Evaluating the implementation of a community health worker-delivered intervention integrating asthma care in West Philadelphia public schools.
J Asthma
; 61(9): 940-950, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-38299937
ABSTRACT
OBJECTIVE:
Schools are an important setting because students spend much of their time in school and engage in physical activity during the school day that could exacerbate asthma symptoms. Our objective is to understand the barriers and facilitators to implementing an experimental community health worker-delivered care coordination program for students with asthma within the context of the West Philadelphia Controls Asthma study.METHODS:
Surveys (n = 256) and semi-structured interviews (n = 41) were completed with principals, teachers, nurses, and community health workers from 21 public and charter schools in West Philadelphia between January 2019 and September 2021. Survey participants completed the Evidence Based Practice Attitudes Scale, the Implementation Leadership Scale, and Organizational Climate Index. Semi-structured qualitative interview guides were developed, informed by the Consolidated Framework for Implementation Research.RESULTS:
Participant responses indicate that they perceived benefits for schools and students related to the community health worker-based care coordination program. Several barriers and facilitators to implementing the program were noted, including challenges associated with incorporating the program into school nurse workflow, environmental triggers in the school environment, and challenges communicating with family members. An important facilitator that was identified was having supportive school administrators and staff who were engaged and saw the benefits of the program.CONCLUSIONS:
This work can inform implementation planning for other locales interested in implementing community-based pediatric asthma control programs delivered by community health workers in schools.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Contexto em Saúde:
14_ODS3_health_workforce
/
1_ASSA2030
Base de dados:
MEDLINE
Assunto principal:
Asma
/
Serviços de Saúde Escolar
/
Agentes Comunitários de Saúde
Tipo de estudo:
Qualitative_research
Aspecto:
Implementation_research
Limite:
Adolescent
/
Child
/
Female
/
Humans
/
Male
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Asthma
/
J. asthma
/
Journal of asthma
Ano de publicação:
2024
Tipo de documento:
Article