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Starting an Asthma Education Program at the Local Level

Starting an Asthma Education Program at the Local Level. Andrea Jensen, B.S., CHES Environmental health Educator Utah county Health department. Today’s webinar. 1. What does your population look like? Who should you focus on? 2. How do you develop partnerships? Who do you select?

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Starting an Asthma Education Program at the Local Level

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  1. Starting an Asthma Education Program at the Local Level Andrea Jensen, B.S., CHES Environmental health Educator Utah county Health department

  2. Today’s webinar 1. 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!)

  3. Asthma Burden Most Common Chronic Disease among Children Source: Asthma and Allergy Foundation of America (AAFA)

  4. Asthma Burden #1 Cause of Missed School Days Source: Allergy and Asthma Foundation of America (AAFA)

  5. 1. Ask yourself: • What does my area look like? • Rural/urban • Demographics • How do you get that data? • Who do you want to focus on? • Age groups? • Ethnic group?

  6. Asthma Burden

  7. Asthma Burden

  8. We are 44 miles south of Salt Lake City, Utah We are the 2nd most populated county in Utah The population is 516,564* residents The county is 2,142 square miles Utah County Statistics

  9. Demographics White-83.4% Hispanic-11.2% Asian-2.3% Pacific Islander-1.4% Black-0.9% American Indian-0.9%

  10. Environmental Health Educator Unique position Funded through Air Quality program AND Mini grant from Asthma Program (Utah Dept. of Health - from CDC)

  11. Personal interest I have asthma All 3 teenagers have asthma Kids hospitalized 12 times for asthma Led to career change

  12. Utah County Asthma Coalition

  13. Current Asthma Prevalence by Age and Sex, Utah County, 2009-2011 Source: Behavioral Risk Factor Surveillance Survey, 2009-2011 Combined. Crude prevalence.

  14. Asthma Hospitalizations Utah County, 2003-2007 Source: Utah Inpatient Hospitalization Database, 2005-2007. Crude rates.

  15. Asthma Hospitalizations Utah County, 2008-2011 Source: 2011 Behavioral Risk Factor Surveillance System

  16. Asthma Hospitalizations and ED Visits, Utah County, 2007-2011 Source: Utah Inpatient Hospitalization and ED Database, 2007-2011. Age adjusted rates.

  17. State health department • Local hospitals • School nurses • American Lung Association • Asthma specialists • Parents of children with asthma 2. Who to partner with?

  18. Utah Asthma Program Issue 3 mini-grants to local health districts (CDC funding) Provide a few asthma interns every fall (to train school staff) Provide asthma telehealths Epidemiologist evaluate programs, provide data

  19. Intermountain Health Care • State system-wide asthma education program for all facilities (9 in total) • Asthma education taught in small steps • asthma basics, triggers, medications, inhaler technique, medication delivery devices, and monitoring

  20. Parents/patient teach back concept to assure they understand • Every parent (157) discharged w/ follow up plan • Includes the Asthma Action Plan • Monitoring system (asthma tracker)

  21. School Districts and School Nurses Alpine 71,000 students and 80 schools Nebo – 30,000 students and 40 schools Provo – 15,000 students and 18 schools

  22. Nurse-student ratio • School Nurse to Student Ratio (2010 Annual Report) • Alpine 1: 6,004 • Nebo 1: 4,222 • Provo 1: 7,643

  23. Utah County School Nurses Employed through Utah County Health Dept(NOT the schools) 116,000 students 138 public schools Service between 5-8 schools

  24. This is where I fit in! School trainings Coach trainings Daycare trainings Blog Classes for the public

  25. 3. 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 Program For ALL school staff members 20 minute training

  27. Online training for coaches PE Teachers-Winning with Asthma 30 minute on-line training Free clipboard

  28. Clipboard 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 staff For all day care staff members 45 minute training Environmental focus

  30. “My Life as an Asthma Mom” blog

  31. More about blog Used by school nurses state-wide to help their families. Included on the Utah School Nursing Association (USNA) website Listed as “One of 10 Best Asthma Blogs” 2012 by Healthline

  32. For adults: Living Well with Chronic Conditions (UDOH) FREE 6 week program Evidence based-Stanford University (Chronic Disease Self Managment) Taught world wide

  33. Open Airways – ALA Students 8-11 American Lung Association Free 6 week program Trained university students help teach

  34. Public Health Interns • Best kept secret!! • 2 local universities • Mandatory requirement • 250 hours at Utah Valley University • 325 hours at Brigham Young University

  35. Kickin’ Asthma – ALA California Grades 6-10 Specially geared toward teens living in low-income neighborhoods These teens often have higher rates of asthma and are more likely to end up in the emergency room

  36. Breathe Well, Live Well - ALA • Adult asthma education workshop • Teaches adults the knowledge and self-management skills to take control of their asthma • Developed with support of the CDC

  37. Lung Help Line - ALA Lung Cancer Asthma Allergies Emphysema Smoking Cessation Environmental Health 1-800-LUNGUSA 1-800-586-4872 Staffed by Registered Nurses Registered Respiratory Therapist

  38. Summer camp for kids with asthma! Utah’s Camp Wyatt (American Lung Association) Kids ages 7-12 Medical personnel on staff 24 hours a day

  39. Free EPA publications

  40. Minnesota Health Department

  41. Newly Diagnosed Asthma Packet Newly Diagnosed Asthma Packet (English & Spanish) Developed with feedback from focus group Reviewed by physician, nurse, asthma specialist, pharmacist, respiratory therapist, parents

  42. Asthma Bronchial Tubes

  43. Asthma Telehealth

  44. Co-pay assistance

  45. Questions? Andrea Jensen, B. S., CHES Certified Health Education Specialist Andreaj@utahcounty.gov 801-851-7509

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