Tribal Asthma Home Visit Programs
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Tribal Asthma Home Visit Programs Marci Getz, MPH Asthma Disparities Project Coordinator Washington State Department of Health June15, 2011
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Tribal Asthma Home Visit Programs. Marci Getz, MPH Asthma Disparities Project Coordinator Washington State Department of Health June15, 2011. Presentation Outline. Health disparities data Goals of project PGST A sthma Home Visit Program Evaluation Successes & barriers - PowerPoint PPT Presentation
Transcript of Tribal Asthma Home Visit Programs
Tribal Asthma Home Visit ProgramsMarci Getz, MPH
Asthma Disparities Project Coordinator Washington State Department of Health
June15, 2011
Presentation Outline• Health disparities data• Goals of project• PGST Asthma Home Visit Program• Evaluation• Successes & barriers• Starting an asthma home visit program
Health Disparities
Asthma Among WA AI/ANs• Non-Hispanic AI/AN adults highest asthma rate
in WA (16.9%)
• AI/AN adults have very poorly controlled asthma
• Native Americans were 3.1 times more likely to die from asthma as non-Hispanic whites
More Data
Risk Factors
AI/AN Non-Hisp. White
Annual household income less than $25,000 37% 16%
Prevalence of current asthma among smokers 17% 11%
% of individuals who smoke 33% 16%
Someone had smoked in home in the last week 28% 11%
Project Goals
1. Reduce asthma-related health disparities in tribal communities
2. Build skills and capacity within Washington tribes to address asthma
3. Develop model for a tribal asthma home visit program
Selection Process• Competitive process• Diverse selection committee• Clear eligibility criteria
Port Gamble S’Klallam Tribe
Asthma Home Visits
• Home environmental assessments
• Trigger reduction• Self-management
education
Major Tasks
• Engage community• Develop culturally
appropriate program materials & protocols
Major Tasks• Deliver home visit
services
• Develop tribal program implementation guidebook
Evaluation
•Asthma Control Test
•BRFSS questions
•King Co. questions
•Quality of life, knowledge, & behavior change
•Process evaluation for first 15 families
Successes & Barriers• Motivation & commitment • Participants are reporting positive health
outcomes: clearer understanding of preventative vs. rescue medications
• Multiple demands on the Community Health Representatives (CHR’s) time
Thinking of Starting a Program?• Tribe with health clinic
• Project coordinator & home visitor(s) based in clinic, have access to medical records
• Home visit staff that are known in their community
• Transportation
Questions/Comments?
