242279 Translating the Seattle-King County Healthy Homes asthma intervention to an African-American, Chicago Community: Preliminary findings and lessons learned

Tuesday, November 1, 2011: 2:35 PM

Melissa A. Gutierrez, MS , Sinai Urban Health Institute, Sinai Health System, Chicago, IL
Helen Margellos-Anast, MPH , Sinai Urban Health Institute, Sinai Health System, Chicago, IL
Steve Whitman, PHD , Sinai Urban Health Institute, Sinai Health System, Chicago, IL
Translational research, a main goal of the National Institutes of Health, aims to enhance the adoption of best practices to communities. In 2008, the Sinai Urban Health Institute sought to assess the feasibility of successfully implementing an asthma intervention modeled after the Seattle King-County Healthy Homes (SKCHH) project in a Westside, Chicago community. Among the most burdened communities, asthma affects 25% of children living on Chicago's Westside, a rate twice the national prevalence (13%). Therefore, implementing an intervention developed after SKCHH offered the opportunity to test the model and translation theory in a vital population. The study addresses asthma disparities through a multi-pronged approach, aiming to improve asthma by educating families to better manage asthma medically, while also addressing the disproportionate presence of asthma triggers in the home. This is done through the expertise of Community Health Workers, who make six home visits over a year. During eighteen months of recruitment, 266 children were enrolled into the intervention. Data are analyzed using a before and after study design and will be presented on children who completed the 12-month evaluation phase. Preliminary findings demonstrate significantly improved asthma control. Specifically, symptom frequency has been reduced by 43%, emergency department visits have been reduced by 74%, and activity-limited days have been reduced by 45%. The intervention also resulted in several key findings regarding the adaptability, feasibility, and uptake of the SKCHH project to Chicago's Westside. Process and outcome measures will be presented to highlight lessons learned, including recruitment methodologies, intervention protocols, and community partnership

Learning Areas:
Assessment of individual and community needs for health education
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Public health or related research

Learning Objectives:
1. Describe the importance of translational research and how a successful intervention can be adopted to be culturally appropriate for another community. 2. Summarize the key components and findings of the CHW model intended to improve asthma management among children and decrease asthma triggers in an inner-city community. 3. Discuss lessons learned in the translational research process.

Keywords: Health Disparities, Asthma

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present on this topic, because I have been working in asthma health disparities research for over five years. I have a wealth of experience in evaluating program activities in regards to Community Health Workers and chronic disease management.
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.

See more of: Chronic Disease Epidemiology
See more of: Epidemiology