Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Florida
GAP: Glades Asthma Project
American Lung Association of Florida, Southeast Area
Belle Glade, FL
Carol Boyd, MS, RN, CHES, AE-C
The American Lung Association of Southeast Florida implemented the Glades Asthma Project (GAP) in 2001 to improve asthma management of children 0-18 years (as of July 2004 GAP serves all ages) with asthma residing in rural communities of Western Palm Beach County. The Project's aims are to identify asthma in children, prevent asthma-related hospitalizations and improve asthma symptoms, thereby resulting in increased physical activity, reducing emergency visits and improving quality of life.
The primary component of GAP is Home Trigger Assessments. During a home visits, an assessment is done of the home environment to identify asthma triggers. The program provides dust mite-proof pillow and mattress covers, environmental control handouts, peak flow meters and spacers, and cleaning kits. The patient then receives individualized teaching regarding asthma management, proper use of medications and asthma equipment. Specific recommendations are made to decrease triggers in the home. There is ongoing follow-up and formal re-evaluations at 3 and 6 months.
GAP's other activities include healthcare provider and community education, as well as education to daycare, Head Start, and school personnel.
Evaluations to date indicate that GAP has had a positive impact on hospitalization rates, ED visits, emergency visits to the school clinic and/or physician's office, school absences, QOL for children, symptoms, and functional status.
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