The Child Asthma Link Line: A Coalition-initiated, Telephone-based, Care Coordination Intervention for Childhood Asthma

Coughey, Kathleen; Klein, Gary; West, Caroline; Diamond, James J.; Santana, Abbie J.; McCarville, Erin; Rosenthal, Michael P.

doi:10.3109/02770900903580835

Cited by 24 publications

(20 citation statements)

References 58 publications

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“…Garbutt et al (34) used telephone counseling and found that poorly controlled asthma decreased in the intervention group but saw no differences in health care use or quality of life. Coughey et al (24) assessed an asthma link line where parents or older children could call for information and referrals. They found that compared with families who did not have access to the link line, children were less likely to have hospitalizations and emergency department visits and were more likely to make primary care visits.…”

Section: Telephone Counselingmentioning

confidence: 99%

Community-Based Approaches to Controlling Childhood Asthma

Clark

2012

Annu. Rev. Public Health

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The prevalence and burden of childhood asthma remain high and are increasing. Asthma hot spot neighborhoods around the country face particular challenges in controlling the effects of the condition. Increasing attention is being paid to developing interventions that recognize the child and family as the primary managers of disease and to introducing assistance that reaches beyond the clinical care setting into the places where families live and work. A range of types of community-focused interventions has been assessed in the past decade in schools, homes, and community health clinics, and programs using electronic media and phone links have been evaluated. Stronger evidence for all these approaches is needed. However, school-based programs and community coalitions designed to bring about policy and systems changes show particular promise for achieving sustainable improvements in asthma control. Research is needed that emphasizes comparisons among proven asthma control interventions, translation of effective approaches to new settings and communities, and institutionalization of effective strategies.

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Section: Telephone Counselingmentioning

confidence: 99%

Community-Based Approaches to Controlling Childhood Asthma

Clark

2012

Annu. Rev. Public Health

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“…Targeting four largely African American neighborhoods with high asthma prevalence, the Philadelphia MCAN project built an integrated partnership based on 13 years of experience with two community-based asthma programs, the Community Asthma Prevention Program (CAPP) of Children’s Hospital of Philadelphia (Bryant-Stephens, Kurian, Guo, & Zhao, 2009) and the Child Asthma Link Line of the Philadelphia Allies Against Asthma Coalition (Rosenthal et al, 2006; Coughey et al, 2010). CAPP’s home visit component is adapted from three evidence-based interventions, comparable to the other care coordination programs in this article, and therefore discussed here.…”

Section: Resultsmentioning

confidence: 99%

Community-Based Care Coordination

Findley

Rosenthal

Bryant-Stephens

et al. 2011

Health Promotion Practice

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Care coordination programs have been used to address chronic illnesses, including childhood asthma, but primarily via practice-based models. An alternative approach employs community-based care coordinators who bridge gaps between families, health care providers, and support services. Merck Childhood Asthma Network, Inc. (MCAN) sites developed community-based care coordination approaches for childhood asthma. Using a community-based care coordination logic model, programs at each site are described along with program operational statistics. Four sites used three to four community health workers (CHWs) to provide care coordination, whereas one site used five school-based asthma nurses. This school-based site had the highest caseload (82.5 per year), but program duration was 3 months with 4 calls or visits. Other sites averaged fewer cases (35 to 61 per CHW per year), but families received more (7 to 17) calls or visits over a year. Retention was 43% to 93% at 6 months and 24% to 75% at 12 months. Pre-post cross-site data document changes in asthma management behaviors and outcomes. After program participation, 93% to 100% of caregivers had confidence in controlling their child's asthma, 85% to 92% had taken steps to reduce triggers, 69% to 100% had obtained an asthma action plan, and 46% to 100% of those with moderate to severe asthma reported appropriate use of controller medication. Emergency department visits for asthma decreased by 36% to 63%, and asthma-related hospitalizations declined by 26% to 78%. More than three fourths had fewer school absences. In conclusion, MCAN community-based care coordination programs improved management behaviors and decreased morbidity across all sites.

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“…Patients were successfully contacted via telephone (83.2% of patients were reached, as compared to home visit completion of closer to 45% during a pilot study in our clinic in 2005). This high level of acceptability suggests that telephone follow-up is a practical and successful way to reach patients from low-income and minority households (30).…”

Section: Discussionmentioning

confidence: 99%