Improving health outcomes for children with asthma: A mixed-method evaluation of the CALM program
Analyses of 204 pre- and post-test survey pairs of program participants show statistically significant (p<0.001) reductions in daytime asthma symptoms, nighttime awakenings due to asthma, rescue inhaler use, asthma-related school absences, and urgent health care visits due to asthma. Utilizing the EPR-3 Guidelines, the percentage of children determined to have well-controlled asthma increased from 59% at baseline to 75% at first year follow-up (p<0.0001). Within group analyses show better change over time outcomes for programs with strong school nurse participation, and also for those programs having created sustainable policy and practice changes across the many circles of influence for children with asthma.
Learning Areas:Conduct evaluation related to programs, research, and other areas of practice
Identify community-based childhood asthma intervention strategies that have resulted in improved health outcomes for children Discuss policy and system changes that lead to improved continuity of care for children with asthma
Keyword(s): Child Health, Evaluation
Qualified on the content I am responsible for because: I am the project director for the CALM program, and a senior research associate with much experience in developing and implementing state-wide and national cross-site evaluations of public health programs.
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.