Online Program

Asthma mentor program: Building community partnerships for health improvement

Tuesday, November 5, 2013

Deena Chisolm, Ph.D, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH
Olivia Thomas, MD, Pediatric Academic Association Ambulatory-NSS, Nationwide Children's Hospital, Columbus, OH
Belinda Nelson, BA, Center for Innovation in Pediatric Practice, Nationwide Children's Hospital, Columbus, OH
Brenda A. Leath, MHSA, PMP, National Consortium for African American Children, Washington, DC
Diane L. Adams, MD, MPH, DABCHS, CHS-III, Former Consultant, Georgia Centers for Advanced Telecommunications Technology (GCATT), Founder, Health Informatics Information Technology (HIIT) Group of the American Public Health Association (APHA), Silver Spring, MD
Introduction: In alignment with the Alpha Kappa Alpha Sorority, Incorporated® Asthma Prevention and Management Initiative, Alpha Sigma Omega Chapter in Columbus, Ohio and Nationwide Children's Hospital partnered to create an asthma parent mentorship program to enhance parental self-efficacy for adherence to treatment plans and prevention of serious asthma exacerbation. Methods: The study population included parents of children, ages 5-11, with poorly controlled asthma. Families were referred to the project from a Medicaid managed care organization or by an elementary school nurse. Participating parents attended an educational forum and were subsequently contacted monthly for 6-months by volunteer mentors who delivered scripted supportive and disease management messages. Content of the forum and the monthly messages was adapted from the APMI parent curriculum. Each parent completed a baseline survey in person and a 6-month follow-up survey via-phone. Results: Eleven parents, representing 15 children with asthma, completed the pre and post assessments. Of the 66 calls expected between March and August, mentors attempted 63 calls (95%) and made 30 successful calls (45%). In the post assessment, 69% percent of parents stated they were “completely sure” they could help child stay calm during an a “serious breathing problem” (from 53%), 53% they could prevent a serious breathing problem from occurring (from 46%) and 92% stated they knew when to take their child to the Emergency Room (from 73%) Discussion: This volunteer-based intervention, led by a national service-oriented sorority, has demonstrated potential to meaningfully improve self-efficacy of parents of urban children with poorly controlled asthma.

Learning Areas:

Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research

Learning Objectives:
Describe asthma exacerbation effects on daily functioning of families Describe asthma prevention and management initiative program Discuss intervention effectiveness in relation to exacerbation frequencies, asthma quality of life, parent knowledge and self-efficacy

Keyword(s): Asthma, Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I served as PI on the research project being presented in this abstract. I am an associate professor of pediatrics and public health and have served as PI on multiple federally-funded research projects in child health and 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.