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From Research to Roach Traps: Practical Considerations for a Home-Based Asthma Program.

Natalie Talis¹, Nathaniel Lewis, Prakash Doraiswamy

¹Author Affiliations: Alexandria Health Department, Alexandria, Virginia (Mss Talis and Boakye and Mr Lewis); and RTI International, Research Triangle Park, North Carolina (Drs Doraiswamy and Wu).

Journal of Public Health Management and Practice : JPHMP

|April 11, 2024

Summary

This summary is machine-generated.

Implementing home-based asthma interventions requires careful planning for logistical and staffing needs. Community involvement is crucial for tailoring programs and ensuring practical success in addressing respiratory health concerns.

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Area of Science:

Environmental Health
Public Health Interventions
Community Health Programs

Background:

Home-based interventions effectively manage moderate to severe asthma triggered by home environments.
Existing literature often omits crucial logistical and staffing details for governmental-level implementation.
This report details a healthy homes pilot, evaluating practical aspects for a permanent program.

Purpose of the Study:

To guide the development of a permanent home-based asthma intervention at the Alexandria Health Department (AHD).
To identify essential tools and resources for the successful implementation of such a public health initiative.

Main Methods:

Households received health/environmental assessments, cleaning supplies, education, and partner referrals.
Alexandria Health Department staff documented challenges and insights throughout the pilot.
Community collaboration was integral in refining the intervention and designing the permanent program.

Main Results:

Despite using existing models and expert guidance, the pilot faced challenges in recruitment, staff support, home visits, and evaluation.
Community engagement proved essential for developing a practical and tailored program.
Pilot programs and literature provide a foundation, but community-specific adaptation is key.

Conclusions:

Successful implementation of home-based asthma programs necessitates addressing both staff and participant experiences.
Proactive testing of administrative and programmatic processes with focus groups can preemptively identify and resolve issues.
Tailoring interventions through resident and partner collaboration is vital for sustainable public health impact.