visits by CHWs to Medicaid-enrolled children with uncontrolled asthma versus usual care.

Results. A total of 373 participants enrolled in the study (182 in the intervention group and 191 in the control group, of whom 154 and 179, respectively, completed the study). The intervention group had greater improvements in asthma symptom–free days (2.10 days more over 2 weeks; 95% CI =  1.17, 3.05; P < .001) and caretakers’ quality of life (0.43 units more; 95% CI = 0.20, 0.66; P < .001) and a larger reduction in urgent health care utilization events (1.31 events fewer over 12 months; 95% CI = −2.10, −0.52; P = .001). The intervention arm compared with the control arm saved $1340.92 for the $707.04 additional costs invested for the average participant. The return on investment was 1.90.

Conclusions. A streamlined CHW asthma home visit program for children with uncontrolled asthma improved health outcomes and yielded a return on investment of 1.90. (Am J Public Health. Published online ahead of print August 13, 2015: e1–e7. doi:10.2105/AJPH.2015.302685)

Read More: http://ajph.aphapublications.org/doi/abs/10.2105/AJPH.2015.302685?journalCode=ajph