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SUHI Project:Controlling Pediatric Asthma through Collaboration and Education

Project:

Controlling Pediatric Asthma through Collaboration and Education

Introduction:

Asthma affects about 9 million children in the U.S. (12% of children <18 years), with some of the highest rates having been documented among African American and Puerto Rican children living in the inner city. In fact, in some inner-city communities, the prevalence of pediatric asthma approaches and even exceeds one in four. Many inner-city children utilize the emergency department (ED) as their primary source of asthma care. As the focus in the ED is on the treatment of acute symptoms, many children who are frequent users of the ED are not properly medicated or educated on asthma self-management.

Project Plan:

Evidence from Sinai’s previous pediatric asthma initiatives (PAI-1 & PAI-2) led the Illinois Department of Public Health to include the Lay Health Educator (LHE) model as a part of a larger state-wide asthma initiative, Controlling Pediatric Asthma Through Collaboration and Education (CPATCE).

 

The overall goal of this initiative was to improve asthma management among high risk children in Illinois and thereby reduce asthma-related healthcare expenditure, asthma morbidity and mortality. Sinai served as the training, evaluation and coordinating site for the project.

 

Sinai’s specific activities:

  • Expanded PAI-2 model locally to address additional communities/target populations in Chicago
  • Sinai’s Pediatric Asthma Program served as a model program and resource to newly established programs 
  • Assisted partner sites in recruiting and training LHEs. The Sinai Asthma Education Training Institute was developed to fill this need.
  • Provided sound evaluation of the initiative’s progress and success in meeting its goals

The program was funded through 12/31/2008.

 

Partner Sites

Six target areas were chosen to partner with Sinai in implementing the LHE model in their own community. Each of these areas had asthma hospitalization rates in excess of the state average in 2003 (17.6 per 10,000 population) and also had an established asthma consortium.

 

Partnering Asthma Consortium

Bureau/ Putnam Asthma Team

Chicago Asthma Consortium http://www.chicagoasthma.org/   

Decatur Area Asthma Coalition

Northwestern Illinois Asthma Coalition

Rockford Asthma Consortium 

Project Updates:

One of the goals of CPATCE was to examine if the use of LHEs to improve asthma management and thereby morbidity and mortality was effective in different communities in Illinois. Throughout the program's intervention phase, there were several noteworthy lessons learned, challenges, and successes that showed how this program could be effective in various communities. This study lended power to critically looking at these unique communities, offering insight into the delivery of culturally appropriate disease management programs.