Presentation on theme: "Starting an Asthma Education Program at the Local Level"— Presentation transcript:
1Starting an Asthma Education Program at the Local Level Andrea Jensen, B.S., CHESEnvironmental health EducatorUtah county Health department
2Today’s webinar1. What does your population look like? Who should you focus on?2. How do you develop partnerships? Who do you select?3. Interventions, resources available (I can help you start a program with very little funding!)
3Most Common Chronic Disease among Children Asthma BurdenMost Common Chronic Disease among ChildrenSource: Asthma and Allergy Foundation of America (AAFA)
4#1 Cause of Missed School Days Asthma Burden#1 Cause of Missed School DaysSource: Allergy and Asthma Foundation of America (AAFA)
51. Ask yourself: What does my area look like? Rural/urbanDemographicsHow do you get that data?Who do you want to focus on?Age groups?Ethnic group?
6Asthma Burden 6.7% of Children in Utah 59,000 Children 2,360 ClassroomsAdults are 8.6% or 167,000 state wide
78.6% of adults in Utah 167,000 Adults Asthma Burden Adults are 8.6% or 167,000 state wide
8Utah County Statistics We are 44 miles south of Salt Lake City, UtahWe are the 2nd most populated county in UtahThe population is 516,564* residentsThe county is 2,142 square milesUtah County Statistics
10Environmental Health Educator Unique positionFunded through Air Quality program ANDMini grant from Asthma Program (Utah Dept. of Health - from CDC)
11Personal interest I have asthma All 3 teenagers have asthma Kids hospitalized 12 times for asthmaLed to career change
12Utah County Asthma Coalition 2001UDOH receives funding from CDC2009Utah County Asthma Coalition formed2010Local 5 year asthma plan createdUtah received asthma funding from the CDC in late 2001.
13Current Asthma Prevalence by Age and Sex, Utah County, 2009-2011 Source: Behavioral Risk Factor Surveillance Survey, Combined. Crude prevalence.
14Asthma Hospitalizations Utah County, 2003-2007 YearNumberRate per 10,000 Population20032335.5200423920052024.420061954.120071503.0Source: Utah Inpatient Hospitalization Database, Crude rates.
15Asthma Hospitalizations Utah County, 2008-2011 YearNumberRate per 10,000 Population20081462.9920091803.5720102.8120111923.622012Source: 2011 Behavioral Risk Factor Surveillance System
16Asthma Hospitalizations and ED Visits, Utah County, 2007-2011 Source: Utah Inpatient Hospitalization and ED Database, Age adjusted rates.
172. Who to partner with? State health department Local hospitals School nursesAmerican Lung AssociationAsthma specialistsParents of children with asthma2. Who to partner with?
18Utah Asthma ProgramIssue 3 mini-grants to local health districts (CDC funding)Provide a few asthma interns every fall (to train school staff)Provide asthma telehealthsEpidemiologist evaluate programs, provide data
19Intermountain Health Care State system-wide asthma education program for all facilities (9 in total)Asthma education taught in small stepsasthma basics, triggers, medications, inhaler technique, medication delivery devices, and monitoring
20Parents/patient teach back concept to assure they understand Every parent (157) discharged w/ follow up planIncludes the Asthma Action PlanMonitoring system (asthma tracker)
21School Districts and School Nurses Alpine 71,000 students and 80 schoolsNebo – 30,000 students and 40 schoolsProvo – 15,000 students and 18 schools
22Alpine 1: 6,004 Nebo 1: 4,222 Provo 1: 7,643 Nurse-student ratio School Nurse to Student Ratio (2010 Annual Report)Alpine 1: 6,004Nebo 1: 4,222Provo 1: 7,643
23Utah County School Nurses Employed through Utah County Health Dept (NOT the schools)116,000 students138 public schoolsService between 5-8 schools
24This is where I fit in! School trainings Coach trainings Daycare trainingsBlogClasses for the public
253. Ideas to get you started with very little funding! Resources I use….
26“What to Do in Case of an Asthma Attack” Created by UDOH Asthma ProgramFor ALL school staff members20 minute training
27Online training for coaches PE Teachers-Winning with Asthma30 minute on-line trainingFree clipboard
28Clipboard printed with: “Common Symptoms of an Asthma Attack”“WHAT TO DO DURING AN ASTHMA ATTACK”“DO NOT HESITATE TO CALL 911 IF:”
29“Asthma Friendly Daycares” Created by Asthma Program staffFor all day care staff members45 minute trainingEnvironmental focus
31More about blogUsed by school nurses state-wide to help their families.Included on the Utah School Nursing Association (USNA) websiteListed as “One of 10 Best Asthma Blogs” 2012 by Healthline
32For adults: Living Well with Chronic Conditions (UDOH) FREE 6 week programEvidence based-Stanford University (Chronic Disease Self Managment)Taught world wide
33Open Airways – ALA Students 8-11 American Lung Association Free 6 week programTrained university students help teach
34Public Health Interns Best kept secret!! 2 local universities Mandatory requirement250 hours at Utah Valley University325 hours at Brigham Young University
35Kickin’ Asthma – ALA California Grades 6-10Specially geared toward teens living in low-income neighborhoodsThese teens often have higher rates of asthma and are more likely to end up in the emergency room
36Breathe Well, Live Well - ALA Adult asthma education workshopTeaches adults the knowledge and self-management skills to take control of their asthmaDeveloped with support of the CDC
37Lung Help Line - ALA Lung Cancer Asthma Allergies Emphysema Smoking CessationEnvironmental Health1-800-LUNGUSAStaffed by Registered NursesRegistered Respiratory Therapist
38Summer camp for kids with asthma! Utah’s Camp Wyatt (American Lung Association)Kids ages 7-12Medical personnel on staff 24 hours a day