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Community-based approaches to controlling childhood asthma
1Center for Managing Chronic Disease, University of Michigan, Ann Arbor, Michigan 48109, USA. nmclark@umich.edu
Annual Review of Public Health
|January 10, 2012
Summary
Childhood asthma remains a significant health issue, especially in affected neighborhoods. Community-based interventions, particularly school programs and policy changes, show promise for sustainable asthma control.
Area of Science:
- Environmental Health
- Pediatric Pulmonology
- Community Health
Background:
- Childhood asthma prevalence and burden are increasing nationally.
- Asthma 'hot spot' neighborhoods face significant control challenges.
- Interventions increasingly focus on family-centered disease management and community settings.
Purpose of the Study:
- To review community-focused interventions for childhood asthma control.
- To identify promising approaches for sustainable asthma management.
- To highlight areas for future research in asthma interventions.
Main Methods:
- Review of community-focused interventions assessed over the past decade.
- Evaluation of programs in schools, homes, community health clinics, and via electronic media.
- Assessment of interventions aimed at policy and systems changes.
Main Results:
- Various community-based interventions have been evaluated, including school-based programs and home visits.
- Electronic media and phone-based programs have also been assessed.
- School-based programs and community coalitions show particular promise for sustainable improvements.
Conclusions:
- Stronger evidence is needed for many community-focused asthma interventions.
- School-based programs and policy/systems change initiatives show significant promise.
- Future research should compare interventions, translate effective strategies, and promote institutionalization.
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