204287 Assessing outcomes from the Merck Childhood Asthma Network (MCAN): Challenges and results

Tuesday, November 10, 2009: 8:30 AM

Carol Anne Mansfield, PhD , Health, Social and Economics Research, RTI International, Research Triangle Park, NC
Meera Viswanathan, PhD , Health, Social, and Economics Research, RTI International, Research Triangle Park, NC
Carol L. Woodell, BSPH , StatEpi, RTI International, Research Triangle Park, NC
Lucia Rojas Smith, DrPH, MPH , RTI International, Washington, DC
Niamh Darcy , Health, Social and Economics Research, RTI International, Research Triangle Park, NC
Yvonne U. Ohadike, PhD , Merck Childhood Asthma Network, Washington, DC
Julie Kennedy Lesch, MPA , Merck Childhood Asthma Network, Washington, DC
Floyd J. Malveaux, MD , Merck Childhood Asthma Network, Washington, DC
Asthma continues to impose a high morbidity burden. MCAN is a major health promotion initiative focused on children with asthma. MCAN funded five sites to implement evidence based interventions in a community setting involving families and other stakeholders. MCAN presents a model that combines intensive patient with broad-based public health education and promotion activities in the community.

Located in metropolitan areas with complex social issues, the five sites serve low income populations with urgent asthma needs. In response to variations in needs and resources, the sites varied the types of interventions offered including school programs, physician training and community awareness events while maintaining intensive family intervention and care coordination components.

The diversity of interventions, real-world resource constraints, and the focus on intervention delivery rather than research required a mixed-methods design evaluation strategy. This paper presents a description of the process used to create a common data collection instrument including lessons learned for others who want to evaluate interventions that are not part of a randomized controlled trial.

The final common data collection instrument used a combination of questions from existing instruments adapted to the needs of this evaluation. The instrument collected measures of symptoms, quality of life, actions to control asthma in the house, school absences, and parent confidence.

The paper will present highlight from the results and a discussion of how the survey fit with the other parts of the evaluation: (1) qualitative research on the implementation process across sites; and (2) success meeting site-defined monitoring and evaluation targets.

Learning Objectives:
1.Describe the process of creating a data collection instrument to measure outcomes for interventions at five very different sites. 2.Evaluate the outcomes of a set of evidence-based health promotion and education interventions in a community setting for pediatric asthma. 3.Discuss the challenges associated with evaluating interventions involving multiple stakeholders that have been adjusted to fit the unique needs of specific communities.

Keywords: Asthma, Children's Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have a Ph.D. in economics, my research includes articles and reports on health and asthma specicially. For this project, I am leading up the data collection and analysis that will be presented.
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.