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Integrating asthma prevention and control: The roles of the coalition. Health Promotion Practice
, 2006
"... When the Allies Against Asthma (Allies)coalitions began their work, local activities tocontrol pediatric asthma were fragmented. People with asthma did not know how to access asthma management resources. Some services were unavail-able while others were duplicated. Organizations serv-ing people with ..."
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When the Allies Against Asthma (Allies)coalitions began their work, local activities tocontrol pediatric asthma were fragmented. People with asthma did not know how to access asthma management resources. Some services were unavail-able while others were duplicated. Organizations serv-ing people with asthma were often unaware of the full range of services in the community or did not have mechanisms to refer clients to them. They competed for funding and other resources. The educational materials and messages about asthma prevention and control they offered were inconsistent. Communication among medical providers, school staff, and caretakers of children with asthma was limited; sharing of patient Activities addressing pediatric asthma are often frag-mented. Allies coalitions promoted integration, the align-ment of concurrent asthma control activities across and within sectors. Systems integration describes activities from an organizational perspective. Activities included developing a shared vision, promoting consistency in asthma education and self-management support, improv-ing adherence to clinical guidelines, advocating jointly for policy change, and seeking funds collaboratively. Service integration describes activities focused on ensur-ing seamless, comprehensive services through coordina-tion within and across organizations. Activities included use of community health workers (CHWs) and nurses for care coordination, program cross-referral, and clinical quality improvement. Integration is a sustainable role for coalitions as it requires fewer resources than service delivery and results in institutionalization of system changes. Organizations that seek integration of asthma control may benefit.
Coalition-Based Approaches for Addressing Environmental Issues in Childhood Asthma
"... of the most common chronic diseases in children in the United States (Centers for Disease Control and Preven-tion [CDC], 2004). Self-reported rates of childhood asthma are increasing, with mortality and/or morbidity disproportionately affecting poor and minority popula-tions (CDC, 2005; IOM, 2000). ..."
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of the most common chronic diseases in children in the United States (Centers for Disease Control and Preven-tion [CDC], 2004). Self-reported rates of childhood asthma are increasing, with mortality and/or morbidity disproportionately affecting poor and minority popula-tions (CDC, 2005; IOM, 2000). Recent studies have shown a link between air pollu-tion and respiratory symptoms, asthma exacerbations, and asthma hospitalizations (Committee on Environ-
DOI: 10.1177/1524839911404231 © 2011 Society for Public Health Education Community-Based Care Coordination: Practical Applications for Childhood Asthma
"... Care coordination programs have been used to address chronic illnesses, including childhood asthma, but primar-ily via practice-based models. An alternative approach employs community-based care coordinators who bridge gaps between families, health care providers, and sup-port services. Merck Childh ..."
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Care coordination programs have been used to address chronic illnesses, including childhood asthma, but primar-ily via practice-based models. An alternative approach employs community-based care coordinators who bridge gaps between families, health care providers, and sup-port services. Merck Childhood Asthma Network, Inc. (MCAN) sites developed community-based care coordi-nation approaches for childhood asthma. Using a community-based care coordination logic model, pro-grams at each site are described along with program operational statistics. Four sites used three to four com-munity health workers (CHWs) to provide care coordi-nation, whereas one site used five school-based asthma nurses. This school-based site had the highest caseload (82.5 per year), but program duration was 3 months
An Examination of Life Stressors Experienced by Families of Children with Asthma in Low-Income Communities of Color
, 2012
"... ii To my family for their inspiration and in memory of my grandparents iii ..."
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ii To my family for their inspiration and in memory of my grandparents iii
ORIGINAL PAPER Training Community Health Workers to be Advocates for Health Promotion: Efforts Taken by a Community-Based Organization to Reduce Health Disparities in Cardiovascular Disease
, 2007
"... Abstract Compared to white adults, blacks are less likely to be aware of their cardiovascular risk factors and are less likely to respond appropriately to signs and symptoms of a myocardial infarction or stroke. This fact highlights the need for better dissemination of health information about cardi ..."
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Abstract Compared to white adults, blacks are less likely to be aware of their cardiovascular risk factors and are less likely to respond appropriately to signs and symptoms of a myocardial infarction or stroke. This fact highlights the need for better dissemination of health information about cardiovascular dis-ease among communities of color. Community health workers (CHWs) are important resources for dissem-inating health information. Recognizing this important role of CHWs, the Greater Southern Brooklyn Health Coalition and its community and academic partners developed a workshop designed to educate CHWs about the risk factors, signs and symptoms of cardio-vascular disease. The purpose of this workshop was to educate CHWs so that they themselves could be better informed and thus, be in a better position to educate their respective clients. The resulting workshop, Taking Action Against Cardiovascular Disease in
