263689 Reducing asthma disparities Baltimore's successful replication effort

Tuesday, October 30, 2012 : 8:30 AM - 8:50 AM

Pat McLaine, RN, MPH, DrPH , Department of Family and Community Health, University of Maryland School of Nursing, Columbia, MD
Kate Scott, RN, MPH , Healthy Homes and Communities Bureau, Baltimore City Health Department, Baltimore, MD
Madeleine Shea, PhD , Director of the Office of Population Health Improvement, Maryland Department of Health and Mental Hygiene, Baltimore, MD
Baltimore City's Reducing Asthma Disparities Program, a replication of Seattle King County's effective program 1 funded by CDC, began enrollment in May 2009. In March 2012, the program will complete one year follow-up visits for more than 110 participants. We will report results, comparing findings to results from Seattle King County 1, and report on efforts to sustain home visiting efforts for children with asthma in Baltimore. Preliminary data for 63 children has found a significant decreases in average reported asthma symptoms during a two week period: decrease of 1.8 days with symptoms (p<=.01), decrease of 1.5 nights with symptoms (p=0.015), decrease of 2.2 days in stopping usual activity (p<=.01), decrease if 2.4 days in use of rescue medication (p<=.01) and average decrease of one emergency department visit per child (p<=.01). In addition, participants reported increased use of daily controller medication of 3.5 days during a 14 day period (p<=.01). Although the total number of reported hospitalizations was reduced from 28 to 10, the average reduction of hospitalizations across study children was not statistically significant (p=0.11). Potential cost savings of the program to third party payers based on averting hospitalization and emergency department visits was estimated at $573/child. 1 Krieger JW, Takaro TK, Song L, Weaver M. The Seattle-King County Healthy Homes Project: a randomized, controlled trial of a community health worker intervention to decrease exposure to indoor asthma triggers. Am J Public Health 2005; 95(4):652-9.

Learning Areas:
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Environmental health sciences

Learning Objectives:
Compare similarities in asthma outcomes obtained in Baltimore's public health program to outcomes obtained in randomized controlled trial in Seattle King County. Identify at least two potential opportunities to fund home visiting efforts for children with asthma.

Keywords: Asthma, Health Disparities

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the evaluator of this project and have presented on our results at previous meetings.
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.