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Evaluation of a Multisite Asthma Program Initiative: Linking Program Activities with Distal Outcomes to Demonstrate Systems Change
138th APHA Annual Meeting (2010)
  • Lynn D. Woodhouse, Georgia Southern University
  • Russ Toal, Georgia Southern University
  • DeAnna Keene, Georgia Southern University
  • Laura H. Gunn, Georgia Southern University
  • Simone M. Charles, Georgia Southern University
  • Cassandra Arroyo, Walden University
  • Stuart Tedders, Georgia Southern University
  • William Livingood, Georgia Southern University
  • Trang Nguyen
Five unique community interventions to reduce childhood asthma morbidity and to facilitate healthcare and community systems level changes were developed and privately funded in GA. In an effort to document these outcomes and facilitate a multi-site level of understanding, the funder also contracted with our university-based evaluation team. Our team worked with program staff and developed a plan to document both program level evaluation and cross site measures (process, impact and outcome). The funded projects were charged with increasing enrollment of children and the management of their asthma. They used best practice interventions and planned to document that systems changes did indeed improve care as measured by emergency room visit reductions, hospitalization reductions, reduced school absences, increase quality of life and/or reduction of acute care primary care visits. The evaluation team worked to support the program leaders in their efforts to link the program activities and objectives with the more distal outcomes they hoped to achieve, such as reduced ER use, reduced hospitalization or reduced school absenteeism. This presentation will document the processes the evaluation team used to support the linking of the systems objectives to the distal outcomes through more short term or intermediate outcomes such as changes in timely use of appropriate medications or reduction in triggers for asthma. The need to produce a clear link between the program activities, systems changes and outcomes through evaluation evidence is critical when calling for policy change. Learning Areas: Chronic disease management and prevention; Conduct evaluation related to programs, research, and other areas of practice; Program planning; Public health or related organizational policy, standards, or other guidelines; Public health or related research; Social and behavioral sciences Learning Objectives: 1. Describe components of a community based asthma intervention and evaluation methods linked to these. 2. Compare different types of evaluation measures that can document the link between program activities and systems change.
  • Asthma,
  • Evaluation
Publication Date
November 9, 2010
Citation Information
Lynn D. Woodhouse, Russ Toal, DeAnna Keene, Laura H. Gunn, et al.. "Evaluation of a Multisite Asthma Program Initiative: Linking Program Activities with Distal Outcomes to Demonstrate Systems Change" 138th APHA Annual Meeting (2010)
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