Format

Send to:

Choose Destination
See comment in PubMed Commons below
Am J Public Health. 2010 May;100(5):904-12. doi: 10.2105/AJPH.2009.180869. Epub 2010 Mar 18.

Policy and system change and community coalitions: outcomes from allies against asthma.

Author information

  • 1109 Observatory St, Ann Arbor, MI 48109-2029, USA. nmclark@umich.edu

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 1477 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 = .008) and nighttime (P = .004) asthma symptoms than comparison children. In addition, Allies parents felt less helpless, frightened, and angry (P = .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.

PMID:
20299641
[PubMed - indexed for MEDLINE]
PMCID:
PMC2853617
Free PMC Article
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Atypon Icon for PubMed Central
    Loading ...
    Write to the Help Desk