PCORI funds Dissemination and Implementation projects to increase awareness and promote the use of PCORI research findings to improve healthcare practices and health outcomes. This project is proposing to conduct dissemination and implementation activities for the results of the research project: Guidelines to Practice (G2P): Reducing Asthma Health Disparities through Guideline Implementation.
This project is in progress.
What were the results from the original PCORI-funded research study?
Children and adults with poorly controlled asthma who had home visits from community health workers, or CHWs, had more days without asthma symptoms than patients who didn’t get home visits. Patients who got home visits also went to the emergency room less often, missed fewer days of work and school, and reported better quality of life compared with patients who didn’t get home visits. During the visits, CHWs helped patients identify asthma triggers; they also provided asthma education and supplies like pillow and mattress covers.
Why is this research finding important?
CHWs are people from the local community who are trained to teach about health and link people with health and social services. This study showed CHWs can work as part of a care team to help people understand and avoid things that trigger their asthma symptoms.
What is the goal of this project?
The project’s overall goal is to make the tested CHW Asthma Home visit model part of asthma care in communities across Washington State. The team will work collaboratively with stakeholders statewide to train and support CHWs and CHW supervisors on this model.
What is the project team doing?
The project team is expanding the CHW home visit program, which was developed in Seattle, to four other communities in Washington State. Over two years, they aim to reach 1,700 people with Medicaid insurance who have poorly controlled asthma.
In addition, the project team is revising training materials so they can be used in different communities. They are developing training for managers who help CHWs learn about asthma as well as online and hands-on training for CHWs.
How is the team evaluating this project?
The team is monitoring the numbers of
- Programs that are adopting home visits
- CHWs trained to make home visits
- Trained CHW program managers and supervisors
- Home visits from CHWs
- Changes in asthma health outcomes
The project team is also looking at how communities establish and use the CHW program and challenges they face in the first year of the program.
How is the team involving patients and others in making sure the findings reach people who can use them?
People with asthma, CHWs, CHW managers, Medicaid Managed Care Organizations, and primary care clinicians are part of a community advisory committee that is helping the project team develop the program, including developing training and support for programs in communities with diverse needs.
Learn more about PCORI’s Dissemination and Implementation program here.