Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Pennsylvania (cont’d)
CAPP: Community Asthma Prevention Program
Children's Hospital of Philadelphia
The Community Asthma Prevention Program is a comprehensive self-sustaining community-based asthma prevention program that involves the partnership of The Children's Hospital of Philadelphia's CAPP, CSI Family Centers, and the Department of Earth and Environmental Sciences, with its included Institute of Environmental Studies. The program was initially implemented by the Children's Hospital of Philadelphia in September of 2001.
The specific aims of the program are to: 1) create a comprehensive asthma prevention program by combining home asthma education with home asthma trigger removal into one comprehensive asthma prevention program to be offered to members of CSI Family Centers and CHOP primary care families who live in West and Southwest Philadelphia, 2) evaluate 300 families enrolled into this comprehensive asthma prevention program over the course of four years for decreased hospitalizations, decreased emergency room visits, and improved quality of life, 3) increase asthma educational activities offered within the Family Centers, 4) train Parent Asthma Scholars to conduct asthma classes within the CSI Family Centers through the train-the-trainer model which has proven successful for CAPP
To demonstrate the effectiveness of the program, a convenience sample of 267 self-referred, primarily African-American parents or primary caregivers of asthmatic children aged 18 months to 16 years completed a 5-session education program. Program efficacy was evaluated at baseline, immediately post instruction, and at 3-, 6-, and 12-months retention. Outcomes included 3 questionnaires measuring asthma self-management knowledge, control and quality of life.
Immediately following program completion, participants demonstrated improvements in asthma knowledge, ability to control their child's asthma, and asthma quality of life. Retention of knowledge with steady improvement of control and quality of life was observed up to one year post instruction, as compared with immediate post program scores.
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