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Improving outcomes for underserved adolescents with asthma.

Maria T Britto1, Anna-Liisa B Vockell, Jennifer Knopf Munafo

  • 1Division of Adolescent Medicine, Center for Innovation in Chronic Disease Care.

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Summary
This summary is machine-generated.

Quality improvement initiatives significantly enhanced asthma control in adolescents by implementing evidence-based care and self-management support. This led to better outcomes for high-risk youth in primary care settings.

Keywords:
adolescentsasthmacare coordinationevidence-based carequality improvementself-management

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Area of Science:

  • Pediatric Pulmonology
  • Quality Improvement Science
  • Adolescent Health

Background:

  • Asthma is a prevalent chronic childhood condition.
  • Adolescents often exhibit poor treatment adherence, leading to worse health outcomes.
  • High-risk adolescents in primary care settings require targeted interventions.

Purpose of the Study:

  • To implement a quality improvement initiative aimed at enhancing asthma control and outcomes.
  • To address poor treatment adherence and suboptimal outcomes in high-risk adolescents.
  • To evaluate the effectiveness of standardized, evidence-based interventions in primary care.

Main Methods:

  • Utilized the Chronic Care Model to guide interventions.
  • Focused on standardized, evidence-based care, care coordination, and active outreach.
  • Incorporated self-management support and community connections for adolescents with asthma.

Main Results:

  • Optimally controlled asthma increased from approximately 10% to 30%.
  • Adherence to evidence-based care and self-management bundles approached 100% and 90%, respectively.
  • Patient/parental confidence in asthma management increased to ~85%; satisfaction and emergency visit rates remained stable.

Conclusions:

  • Interventions focusing on standardized care, self-management, outreach, and follow-up improved asthma control in adolescents.
  • Sustained improvements in asthma control were observed in the target adolescent population.
  • Further interventions may be necessary for adolescents with persistently poor asthma control.