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The 2007 National Asthma Education and Prevention Program asthma guidelines: accelerating their implementation and

Ruchi S Gupta1, Kevin B Weiss

  • 1Institute for Healthcare Studies and Department of Pediatrics, Children's Memorial Hospital, Northwestern University Feinberg School of Medicine, 2300 Children's Plaza, Box 157, Chicago, IL 60614, USA. r-gupta@northwestern.edu

Pediatrics
|February 18, 2009
PubMed

Insights

National asthma guidelines were first developed to address rising prevalence and disparities. This report examines the adoption of these guidelines and suggests strategies for implementing the latest updates.

Area of Science:

  • Pulmonary Medicine
  • Public Health Policy

Background:

  • Asthma prevalence and disparities in morbidity and mortality have been national concerns for nearly two decades.
  • Early national consensus on pediatric asthma care was lacking, despite advances in understanding asthma mechanisms and treatment.

Purpose of the Study:

  • To examine the adoption and clinical implementation of National Asthma Education and Prevention Program (NAEPP) guidelines.
  • To suggest opportunities for the rapid adoption of the newly released 2007 NAEPP asthma guidelines.

Main Methods:

  • Review of the historical context of asthma guideline development.
  • Analysis of issues related to the dissemination and clinical implementation of NAEPP guidelines.

Main Results:

  • The National Heart, Lung, and Blood Institute (NHLBI) has updated its asthma guidelines multiple times since their inception.
  • The 2007 updates represent the third iteration from the NAEPP expert panel.

Conclusions:

  • Effective dissemination and implementation strategies are crucial for maximizing the impact of asthma clinical practice guidelines.
  • Examining past guideline adoption can inform future efforts to integrate updated asthma management recommendations into clinical practice.

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