The Promise of School-Based Asthma Interventions

Hollenbach, Jessica P.; Simoneau, Tregony; Halterman, Jill S.

doi:10.1016/j.acap.2021.11.006

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…We built ALHS, in part, to enable implementation of community‐based interventions that could improve outcomes at scale—and to do so in a coordinated fashion that that promotes learning across sectors. Priority areas, emergent from our design process, and from community‐based efforts proven effective both in Cincinnati and cities like ours, include the following: (1) asthma education and promotion of self‐management skills 50 ; (2) care coordination across the system of care (eg, co‐management with school nurses and school‐based health centers 51,52 ); and (3) environmental trigger assessment and remediation 36,38,39,51,53,54 . We deemed approaches bridging clinical and community partners to address health‐harming challenges, like adverse housing conditions, as central, given mounds of evidence linking asthma severity to such unmet needs 6,55‐59 …”

Section: Discussionmentioning

confidence: 99%

Building a regional pediatric asthma learning health system in support of optimal, equitable outcomes

Beck,

Seid,

McDowell

et al. 2023

Learning Health Systems

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IntroductionAsthma is characterized by preventable morbidity, cost, and inequity. We sought to build an Asthma Learning Health System (ALHS) to coordinate regional pediatric asthma improvement activities.MethodsWe generated quantitative and qualitative insights pertinent to a better, more equitable care delivery system. We used electronic health record data to calculate asthma hospitalization rates for youth in our region. We completed an “environmental scan” to catalog the breadth of asthma‐related efforts occurring in our children's hospital and across the region. We supplemented the scan with group‐level assessments and focus groups with parents, clinicians, and community partners. We used insights from this descriptive epidemiology to inform the definition of shared aims, drivers, measures, and prototype interventions.ResultsGreater Cincinnati's youth are hospitalized for asthma at a rate three times greater than the U.S. average. Black youth are hospitalized at a rate five times greater than non‐Black youth. Certain neighborhoods bear the disproportionate burden of asthma morbidity. Across Cincinnati, there are many asthma‐relevant activities that seek to confront this morbidity; however, efforts are largely disconnected. Qualitative insights highlighted the importance of cross‐sector coordination, evidence‐based acute and preventive care, healthy homes and neighborhoods, and accountability. These insights also led to a shared, regional aim: to equitably reduce asthma‐related hospitalizations. Early interventions have included population‐level pattern recognition, multidisciplinary asthma action huddles, and enhanced social needs screening and response.ConclusionLearning health system methods are uniquely suited to asthma's complexity. Our nascent ALHS provides a scaffold atop which we can pursue better, more equitable regional asthma outcomes.

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