Community Health Workers' Role in Supporting Pediatric Asthma Management: A Review.
Community Health Workers' Role in Supporting Pediatric Asthma Management: A Review.
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DOI：
10.1037/cpp0000319
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发表时间：
2020-06
影响因子：
1.1
通讯作者：
Koinis-Mitchell, Daphne
中科院分区：
文献类型：
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作者：
Coutinho, Maria Teresa;Subzwari, Sumera S;McQuaid, Elizabeth L;Koinis-Mitchell, Daphne
社区卫生工作者通过提供健康教育和管理服务，有效地改善了脆弱社区的健康状况。我们回顾CHW领导的儿童及其家庭哮喘教育和管理干预措施。接下来，我们描述了罗得岛哮喘综合反应护理实施计划（RI-AIR）中儿童哮喘管理中CHW的选择和培训。我们使用关键词（“社区卫生工作者”、“哮喘”、“卫生工作者”、“非专业工作者”、“儿科”、“儿童”和“儿童期”）查询了MEDLine、科克伦、PubMed和EMBASE数据库，从开始到2019年9月。研究入选标准包括：以英语发表，在美国进行，经伦理通知批准，在同行评审期刊上发表，并涉及CHW作为干预者。初步检索确定了216份手稿。15项研究符合纳入标准。CHW提供哮喘管理和教育服务，包括家庭环境触发评估，减少环境触发暴露的策略，资源联系和社区转诊。我们描述了RI-AIR及其CHW领导的哮喘教育和管理干预措施。CHW是积极哮喘结果的有效和重要支持。需要更多的研究来指导使用CHW的干预模式，特别是解决跨学科团队的整合，培训和CHW服务的报销。CHW能有效地帮助哮喘儿童及其家人学会管理哮喘。重要的是要制定计划，准备CHW与其他医疗专业人员和卫生保健模式，以支付他们的服务。
Community Health Workers (CHWs) have been effective in improving health outcomes in vulnerable communities by providing health education and management services. We review CHW-led asthma education and management interventions for children and their families. Next, we describe the selection and training of CHWs in pediatric asthma management in the Rhode Island Integrated Response Asthma Care Implementation Program (RI-AIR). We queried the MEDLine, Cochrane, PubMed, and EMBASE databases with keywords (“community health worker”, “asthma”, “health worker”, “lay worker”, “pediatric”, “child”, and “childhood”) from inception until September 2019. Criteria for study inclusion included: published in English, conducted in the United States, approved with an ethics notification, published in peer-reviewed journal, and involved CHWs as the interventionists. The initial search identified 216 manuscripts. Fifteen studies met criteria for inclusion. CHWs provide asthma management and education services, including home environmental trigger assessments, strategies to reduce environmental trigger exposure, resource linkage, and community referrals. We describe RI-AIR, and its CHW-led asthma education and management interventions. CHWs are effective and vital supports for positive asthma outcomes. More research is needed to guide models of intervention using CHWs, specifically addressing integration in interdisciplinary teams, training, and reimbursement for CHW services. CHWs are effective in helping children with asthma and their families learn to manage asthma. It is important to develop programs that prepare CHWs to work with other medical professionals and health care models to pay for their services.