Concurrently, the National Inner City Cooperative Asthma Study sponsored by the National Institute of Allergy and Immunologic Disease is about to launch demonstration projects reflecting similar themes of integration and promotion of care at the community as well as the individual level. Parallels between the problems of asthma care in the United States and in […]
Children in the cohorts have generally been recruited from lists of patients from emergency department and asthma clinic records of St. Louis Children’s Hospital of Washington University Medical Center. Additionally, some members of the cohort representing the study neighborhoods have been identified through Grace Hill referrals. Caregivers (90% mothers, 2% fathers) are contacted by research […]
While the infusion of new energy and staff time that a new, externally funded project entails is usually successful in getting a program off the ground and getting attention to it, its active support over a 2- or 3-year project period, let alone its maintenance beyond the end of such a project period, requires development […]
If the emergency department is encouraging routine care, it is important that professionals in the community be willing to provide it. Thus, as a second strategy to address access to care, Dr. Robert Strunk, coprincipal investigator of the Neighborhood Asthma Coalition, has begun a series of regular meetings with practitioners from the community to review […]
The asthma camp illustrates an important characteristic of the community organization approach. A conventional approach to attempts to help inner-city youth is to offer them a holiday from the inner city through attendance at summer camps in rural areas. Many asthma summer camps offer scholarships for inner-city children. This no doubt accomplishes many worthy things. […]
During the first summer after the Neighborhood Asthma Coalition began (1992), a day camp was implemented in three of the four neighborhoods. Four half-day sessions were held, two in neighborhood churches and one in a community library. Average attendance at the camp was 8 children. Curriculum included interactive discussions and games to increase asthma knowledge; […]
To address social isolation, the original proposal called for the development of “asthma advocates” to provide social support, information, and encouragement to regular care to caretakers and their children so generic claritin. Representatives of the neighborhood Wellness Councils changed this to “CASS workers,” for “changing asthma through social support.” The primary role of the CASS […]