abstract: 'Introduction: Asthma evidence-based interventions (EBI) are implemented

  in the home, school, community or primary care setting. Although

  families are engaged in one setting, they often have to navigate

  challenges in another setting. Objective: Our objective is to design and

  implement a comprehensive plan which integrates EBI''s and connects the

  four sectors in underserved communities such as Philadelphia. Methods:

  September 2015-April 2016 we implemented a three-pronged strategy to

  understand needs and resources of the community including 1) focus

  groups and key informant interviews, 2) secondary data analysis and 3)

  pilot testing for implementation to determine gaps in care, and

  opportunities to overcome those gaps. Results: Analysis of the focus

  group and key informant responses showed themes: diagnosis fear,

  clinician time, home and school asthma trigger exposures, school

  personnel training and communication gaps across all four sectors. EBI''s

  were evaluated and selected to address identified themes. Pilot testing

  of a community health worker (CHW) intervention to connect home, primary

  care and school resulted in an efficient transfer of asthma medications

  and medication administration forms to the school nurse office for

  students with uncontrolled asthma addressing a common delay leading to

  poor asthma management in school. Conclusion: Thus far there has been

  limited success in reducing asthma disparities for low-income minority

  children. This study offers hope that strategically positioning CHWs may

  work synergistically to close gaps in care and result in improved asthma

  control and reduced asthma disparities.'
affiliation: 'Bryant-Stephens, T (Corresponding Author), Childrens Hosp Philadelphia,
  Community Asthma Prevent Program, Philadelphia, PA 19104 USA.

  Bryant-Stephens, Tyra; Kenyon, C.; Williams, Yolanda S.; Toussaint, K., Childrens
  Hosp Philadelphia, Community Asthma Prevent Program, Philadelphia, PA 19104 USA.

  Bryant-Stephens, Tyra; Kenyon, C.; Apter, A. J.; Wolk, Courtney; Localio, R., Univ
  Penn, Perelman Sch Med, Philadelphia, PA 19104 USA.

  Wolk, Courtney; Beidas, R., Univ Penn, Dept Perelman Sch Med, Philadelphia, PA 19104
  USA.

  Hui, A.; West, C.; McGinnis, S.; Gutierrez, M., Philadelphia Hlth Management Corp,
  Philadelphia, PA USA.

  Stewart, Yvonne, Parent Asthmat Child, Philadelphia, PA USA.

  Beidas, R., Univ Penn, Perelman Sch Med, Dept Med Eth \& Hlth Policy, Philadelphia,
  PA 19104 USA.

  Beidas, R., Univ Penn, Leonard Davis Inst Hlth Econ PISCE LDI, Penn Implementat
  Sci Ctr, Philadelphia, PA 19104 USA.'
author: Bryant-Stephens, Tyra and Kenyon, C. and Apter, A. J. and Wolk, Courtney and
  Williams, Yolanda S. and Localio, R. and Toussaint, K. and Hui, A. and West, C.
  and Stewart, Yvonne and McGinnis, S. and Gutierrez, M. and Beidas, R.
author-email: stephenst@email.chop.edu
author_list:
- family: Bryant-Stephens
  given: Tyra
- family: Kenyon
  given: C.
- family: Apter
  given: A. J.
- family: Wolk
  given: Courtney
- family: Williams
  given: Yolanda S.
- family: Localio
  given: R.
- family: Toussaint
  given: K.
- family: Hui
  given: A.
- family: West
  given: C.
- family: Stewart
  given: Yvonne
- family: McGinnis
  given: S.
- family: Gutierrez
  given: M.
- family: Beidas
  given: R.
da: '2023-09-28'
doi: 10.1080/02770903.2019.1619083
earlyaccessdate: JUN 2019
eissn: 1532-4303
files: []
issn: 0277-0903
journal: JOURNAL OF ASTHMA
keywords: 'Asthma; community health workers; integration; pediatrics;

  implementation science'
keywords-plus: 'ENVIRONMENTAL INTERVENTION; EMERGENCY-DEPARTMENT; COCKROACH ALLERGEN;

  SELF-MANAGEMENT; UNITED-STATES; HEALTH; CHILDREN; MORBIDITY; EXPOSURE;

  VIOLENCE'
language: English
month: AUG 2
number: '8'
number-of-cited-references: '33'
pages: 820-828
papis_id: 5f8d96c9c79252d1f91fa64a01ee5c14
ref: Bryantstephens2020creatingcommunitybas
researcherid-numbers: 'Beidas, Rinad/ABG-2094-2021

  Beidas, Rinad/AAD-8693-2022

  Kenyon, Chen/HLW-8726-2023'
times-cited: '6'
title: Creating a community-based comprehensive intervention to improve asthma control
  in a low-income, low-resourced community
type: article
unique-id: WOS:000478122300001
usage-count-last-180-days: '0'
usage-count-since-2013: '8'
volume: '57'
web-of-science-categories: Allergy; Respiratory System
year: '2020'