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Luchando por el Aire: The Burden of Asthma on Hispanics is part of the American Lung Association’s Disparities in Lung Health Series of reports, which takes an in-depth look at a specific problem in a specific community. The Spanish title translates as “fighting for air,” an experience that is all too common among Hispanics with asthma. Compared to non-Hispanic whites, Hispanics with asthma are less likely to be in the care of a regular doctor or clinic; less likely to be prescribed appropriate medicines; less likely to have access to specialized care; and more likely to end up being treated in the emergency department or hospitalized in a crisis. This report presents an overview of research into the complex biological, environmental, political and cultural factors that increase the burden of asthma on Hispanics.

The Colorado Asthma Toolkit Program was initiated to establish a method for improving asthma care by providing to primary care practices coaching, training, and support for (1) evidence-based asthma diagnosis and treatment, and (2)education and activation of patients toward effective self-management of their illness. Two intertwined training programs, or “toolkits,” were subsequently developed, one each for health care clinicians and patients. Clinicians received coaching sessions that included training in guideline-based methods for evaluation and treatment of asthma, coaching to assist practices in implementing these methods, and training in communication techniques to promote asthma self-management. Practices were also given a spirometer and trained in its use and interpretation. Patient self-management toolkits were provided to clinicians, who were trained to use the materials to educate patients and increase treatment adherence. The program was successful and acceptance by practices was attributable to flexible, in-office coaching and provision of spirometry.

The Minnesota Department of Health has created a free home environmental assessment training, named Reducing Environmental Triggers of Asthma–Home, or RETA-Home. This program teaches you about the triggers of asthma found in the home and suggests simple interventions that can limit or eliminate exposure to them. It also tours a home to show areas where asthma triggers are found. The training takes about 40 minutes to view. It includes pre- and post-test questions that highlight important points, and you may print out a certificate of completion at the end. In addition, there is a resource section that can be accessed both during the program and after the program has been completed.

This training utilizes the expertise of individuals who have extensive experience in both providing in-home asthma management and conducting home assessments. It builds on data from projects showing that environmental interventions, coupled with in-home asthma medical management, are effective in reducing nighttime symptoms, missed school days, and the number of asthma hospital visits and unscheduled, urgent care office visits.

This training program was made possible from grants from EPA Region V and CDC.