176934 Developing Tools to Evaluate a Community-Based Asthma Control Program-in-Development in East Harlem

Tuesday, October 28, 2008: 11:15 AM

Gretchen Van Wye, PhD, MA , Bureau of Chronic Disease Prevention and Control, NYC Department of Health and Mental Hygiene, New York, NY
Veronica N. Uzoebo, EdD, MS, MA , District Public Health Office, Harlem, NYC Dept. of Health and Mental Hygiene, District Public Health Office, New York, NY
Andrew Goodman, MD , East and Central Harlem District Public Health Office, New York City Department of Health and Mental Hygiene, New York, NY
Anjali A. Talwalkar, MD, MPH , East and Central Harlem District Public Health Office, New York City Department of Health and Mental Hygiene, New York, NY
Wilson Wang, MD , East and Central Harlem District Public Health Office, NYC Deptartment of Health and Mental Hygiene, New York, NY
Betty Perez-Rivera, EdD, CHES , East Harlem Asthma Center of Excellence, District Public Health Office, NYC Dept. of Health and Mental Hygiene, New York, NY
Roger T. Hayes, MA , East and Central Harlem District Public Health Office, NYC Department of Health and Mental Hygiene, New York, NY
Mary Jones , East and Central Harlem District Public Health Office, NYC Dept. of Health and Mental Hygiene, New York, NY
Terry Marx, MD, MPH , East and Central Harlem District Public Health Office, New York City Department of Health and Mental Hygiene, New York, NY
Objectives: We worked with program developers to develop evaluation tools for a population-based childhood asthma management program aimed at improving asthma management and control in East Harlem.

Methods: After reviewing the literature on the asthma counselor program being translated in East Harlem, we reviewed the existing instruments used for a related program, and met with program staff to assess the case management, tracking, and evaluation needs of the new program.

Results: The evaluation plan was developed through engagement of key stakeholders, program staff, and logic modeling, and was continually updated as the program refined its strategies and goals. We determined that in addition to a thorough evaluation plan, a comprehensive case tracking system, i.e. neighborhood asthma registry, should be created to support the work of the program. Specifically, the tracking system was identified as the means by which recruitment, case management, and home environment consultation would be managed and evaluated. Registry development occurred in several stages: First, we developed a prototype desktop-based tracking system that was used in the short term to collect key data points related to the program and to promote dialogue about the final; Second, we worked with in-house IT staff to develop a web-based system that would accommodate any user with a web connection and the proper credentials to access the system.

Conclusions: Development of a tracking system concurrent with the program required and facilitated ongoing collaboration that led to an integrated program evaluation and tracking system enriched by user feedback and involvement.

Learning Objectives:
1. Describe the benefits and limitations of embedding evaluation in a developing community program. 2. Articulate considerations when collecting data and concurrently developing a data collection system. 3. Discuss issues related to constructing a neighborhood registry.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Qualified on the content I am responsible for because: Presentations: • Health Disparities in Asthma: Workshop trainings and seminars on the impact of asthma in medically underserved and homeless populations. Training of Graduate Nursing Students at Columbia University, School of Nursing. • Professional Development Training and Seminars for healthcare, child care, administrative, and medical providers. Instruction of characteristics, symptoms, triggers, and medications for asthma as well as theoretical constructs, effective communication strategies, and other issues among special populations. • Health Educator providing community workshops to parents, students within the NYC public school system, teachers, and administrative staff. • Curriculum development of educational modules for all age levels: K-12, college, and graduate school levels. • Creation of publications and curriculums for low literacy learners Book Chapter, Increasing Asthma Awareness by Integrating Asthma Education Into The Public School Literacy and Science Curriculum, In: From Inequity to Equity in Health: A New Global Approach to Health Disparities, Published 2007. Any relevant financial relationships? No I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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