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Parent experiences with a nurse-supervised community health worker asthma home-visiting program
Rebecca E Penzias1, Virginia Sanabia1, Urmi Bhaumik1,2
1Division of Adolescent/Young Adult Medicine, Boston Children's Hospital , Boston , MA , USA.
Summary
This study found that nurse-supervised Community Health Worker home visits effectively support families with asthma. Addressing social determinants and behavioral health is crucial for program success.
Area of Science:
- Public Health
- Community Health
- Asthma Management
Background:
- Community Health Worker (CHW) programs offer vital support.
- Nurse-supervised home visiting models can improve health outcomes.
- Asthma management requires addressing environmental and social factors.
Purpose of the Study:
- To evaluate components of a nurse-supervised CHW asthma home-visiting program.
- To gather parent and family feedback on program experiences.
- To identify areas for program enhancement and new service development.
Main Methods:
- Utilized Likert scale ratings and semi-structured qualitative interviews with parents.
- Assessed 11 program components using a 5-point Likert scale.
- Analyzed interview data using grounded theory and Dedoose software.
Main Results:
- Program strengths included asthma education, supplies, and housing assistance.
- Families desired more support for social determinants like school, food, and mental health.
- Interviews highlighted parental stress, activity limitations, and need for ongoing support.
Conclusions:
- The CHW asthma home-visiting program was well-received by families.
- Addressing social determinants of health is essential for effective asthma management.
- Integrating behavioral health support is critical for comprehensive care.
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