Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management

The purpose of this needs assessment was to study the current state of asthma management in high-risk children in Houston, Texas to inform a theory-based approach to improving asthma management. The mixed-method assessment included multi-sectoral survey, quantitative, and geospatial data that addres...

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Autores principales:	Loren Raun, David Persse, Gwendolyn Johnson, Katherine Ensor, Elizabeth Stevenson, Melissa A. Valerio, Erin K. Caton, Laura Campos, Harold J. Farber
Formato:	article
Lenguaje:	EN
Publicado:	New Prairie Press 2019
Materias:	childhood asthma health equity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/e70485d8e7664ef9874add553f276a2d
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spelling	oai:doaj.org-article:e70485d8e7664ef9874add553f276a2d2021-11-19T22:00:50ZUsing Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management10.4148/2572-1836.10372572-1836https://doaj.org/article/e70485d8e7664ef9874add553f276a2d2019-07-01T00:00:00Zhttps://newprairiepress.org/cgi/viewcontent.cgi?article=1037&context=hbrhttps://doaj.org/toc/2572-1836The purpose of this needs assessment was to study the current state of asthma management in high-risk children in Houston, Texas to inform a theory-based approach to improving asthma management. The mixed-method assessment included multi-sectoral survey, quantitative, and geospatial data that address a range of social and community factors in family, community, home, and medical contexts. Houston Emergency Medical Services (EMS) provided ambulance-treated asthma data mapped by geographic area to identify where childhood asthma management was weakest. Texas Children’s Health Plan (TCHP) provided medication compliance rates and counts of children by zip code that TCHP considered high-risk according to claims data. Houston Independent School District (HISD) provided school nurse survey results from schools with high-rates of ambulance-treated asthma attacks regarding local barriers to asthma management. Elementary schools with children at highest risk were identified by overlaying the EMS data, TCHP data, and HISD school zone boundaries. Survey results from the high-rate schools indicate the priority challenges to childhood asthma management, including lack of resources, lack of communication, lack of knowledge of triggers, and inadequate time for quality care from providers. By weaving together EMS, TCHP, and HISD data, the needs assessment informed a socio-ecological view of gaps in high-risk childhood asthma management and control, specifically where and what to target. An assessment approach with multi-sectoral data, geospatial mapping, nurse input, current systems of care, education, and funding helped focus planning on a practical approach to asthma control solutions for high-risk children.Loren RaunDavid PersseGwendolyn JohnsonKatherine EnsorElizabeth StevensonMelissa A. ValerioErin K. CatonLaura CamposHarold J. FarberNew Prairie Pressarticlechildhood asthmahealth equitySpecial aspects of educationLC8-6691Public aspects of medicineRA1-1270ENHealth Behavior Research, Vol 2, Iss 3 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	childhood asthma health equity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270
spellingShingle	childhood asthma health equity Special aspects of education LC8-6691 Public aspects of medicine RA1-1270 Loren Raun David Persse Gwendolyn Johnson Katherine Ensor Elizabeth Stevenson Melissa A. Valerio Erin K. Caton Laura Campos Harold J. Farber Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management
description	The purpose of this needs assessment was to study the current state of asthma management in high-risk children in Houston, Texas to inform a theory-based approach to improving asthma management. The mixed-method assessment included multi-sectoral survey, quantitative, and geospatial data that address a range of social and community factors in family, community, home, and medical contexts. Houston Emergency Medical Services (EMS) provided ambulance-treated asthma data mapped by geographic area to identify where childhood asthma management was weakest. Texas Children’s Health Plan (TCHP) provided medication compliance rates and counts of children by zip code that TCHP considered high-risk according to claims data. Houston Independent School District (HISD) provided school nurse survey results from schools with high-rates of ambulance-treated asthma attacks regarding local barriers to asthma management. Elementary schools with children at highest risk were identified by overlaying the EMS data, TCHP data, and HISD school zone boundaries. Survey results from the high-rate schools indicate the priority challenges to childhood asthma management, including lack of resources, lack of communication, lack of knowledge of triggers, and inadequate time for quality care from providers. By weaving together EMS, TCHP, and HISD data, the needs assessment informed a socio-ecological view of gaps in high-risk childhood asthma management and control, specifically where and what to target. An assessment approach with multi-sectoral data, geospatial mapping, nurse input, current systems of care, education, and funding helped focus planning on a practical approach to asthma control solutions for high-risk children.
format	article
author	Loren Raun David Persse Gwendolyn Johnson Katherine Ensor Elizabeth Stevenson Melissa A. Valerio Erin K. Caton Laura Campos Harold J. Farber
author_facet	Loren Raun David Persse Gwendolyn Johnson Katherine Ensor Elizabeth Stevenson Melissa A. Valerio Erin K. Caton Laura Campos Harold J. Farber
author_sort	Loren Raun
title	Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management
title_short	Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management
title_full	Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management
title_fullStr	Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management
title_full_unstemmed	Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management
title_sort	using complex, multi-sectoral data in a needs assessment to inform future strategies in childhood asthma management
publisher	New Prairie Press
publishDate	2019
url	https://doaj.org/article/e70485d8e7664ef9874add553f276a2d
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Using Complex, Multi-Sectoral Data in a Needs Assessment to Inform Future Strategies in Childhood Asthma Management

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