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Asthma Health Outcomes Project

Overviews of Surveyed Asthma ProgramsSeptember 2005

Domestic Programs: Kentucky Back to Index

SKIPA: Southeast Kentucky Initiative for Pediatric Asthma

Kentucky River District Health Department

Hazard, KY

Maxine C. Ritchie, BSN, RN

(606) 439-2361         


The Southeast Kentucky Initiative for Pediatric Asthma (SKIPA) was implemented in 2001 as a collaborative program utilizing community resources to promote asthma awareness and asthma management. The program targets children (0-18 years) in rural areas.

SKIPA's main component is educational training sessions for caregivers of children with asthma. This includes not only parents/guardians, but also daycare providers and school staff. Caregivers are referred to the program from health care providers and health department nurses. The educational training sessions are conducted by nurses who are state certified in respiratory therapy. The sessions are approximately one hour in length and occur on average 2-3 times, depending on the need of the caregiver. The sessions are individual except for the daycare and school personnel which are group-oriented. Educational topics include asthma physiology, signs and symptoms, triggers and ways to eliminate them, spirometry, and medication use.

SKIPA also conducts numerous asthma awareness and outreach activities, a survey concerning the mode of treatment for physicians who care for pediatric asthma patients, activities that provide CME and CEU, a support group for parents, and policy efforts for asthma.

An evaluation of the caregiver education training sessions indicated a positive impact on several health outcomes, including healthcare utilization, school absences, quality of life, symptoms, medication use, functional status, lung function, and self-management skills.

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