Literaturnachweis - Detailanzeige
| Autor/inn/en | Clark, Noreen M.; Lachance, Laurie; Doctor, Linda Jo; Gilmore, Lisa; Kelly, Cindy; Krieger, James; Lara, Marielena; Meurer, John; Friedman Milanovich, Amy; Nicholas, Elisa; Rosenthal, Michael; Stoll, Shelley C.; Wilkin, Margaret |
|---|---|
| Titel | Policy and System Change and Community Coalitions: Outcomes from Allies against Asthma |
| Quelle | In: Health Education & Behavior, 41 (2014) 5, S.528-538 (11 Seiten)
PDF als Volltext |
| Sprache | englisch |
| Dokumenttyp | gedruckt; online; Zeitschriftenaufsatz |
| ISSN | 1090-1981 |
| DOI | 10.1177/1090198114547507 |
| Schlagwörter | Diseases; Program Descriptions; Parent Attitudes; Symptoms (Individual Disorders); Documentation; Public Policy; Children; Interviews; Quality of Life; Surveys; State Legislation; Correlation; Community Involvement; Change; Regression (Statistics) |
| Abstract | Objectives: We assessed policy and system changes and health outcomes produced by the Allies Against Asthma program, a 5-year collaborative effort by 7 community coalitions to address childhood asthma. We also explored associations between community engagement and outcomes. Methods: We interviewed a sample of 1,477 parents of children with asthma in coalition target areas and comparison areas at baseline and 1 year to assess quality-of-life and symptom changes. An extensive tracking and documentation procedure and a survey of 284 participating individuals and organizations were used to ascertain policy and system changes and community engagement levels. Results: A total of 89 policy and system changes were achieved, ranging from changes in interinstitutional and intrainstitutional practices to statewide legislation. Allies children experienced fewer daytime (P = 0.008) and nighttime (P = 0.004) asthma symptoms than comparison children. In addition, Allies parents felt less helpless, frightened, and angry (P = 0.01) about their child's asthma. Type of community engagement was associated with number of policy and system changes. Conclusions: Community coalitions can successfully achieve asthma policy and system changes and improve health outcomes. Increased core and ongoing community stakeholder participation rather than a higher overall number of participants was associated with more change. (As Provided). |
| Anmerkungen | SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com |
| Erfasst von | ERIC (Education Resources Information Center), Washington, DC |
| Update | 2017/4/10 |
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