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ANDREA JENSEN, B.S. , CHESENVIRONMENTAL HEALTH EDUCATORUTAH COUNTY HEALTH DEPARTMENT
Starting an Asthma Education Program at the
Local Level
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!)
Asthma Burden
Most Common Chronic Disease among
Children
Source: Asthma and Allergy Foundation of America (AAFA)
Asthma Burden
#1 Cause of Missed
School Days
Source: Allergy and Asthma Foundation of America (AAFA)
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?
Asthma Burden
6.7% of Children in Utah
59,000 Children
2,360 Classroo
ms
Asthma Burden
8.6% of adults
in Utah
167,000
Adults
Utah County Statistics
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
Demographics
White-83.4%Hispanic-11.2%Asian-2.3%Pacific Islander-1.4%Black-0.9%American Indian-0.9%
Environmental Health Educator
Unique position
Funded through Air Quality program AND
Mini grant from Asthma Program (Utah Dept. of Health - from CDC)
Personal interest
I have asthma
All 3 teenagers have asthma
Kids hospitalized 12 times for asthma
Led to career change
Utah County Asthma Coalition
2001 UDOH receives funding from CDC
2009 Utah County Asthma Coalition formed
2010 Local 5 year asthma plan created
Current Asthma Prevalence by Age and Sex, Utah County, 2009-2011
Source: Behavioral Risk Factor Surveillance Survey, 2009-2011 Combined. Crude prevalence.
0-17 18-34 35-49 50-64 65+0
2
4
6
8
10
12
7.37.7
6.7 5.9 6.2
4.8
10.4
7.88.1
11.2
6.0
9.0
7.2 7.0
9.1
MaleFemaleTotalP
ercen
t
Asthma Hospitalizations Utah County, 2003-2007
Year Number Rate per 10,000 Population
2003 233 5.5
2004 239 5.5
2005 202 4.4
2006 195 4.1
2007 150 3.0
Source: Utah Inpatient Hospitalization Database, 2005-2007. Crude rates.
Asthma Hospitalizations Utah County, 2008-2011
Year Number Rate per 10,000 Population
2008 146 2.99
2009 180 3.57
2010 146 2.81
2011 192 3.62
2012
Source: 2011 Behavioral Risk Factor Surveillance System
Asthma Hospitalizations and ED Visits, Utah County, 2007-2011
Source: Utah Inpatient Hospitalization and ED Database, 2007-2011. Age adjusted rates.
2007 2008 2009 2010 20110
2
4
6
8
10
12
14
16
18
ED VisitsHospitalizations
Rate
per
10,0
00
2. Who to
partner with?
State health department
Local hospitals
School nurses
American Lung Association
Asthma specialists
Parents of children with asthma
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
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
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)
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
Nurse-student ratio
School Nurse to Student Ratio (2010 Annual Report)
Alpine 1: 6,004
Nebo 1: 4,222
Provo 1: 7,643
Utah County School Nurses
Employed through Utah County Health Dept (NOT the schools)
116,000 students
138 public schools
Service between 5-8 schools
This is where I fit in!
School trainings
Coach trainings
Daycare trainings
Blog
Classes for the public
Resources I use….
3. Ideas to get you started with very little funding!
“What to Do in Case of an Asthma Attack”
Created by UDOH Asthma Program
For ALL school staff members
20 minute training
Online training for coaches
PE Teachers-Winning with Asthma
30 minute on-line training
Free clipboard
Clipboard printed with:
“Common Symptoms of an Asthma Attack”
“WHAT TO DO DURING AN ASTHMA ATTACK”
“DO NOT HESITATE TO CALL 911 IF:”
“Asthma Friendly Daycares”
Created by Asthma Program staff
For all day care staff members
45 minute training
Environmental focus
“My Life as an Asthma Mom” blog
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
For adults:
Living Well with Chronic Conditions (UDOH)
FREE 6 week program
Evidence based-Stanford University (Chronic Disease Self Managment)
Taught world wide
Open Airways – ALA
Students 8-11
American Lung Association Free 6 week program
Trained university students help teach
Public Health Interns
Best kept secret!!
2 local universities
Mandatory requirement 250 hours at Utah
Valley University 325 hours at Brigham
Young University
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
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
Lung Help Line - ALA
Lung CancerAsthmaAllergiesEmphysemaSmoking CessationEnvironmental Health
1-800-LUNGUSA
1-800-586-4872
Staffed by Registered Nurses
Registered Respiratory Therapist
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
Free EPA publications
Minnesota Health Department
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
Asthma Bronchial Tubes
Asthma Telehealth
Co-pay assistance
Questions?
Andrea Jensen, B. S., CHES
Certified Health Education Specialist
801-851-7509
