PMID- 16777830
OWN - NLM
STAT- MEDLINE
DCOM- 20060622
LR  - 20181201
IS  - 1098-4275 (Electronic)
IS  - 0031-4005 (Linking)
VI  - 117
IP  - 4 Pt 2
DP  - 2006 Apr
TI  - Change in approach and delivery of medical care in children with asthma: results 
      from a multicenter emergency department educational asthma management program.
PG  - S145-51
AB  - OBJECTIVES: The Hawaii Child Asthma Research to Elevate Standards (CARES) Program 
      implemented an emergency department (ED)-based education and management program 
      to facilitate National Asthma Education and Prevention Program (NAEPP) guideline 
      understanding among asthmatic children and their families, ED staff, and health 
      care providers. METHODS: The multipronged approach used: (1) 2-phased prospective 
      tracking system of ED asthma patients; (2) ED-based educational intervention for 
      patients/families; and (3) asthma education for ED staff and community-based 
      health care providers. Data were collected across 4 EDs during phase I (October 
      8, 2002, to October 1, 2003) and phase II (October 1, 2003, to July 8, 2004). 
      Follow-up data were collected by telephone 3 weeks (phase I), and 3 weeks and 3 
      months (phase II) after the ED encounter. The patient/family intervention was 
      delivered throughout phase II. During phase I, ED and community-based health care 
      professionals developed strategies for building an integrated asthma care system. 
      ED staff training was delivered before phase II. Continuing medical education for 
      health care providers was delivered before and during the first month of phase 
      II. RESULTS: Tracking data on 706 phase I and 353 phase II patient encounters 
      revealed that the majority of patients with persistent asthma did not use 
      long-term controller medications and did not possess a written asthma action 
      plan. From preintervention to postintervention, the number of patients possessing 
      a written asthma action plan increased from 48 to 322. Of 186 persistent 
      asthmatics, 34 were using controller medications daily, 34 as needed, and 118 not 
      at all. Daily use increased to 80 3 weeks postintervention and to 68 3 months 
      postintervention. CONCLUSION: An ED-based childhood asthma tracking system can 
      serve as a basis for designing and implementing an ED-based educational 
      intervention. ED staff, primary care providers, and others can work together to 
      promote asthma care.
FAU - Boychuk, Rodney B
AU  - Boychuk RB
AD  - Emergency Department and Robert Wood Johnson Asthma Grant Program, Kapiolani 
      Medical Center for Women and Children, Honolulu, Hawaii, USA. rodb@kapiolani.org
FAU - Demesa, Charles J
AU  - Demesa CJ
FAU - Kiyabu, Kristi M
AU  - Kiyabu KM
FAU - Yamamoto, Franklin
AU  - Yamamoto F
FAU - Yamamoto, Loren G
AU  - Yamamoto LG
FAU - Sanderson, Ron
AU  - Sanderson R
FAU - Gartner, Brenda
AU  - Gartner B
FAU - Donovan, Rebecca
AU  - Donovan R
FAU - Beckham, Sheila
AU  - Beckham S
FAU - Pang, Corilyn
AU  - Pang C
FAU - Fanucchi, Rebecca
AU  - Fanucchi R
FAU - Chong, Valerie
AU  - Chong V
LA  - eng
PT  - Journal Article
PT  - Multicenter Study
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Pediatrics
JT  - Pediatrics
JID - 0376422
SB  - IM
MH  - Adolescent
MH  - Asthma/prevention & control/*therapy
MH  - Child
MH  - Child Health Services/*organization & administration/statistics & numerical data
MH  - Child, Preschool
MH  - Delivery of Health Care
MH  - Education, Medical, Continuing
MH  - Emergency Medicine/*education
MH  - Emergency Service, Hospital/*organization & administration/statistics & numerical 
      data
MH  - Female
MH  - Hawaii
MH  - Health Services Research
MH  - Humans
MH  - Infant
MH  - Male
MH  - *Patient Care Planning
MH  - *Patient Education as Topic
MH  - Self Care
EDAT- 2006/06/17 09:00
MHDA- 2006/06/23 09:00
CRDT- 2006/06/17 09:00
PHST- 2006/06/17 09:00 [pubmed]
PHST- 2006/06/23 09:00 [medline]
PHST- 2006/06/17 09:00 [entrez]
AID - 117/4/S1/S145 [pii]
AID - 10.1542/peds.2005-2000L [doi]
PST - ppublish
SO  - Pediatrics. 2006 Apr;117(4 Pt 2):S145-51. doi: 10.1542/peds.2005-2000L.