Community Health Worker

Asthma Awareness Month Event Planning Kit

Sponsoring Program Name: 
U.S. Environmental Protection Agency
Join the US EPA in the national effort to raise asthma awareness during Asthma Awareness Month. Host activities to educate people in your community about comprehensive asthma management. Download EPA’s Asthma Awareness Month Event Planning Kit featuring new ideas for outreach and awareness activities, tips for working with the media, success stories, and much more.

 

Each May, thousands of organizations join together for Asthma Awareness Month to increase public awareness of the asthma epidemic and to take action to get asthma under control in communities across the nation. Asthma affects over 25 million people of all ages and races. And, though asthma is widespread, public awareness of common asthma triggers and effective asthma management strategies remains limited.

 

The U.S. Environmental Protection Agency (EPA) developed this Event Planning Kit to equip state and local asthma programs to hold community-based awareness and action events during Asthma Awareness Month. Inside you will find ideas and helpful tips for planning and running powerful community asthma events. Be sure to check out the event spotlights to learn about successful efforts other communities had in the past. You will also find sample materials and a resource order form to use at your events.

 

File Attachment: 
Contact Name: 
Kim Durkin
Contact Email: 
Durkin.Kim@epa.gov
Contact Phone: 
202-343-9443
Language: 
Literacy Level: 

Community Health Worker Home Visits for Medicaid-Enrolled Children With Asthma: Effects on Asthma Outcomes and Costs

Sponsoring Program Name: 
Public Health – Seattle & King County, Seattle, WA
The King County Asthma Program in Seattle, Washington, developed a community health worker (CHW) home visit program (Healthy Homes) and demonstrated its effectiveness. They designed a streamlined version of the program that was simpler and cost less to implement to facilitate broad dissemination and adoption. Here they reported on the effectiveness, cost-effectiveness, and ROI of a streamlined Healthy Homes program.

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

Contact Name: 
Jim Krieger
Contact Email: 
jkrieger@actionforhealthyfood.org
Contact Phone: 
206-451-8186

Utilizing the Community Health Worker Model to communicate strategies for asthma self-management and self-advocacy among public housing residents

Sponsoring Program Name: 
Sinai Urban Health Institute
The Helping Children Breathe and Thrive in Chicago’s Public Housing (HCBT) project was developed based upon previous asthma interventions implemented at SUHI, mainly the Healthy Home, Healthy Child (HHHC) initiative. HHHC has proven to be an effective model for addressing poorly controlled asthma in the primarily African American, underserved community of North Lawndale. HCBT built upon this model in order to translate it to Chicago Housing Authority (CHA) properties.

Non-Hispanic Black children in the US experience a higher prevalence of asthma and are more likely to have severe and poorly controlled asthma than their non-Hispanic White counterparts. These disparities are particularly pronounced among those living in public housing compared to the general population. To combat these disparities, health care researchers collaborated with public housing management to deliver a year-long community health worker (CHW) asthma and healthy homes intervention to children with asthma in six public housing developments. CHWs, hired from the targeted housing developments, educated families to better manage asthma medically and address asthma triggers in the home, and served as a bridge to medical, social, and public housing services. This is the first time such a full spectrum asthma intervention has been implemented by CHWs in public housing. Fifty-nine children completed the intervention, 95% of whom were African American. Daytime asthma symptoms in the previous two weeks were significantly reduced between baseline (4.1) and 1-year follow-up (0.8). The percent of children making two or more urgent health resource utilization visits decreased significantly between baseline (42%) and 1-year follow-up (15%). Quality of life scores for caregivers of children increased significantly (by 0.7 points). The implementation of the CHW model in a public housing setting not only meets children where they live, but effectively bridges the gap between them and the health care system, reducing the disproportionate burden of asthma in these communities and improving overall quality of life.

 

Click here to read the full manuscript.

Contact Name: 
Melissa Gutierrez
Contact Email: 
melissa.gutierrez@sinai.org
Contact Phone: 
773-257-5258
Language: 

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