Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Washington (cont’d)
Clean Air for Kids (including the Master Home Environmentalist Program)
American Lung Association of Washington
Since 1997, Clean Air for Kids (CAFK) has served Tacoma, WA. CAFK is a community coalition providing outreach and education to improve asthma-related health by reducing exposure to home allergens and irritants.
CAFK has multiple activities including the American Lung Association of Washington’s Master Home Environmentalist (MHE) Training Program, a program that trains volunteers who visit families upon request and assists them in identifying and minimizing home allergens and triggers. In addition to the MHE program, coalition activities include continuing education sessions for childcare providers, school nurses, and other health care providers; health fairs; and as asthma outreach worker (AOW). The purpose of this presentation is to describe the AOW model and findings from research designed to evaluate program effectiveness.
Baseline and follow-up surveys were used to determine use of asthma management plans, child health outcomes, medication use, health care utilization, school absences due to asthma, home environmental behavior changes to reduce triggers, satisfaction with AOW services, and quality of life.
Results suggest that the AOW is effective in helping families change behaviors. At follow-up, 80% of families had asthma management plans for their children as compared with 28% at baseline. Ninety percent of families felt that the home environmental assessment conducted by the AOW helped improve their child’s asthma. All of the families made changes to improve the home environment (less toxic cleaning agents, smoking outside, cleaning up mold, changing furnace filters, increasing ventilation). Families reported high satisfaction with the AOW suggesting that community-based models can be effective in helping families improve their child’s asthma.
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