Online Program

Climbing up the family tree: Reaching women for asthma self-management support via pediatric asthma services

Tuesday, November 3, 2015

Mary Janevic, MPH PhD, Center for Managing Chronic Disease, University of Michigan School of Public Health, Ann Arbor, MI
Megan Jensen, MPH, Health Behavior & Health Education, University of Michigan School of Public Health, Ann Arbor, MI
Background/significance: Adult women experience disproportionate asthma prevalence and morbidity. Most existing asthma-education programs are directed at pediatric asthma. Asthma clusters in families; therefore one potential route to providing women with asthma-management support is via interventions for their children.

Objective/purpose:  In evaluating the dissemination of the evidence-based “Women Breathe Free” (WBF) program, we explored ways partnering organizations with a predominantly pediatric focus integrated asthma education for women into their services.

Methods: We analyzed qualitative data from transcripts of key informant interviews and notes from technical assistance calls with staff from implementing organizations.  We coded strategies, benefits, and challenges related to integrating WBF into asthma education delivery models that primarily serve pediatric patients.

Results: Two partnering organizations included WBF components in home visit programs in low-income communities that mostly served children. A third delivered WBF via asthma educators who staff a hotline frequently used by mothers of children with asthma. Staff cited beneficial “trickle-down effects” of educating the mother about her illness on the child’s asthma, and overlap in program content for children and adults. Most challenges were administrative in nature.  Organizations identified additional potential ways of integrating asthma education for mothers and children; e.g., screening mothers for asthma during child-focused interactions.

Discussion/conclusions: Using pediatric programs to reach women with asthma may be both feasible and beneficial.  Future asthma interventions may be designed to simultaneously meet the needs of mothers and children as an efficient way of improving outcomes, and addressing race and socioeconomic disparities in asthma outcomes present across age groups.

Learning Areas:

Chronic disease management and prevention
Planning of health education strategies, interventions, and programs

Learning Objectives:
Discuss the rationale for integrating asthma education for women into pediatric-focused asthma programs. Identify three strategies for reaching women with asthma self-management support through existing pediatric-focused asthma programs.

Keyword(s): Women's Health, Asthma

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a researcher and evaluator working at the University of Michigan Center for Managing Chronic Disease, and have almost 20 years of experience planning and evaluating chronic disease-focused programs for various priority populations, including women. For the project described in the submitted abstract, I am the lead evaluator and very familiar with the evidence-based asthma intervention for women being disseminated, as well as with the program adaptations made by our organizational partners.
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.