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Improving asthma care for African American children by increasing national asthma guideline adherence

Karen Rance1, Mary O'Laughlen, Stanislaus Ting

  • 1krance@memclin.com

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners
|June 25, 2011
PubMed

Insights

A new guideline reminder tool improved healthcare provider adherence to asthma guidelines, increasing inhaled corticosteroid (ICS) prescriptions for children. This intervention addresses the underuse of ICS, crucial for managing pediatric asthma, especially in African American children.

Area of Science:

  • Pediatric Pulmonology
  • Health Services Research
  • Asthma Management

Background:

  • African American children experience a disproportionate burden of asthma, facing higher risks of morbidity and mortality.
  • Underutilization of National Asthma Education and Prevention Program (NAEPP) guidelines and inhaled corticosteroids (ICS) is prevalent in pediatric asthma care.
  • Addressing these disparities is critical for improving asthma outcomes in vulnerable populations.

Purpose of the Study:

  • To enhance healthcare provider (HCP) adherence to NAEPP guidelines.
  • To increase the prescription rates of inhaled corticosteroids (ICS) for pediatric asthma management.
  • To evaluate the effectiveness of a novel guideline reminder tool in achieving these objectives.

Main Methods:

  • A pre-experimental study design was employed.
  • Descriptive analysis was used to assess the impact of the intervention.
  • The Multi-colored Simplified Asthma Guideline Reminder tool was implemented to influence HCP behavior.

Main Results:

  • The Multi-colored Simplified Asthma Guideline Reminder tool demonstrated effectiveness in improving HCP adherence to NAEPP guidelines.
  • A significant increase in the use of ICS as controller therapy for pediatric asthma was observed.
  • The intervention successfully addressed the underuse of ICS in the studied population.

Conclusions:

  • The underuse of ICS by HCPs remains a primary barrier to improving asthma outcomes in children, particularly African American children.
  • Guideline reminder tools show promise in enhancing adherence to evidence-based asthma management strategies.
  • Continued efforts are needed to ensure optimal controller therapy and guideline implementation for pediatric asthma.
Abstract

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