Asthma Health Outcomes Project
Overviews of Surveyed Asthma ProgramsSeptember 2005
Domestic Programs: Hawaii (cont'd)
Community Based Asthma Management Project
Waianae Coast Comprehensive Health Center
In 1999 the Waianae Coast Comprehensive Health Center (WCCHC) in Oahu, Hawaii implemented a community-based asthma management project for Native Hawaiian children between the ages 3 and 14 years. The objective was to reduce inappropriate medical utilization and improve quality of life.
Children (and their parents/caregivers) were recruited primarily through referrals from their primary care provider or through the WCCHC's tracking database. A community health educator, who is also a community member, visited the child a minimum of three times at the child's home or at the community health educator's office at the WCCHC. The initial visit focused on building rapport with the child and his/her parent/caregiver, evaluating the family and their social supports, assessment of environmental triggers, and identifying barriers. In addition, an asthma intervention plan was developed with emphasis on medication management. Subsequent visits reiterated the educational information and medication management. Visits lasted about one hour and a child participated in the case management for one year.
An evaluation of the program indicated a positive impact on emergency department visits, unscheduled office visits, quality of life for children, and asthma symptoms.
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