2023-09-28 14:46:10 +00:00
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abstract: 'Introduction: Asthma evidence-based interventions (EBI) are implemented
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in the home, school, community or primary care setting. Although
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families are engaged in one setting, they often have to navigate
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challenges in another setting. Objective: Our objective is to design and
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implement a comprehensive plan which integrates EBI''s and connects the
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four sectors in underserved communities such as Philadelphia. Methods:
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September 2015-April 2016 we implemented a three-pronged strategy to
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understand needs and resources of the community including 1) focus
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groups and key informant interviews, 2) secondary data analysis and 3)
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pilot testing for implementation to determine gaps in care, and
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opportunities to overcome those gaps. Results: Analysis of the focus
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group and key informant responses showed themes: diagnosis fear,
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clinician time, home and school asthma trigger exposures, school
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personnel training and communication gaps across all four sectors. EBI''s
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were evaluated and selected to address identified themes. Pilot testing
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of a community health worker (CHW) intervention to connect home, primary
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care and school resulted in an efficient transfer of asthma medications
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and medication administration forms to the school nurse office for
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students with uncontrolled asthma addressing a common delay leading to
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poor asthma management in school. Conclusion: Thus far there has been
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limited success in reducing asthma disparities for low-income minority
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children. This study offers hope that strategically positioning CHWs may
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work synergistically to close gaps in care and result in improved asthma
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control and reduced asthma disparities.'
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affiliation: 'Bryant-Stephens, T (Corresponding Author), Childrens Hosp Philadelphia,
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Community Asthma Prevent Program, Philadelphia, PA 19104 USA.
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Bryant-Stephens, Tyra; Kenyon, C.; Williams, Yolanda S.; Toussaint, K., Childrens
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Hosp Philadelphia, Community Asthma Prevent Program, Philadelphia, PA 19104 USA.
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Bryant-Stephens, Tyra; Kenyon, C.; Apter, A. J.; Wolk, Courtney; Localio, R., Univ
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Penn, Perelman Sch Med, Philadelphia, PA 19104 USA.
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Wolk, Courtney; Beidas, R., Univ Penn, Dept Perelman Sch Med, Philadelphia, PA 19104
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USA.
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Hui, A.; West, C.; McGinnis, S.; Gutierrez, M., Philadelphia Hlth Management Corp,
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Philadelphia, PA USA.
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Stewart, Yvonne, Parent Asthmat Child, Philadelphia, PA USA.
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Beidas, R., Univ Penn, Perelman Sch Med, Dept Med Eth \& Hlth Policy, Philadelphia,
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PA 19104 USA.
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Beidas, R., Univ Penn, Leonard Davis Inst Hlth Econ PISCE LDI, Penn Implementat
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Sci Ctr, Philadelphia, PA 19104 USA.'
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author: Bryant-Stephens, Tyra and Kenyon, C. and Apter, A. J. and Wolk, Courtney and
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Williams, Yolanda S. and Localio, R. and Toussaint, K. and Hui, A. and West, C.
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and Stewart, Yvonne and McGinnis, S. and Gutierrez, M. and Beidas, R.
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author-email: stephenst@email.chop.edu
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author_list:
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- family: Bryant-Stephens
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given: Tyra
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- family: Kenyon
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given: C.
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- family: Apter
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given: A. J.
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- family: Wolk
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given: Courtney
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- family: Williams
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given: Yolanda S.
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- family: Localio
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given: R.
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- family: Toussaint
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given: K.
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- family: Hui
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given: A.
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- family: West
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given: C.
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- family: Stewart
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given: Yvonne
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- family: McGinnis
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given: S.
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- family: Gutierrez
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given: M.
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- family: Beidas
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given: R.
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da: '2023-09-28'
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doi: 10.1080/02770903.2019.1619083
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earlyaccessdate: JUN 2019
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eissn: 1532-4303
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files: []
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issn: 0277-0903
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journal: JOURNAL OF ASTHMA
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keywords: 'Asthma; community health workers; integration; pediatrics;
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implementation science'
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keywords-plus: 'ENVIRONMENTAL INTERVENTION; EMERGENCY-DEPARTMENT; COCKROACH ALLERGEN;
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SELF-MANAGEMENT; UNITED-STATES; HEALTH; CHILDREN; MORBIDITY; EXPOSURE;
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VIOLENCE'
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language: English
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month: AUG 2
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number: '8'
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number-of-cited-references: '33'
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pages: 820-828
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papis_id: 5f8d96c9c79252d1f91fa64a01ee5c14
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ref: Bryantstephens2020creatingcommunitybas
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researcherid-numbers: 'Beidas, Rinad/ABG-2094-2021
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Beidas, Rinad/AAD-8693-2022
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Kenyon, Chen/HLW-8726-2023'
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times-cited: '6'
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title: Creating a community-based comprehensive intervention to improve asthma control
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in a low-income, low-resourced community
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000478122300001
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usage-count-last-180-days: '0'
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usage-count-since-2013: '8'
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volume: '57'
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web-of-science-categories: Allergy; Respiratory System
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year: '2020'
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