Performance Improvement 2011-2012. In Children With a High Burden of Asthma, Was the Comprehensive Community-Based Approach Effective In Bringing About Institutional and Policy Change, and Improving Health Outcomes?


The National Asthma Control Program (NACP) funded seven cities through the Controlling Asthma in American Cities Project (CAACP). The project was designed to translate success in the clinical management of asthma to community and households in underserved communities with a high asthma burden.

The Project created seven inner-city community laboratories where evidenced-based or promising asthma interventions could be applied in a culturally appropriate, integrated way to improve the health of children with asthma. The Project's other objectives focused on multiple outcomes at the institutional, community, and policy levels. For example, the Northern Manhattan site demonstrated a dose-response to interventions at the daycare level, showing that interventions delivered to children, parents and the child's healthcare providers were more effective than interventions limited to a single audience. The St Louis site carried out an innovative program to create Asthma Friendly Pharmacies which provided brief, focused educational messages to clients and communicated medication problems or concerns to patients' primary care providers. The Richmond site engaged physicians working with inner-city low SES populations through academic detailing and systems support. This approach has been expanded to other parts of Virginia.

Report Title: Journal Supplement--Controlling Asthma in American Cities     


Agency Sponsor: CDC, Centers for Disease Control and Prevention
Federal Contact: Elizabeth Herman, 770-488-3711

Performer: Intramural: CDC/EHHE/APRHB
Record ID: 9415 (Report issued February 1, 2011)

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"PerformanceImprovement2011-2012.pdf" (pdf, 701.44Kb)

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