Original Article

Developing and Implementing a Citywide Asthma Action Plan: A Community Collaborative Partnership

Authors: Amanda Marie Staudt, MPH, Hasanat Alamgir, PhD, Debra Lynn Long, CRT, AE-C, Stephen Curtis Inscore, MD, MMM†, Pamela Runge Wood, MD

Abstract

Objectives: Asthma affects 1 in 10 children in the United States, with higher prevalence among children living in poverty. Organizations in San Antonio, Texas, partnered to design and implement a uniform, citywide asthma action plan to improve asthma management capacity in schools.

Methods: The asthma action plan template was modified from that of the Global Initiative for Asthma. School personnel were trained in symptom recognition, actions to take, and use of equipment before the asthma action plan implementation. The annual Asthma Action Plan Summit was organized as a forum for school nurses, healthcare providers, and members of the community to exchange ideas and strategies on implementation, as well as to revise the plan.

Results: The asthma action plan was implemented in all 16 local school districts. Feedback received from school nurses suggests that the citywide asthma action plan resulted in improved asthma management and student health at schools.

Conclusions: The evidence in this study suggests that community organizations can successfully collaborate to implement a citywide health initiative similar to the asthma action plan.

 

This content is limited to qualifying members.

Existing members, please login first.

If you have an existing account please login now to access this article or view your purchase options.

Purchase only this article ($15)

Create a free account, then purchase this article to download or access it online for 24 hours.

Purchase an SMJ online subscription ($75)

Create a free account, then purchase a subscription to get complete access to all articles for a full year.

Purchase a membership plan (fees vary)

Premium members can access all articles plus recieve many more benefits. View all membership plans and benefit packages.

References

1. Centers for Disease Control and Prevention. Vital signs: asthma prevalence, disease characteristics, and self-management education: United States, 2001-2009. MMWR Morb Mortal Wkly Rep 2011;60:547-552.
 
2. Texas Asthma Control Program. http://www.dshs.state.tx.us/asthma. Accessed March 26, 2014.
 
3. Akinbami LJ, Moorman JE, Liu X. Asthma Prevalence, Health Care Use, and Mortality: United States, 2005-2009. National Health Statistics rep no. 32. National Center for Health Statistics: Hyattsville, MD; 2011.
 
4. National Asthma Education and Prevention Program. Expert Panel Report 3: Guidelines for the Diagnosis and Management of Asthma. NIH Publication no. 07-4051. Bethesda, MD: National Heart, Lung, and Blood Institute; 2007.
 
5. Wolf FM, Guevara JP, Grum CM, et al. Educational interventions for asthma in children. Cochrane Database Syst Rev 2003;1:CD000326.
 
6. Agrawal SK, Singh M, Mathew JL, et al. Efficacy of an individualized written home-management plan in the control of moderate persistent asthma: a randomized, controlled trial. Acta Paediatr 2005;94:1742-1746.
 
7. Zemek RL, Bhogal SK, Ducharme FM. Systematic review of randomized controlled trials examining written action plans in children: what is the plan? Arch Pediatr Adolesc Med 2008;162:157-163.
 
8. US Census Bureau. State and County Quick Facts, 2012. http://www.census.gov. Accessed April 7, 2015.
 
9. Global Initiative for Asthma. What You and Your Family Can Do About Asthma. NIH publication no. 96-3659C. Bethesda, MD: National Heart, Lung, and Blood Institute; 1995.