Evaluation of a community-based outreach worker program for children with asthma

Public Health Nurs. 2006 May-Jun;23(3):234-41. doi: 10.1111/j.1525-1446.2006.230306.x.


Objective: An asthma outreach worker (AOW) can provide home-based education about asthma management and methods to minimize home environmental asthma triggers. A theory-based AOW program was implemented by a community partnership and its effectiveness was evaluated.

Design: Baseline and follow-up surveys were used to evaluate the effectiveness of the AOW.

Sample: The convenience sample consisted of 60 caregivers whose children received AOW services.

Measures: Quality of life, use of asthma management plans, medication use, health care utilization, home environmental behavior changes to reduce triggers, and satisfaction with AOW services were self-reported by caregivers.

Results: Caregivers reported significantly higher quality of life at follow-up than at baseline. At follow-up, 93% of the children had asthma management plans as compared with 31% at baseline. Self-reported hospitalizations were significantly reduced. All of the families made changes to minimize household asthma triggers. Caregivers reported high satisfaction with the AOW and 90% of them felt that the home environmental assessment conducted by the AOW helped improve their child's asthma.

Conclusion: Short-term community-based AOW services for children can be effective in enhancing self-management capabilities, improving the quality of life, increasing the use of asthma management plans, and helping families reduce asthma triggers in the home environment.

Publication types

  • Evaluation Study
  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Asthma / etiology
  • Asthma / prevention & control*
  • Attitude to Health
  • Child
  • Child Health Services / organization & administration*
  • Child, Preschool
  • Community Health Workers / education
  • Community Health Workers / organization & administration*
  • Community-Institutional Relations*
  • Disease Management
  • Environmental Monitoring
  • Follow-Up Studies
  • Home Care Services / organization & administration*
  • Hospitalization / statistics & numerical data
  • Humans
  • Infant
  • Parents / education*
  • Parents / psychology
  • Patient Education as Topic / organization & administration
  • Program Evaluation
  • Quality of Life
  • Risk Reduction Behavior
  • Washington