Environmental Management of Pediatric Asthma: Guidelines for Health Care Providers The National Environmental Education & Training Foundation

Overview Founded upon NAEPP Guidelines To be used in conjunction with its clinical and pharmacological components Developed for providers of pediatric primary care: pediatricians, family physicians, internists, pediatric nurse practitioners, pediatric nurses, and physician assistants Authored by expert steering committee and peer- reviewed Built on scientific literature and best current practices

Overview Endorsed by: Ambulatory Pediatric Association American Association of Colleges of Nursing Association of Faculties of Pediatric Nurse Practitioners Supported by: American Academy of Pediatrics National Association of Pediatric Nurse Practitioners (As of 2/24/2006)

Developed for children 0-18 years, already diagnosed with asthma Applies to all settings where children spend time Outdoors Homes, schools, and daycare centers Cars and school buses Camps, relatives’/friends’ homes, other recreational or housing settings Occupational environments Available online, in hard copy, and on CD-ROM Overview

Components Educational competencies Environmental history form Environmental intervention guidelines Sample Patient Flyers and References Strategies for integrating into health care provider curricula and clinical practice Supplemented by online list of resources with web-links

Competencies I. Knowledge of Environmental Triggers of Asthma II. Identification of Environmental Triggers of Asthma III. Environmental Intervention and Treatment IV. Ability to Counsel Caregivers and Pediatric Asthma Patients on the Reduction of Environmental Asthma Triggers V. Effective Communication and Patient Follow-Up Skills VI. Advocacy

History Form Quick intake form Administered by health care provider Available online as PDF and Word document Can be pasted into existing template Questions are in yes/no format Follow up yes answer with in-depth questions on Intervention Guidelines fact sheets

Intervention Guidelines Two-visit concept Separate fact sheets: Dust Mites Animal Allergen Cockroach Allergen Mold/Mildew Environmental Tobacco Smoke Air Pollution

Intervention Guidelines Short introduction In-depth questions Explore exposure sources Parents’ current practices Intervention recommendations Sample patient handouts to download Additional resources on initiative’s website

Steering Committee James Roberts, MD, MPH (Chair) – Medical University of South Carolina Elizabeth Blackburn, RN – Environmental Protection Agency Allen Dearry, PhD – National Institute of Environmental Health Sciences Patricia deSa, MS – Kaiser Permanente Peyton Eggleston, MD – John Hopkins University, School of Medicine Ruth Etzel, MD, PhD – George Washington University, School of Public Health Joel Forman, MD – Mount Sinai School of Medicine Robert Johnson, MD – Agency for Toxic Substances and Disease Registry Philip Landrigan, MD, MSc – Mount Sinai School of Medicine Leyla Erk McCurdy, MPhil – National Environmental Education & Training Foundation Stephen Redd, MD – Centers for Disease Control and Prevention Richard M. Roth, MD – Kaiser Permanente Dave Rowson – Environmental Protection Agency Barbara Sattler, RN, DrPH – University of Maryland, School of Nursing Alisa Smith, PhD – Environmental Protection Agency Laurel Talabere, PhD, RN – Capital University Robert Wood, MD – John Hopkins University, School of Medicine Lorrie Yoos, PhD, CPNP – University of Rochester

Contact Information Leyla Erk McCurdy Senior Director Health & Environment Programs Phone: NEETF is tracking usage and requests your feedback