Integrating asthma management and care in Maryland Head Start Programs: A qualitative assessment of opportunities and needs

Elizabeth Ruvalcaba, Jennifer Callaghan-Koru, Cynthia S Rand, Michelle Eakin

Research output: Contribution to journalArticle

Abstract

Purpose: To understand the role of Maryland Head Start (HS) programs in asthma care and identify resources and needs to improve health outcomes. Methods: A qualitative needs assessment was conducted with Maryland HS staff (n = 35) and parents/caregivers of enrolled children with asthma (n = 16) from all 14 grantee programs in Maryland. Focus group discussions and interviews addressed strengths and challenges in current asthma control and opportunities for integration of an asthma care program into HS services. Transcripts were thematically analyzed using a modified Framework approach. Results: HS programs actively communicate with families about asthma management and facilitate communication between families and primary care providers (PCPs). Both HS staff and families reported a strong trusting relationship allowing HS staff to provide asthma management support. HS needs strong linkages with supportive services and PCP offices to engage families, address environmental triggers, and educate staff. While families across the state report interest in peer education on asthma through HS, there were some region-specific asthma care barriers for urban and rural programs. Conclusion: This needs assessment confirmed interest among all stakeholders in integrating asthma care through HS and identified communication strategies, supportive infrastructure, and addressing regional access to care as key elements for program design.

Original languageEnglish (US)
Article number101684
JournalEvaluation and Program Planning
Volume77
DOIs
StatePublished - Dec 1 2019

Fingerprint

Needs Assessment
asthma
Asthma
management
staff
Primary Health Care
Communication
communication
need
programme
Qualitative assessment
group discussion
caregiver
Jurisprudence
parents
Focus Groups
stakeholder
Caregivers
infrastructure
Parents

Keywords

  • Asthma
  • Care
  • Children
  • Chronic
  • Education
  • Family
  • Head Start
  • Management
  • Maryland
  • Needs assessment
  • Opportunities
  • Pediatric
  • Preschool
  • Qualitative

ASJC Scopus subject areas

  • Business and International Management
  • Social Psychology
  • Geography, Planning and Development
  • Strategy and Management
  • Public Health, Environmental and Occupational Health

Cite this

Integrating asthma management and care in Maryland Head Start Programs : A qualitative assessment of opportunities and needs. / Ruvalcaba, Elizabeth; Callaghan-Koru, Jennifer; Rand, Cynthia S; Eakin, Michelle.

In: Evaluation and Program Planning, Vol. 77, 101684, 01.12.2019.

Research output: Contribution to journalArticle

@article{cd82d8fa68694fcb8169b64b5c2e5921,
title = "Integrating asthma management and care in Maryland Head Start Programs: A qualitative assessment of opportunities and needs",
abstract = "Purpose: To understand the role of Maryland Head Start (HS) programs in asthma care and identify resources and needs to improve health outcomes. Methods: A qualitative needs assessment was conducted with Maryland HS staff (n = 35) and parents/caregivers of enrolled children with asthma (n = 16) from all 14 grantee programs in Maryland. Focus group discussions and interviews addressed strengths and challenges in current asthma control and opportunities for integration of an asthma care program into HS services. Transcripts were thematically analyzed using a modified Framework approach. Results: HS programs actively communicate with families about asthma management and facilitate communication between families and primary care providers (PCPs). Both HS staff and families reported a strong trusting relationship allowing HS staff to provide asthma management support. HS needs strong linkages with supportive services and PCP offices to engage families, address environmental triggers, and educate staff. While families across the state report interest in peer education on asthma through HS, there were some region-specific asthma care barriers for urban and rural programs. Conclusion: This needs assessment confirmed interest among all stakeholders in integrating asthma care through HS and identified communication strategies, supportive infrastructure, and addressing regional access to care as key elements for program design.",
keywords = "Asthma, Care, Children, Chronic, Education, Family, Head Start, Management, Maryland, Needs assessment, Opportunities, Pediatric, Preschool, Qualitative",
author = "Elizabeth Ruvalcaba and Jennifer Callaghan-Koru and Rand, {Cynthia S} and Michelle Eakin",
year = "2019",
month = "12",
day = "1",
doi = "10.1016/j.evalprogplan.2019.101684",
language = "English (US)",
volume = "77",
journal = "Evaluation and Program Planning",
issn = "0149-7189",
publisher = "Elsevier Limited",

}

TY - JOUR

T1 - Integrating asthma management and care in Maryland Head Start Programs

T2 - A qualitative assessment of opportunities and needs

AU - Ruvalcaba, Elizabeth

AU - Callaghan-Koru, Jennifer

AU - Rand, Cynthia S

AU - Eakin, Michelle

PY - 2019/12/1

Y1 - 2019/12/1

N2 - Purpose: To understand the role of Maryland Head Start (HS) programs in asthma care and identify resources and needs to improve health outcomes. Methods: A qualitative needs assessment was conducted with Maryland HS staff (n = 35) and parents/caregivers of enrolled children with asthma (n = 16) from all 14 grantee programs in Maryland. Focus group discussions and interviews addressed strengths and challenges in current asthma control and opportunities for integration of an asthma care program into HS services. Transcripts were thematically analyzed using a modified Framework approach. Results: HS programs actively communicate with families about asthma management and facilitate communication between families and primary care providers (PCPs). Both HS staff and families reported a strong trusting relationship allowing HS staff to provide asthma management support. HS needs strong linkages with supportive services and PCP offices to engage families, address environmental triggers, and educate staff. While families across the state report interest in peer education on asthma through HS, there were some region-specific asthma care barriers for urban and rural programs. Conclusion: This needs assessment confirmed interest among all stakeholders in integrating asthma care through HS and identified communication strategies, supportive infrastructure, and addressing regional access to care as key elements for program design.

AB - Purpose: To understand the role of Maryland Head Start (HS) programs in asthma care and identify resources and needs to improve health outcomes. Methods: A qualitative needs assessment was conducted with Maryland HS staff (n = 35) and parents/caregivers of enrolled children with asthma (n = 16) from all 14 grantee programs in Maryland. Focus group discussions and interviews addressed strengths and challenges in current asthma control and opportunities for integration of an asthma care program into HS services. Transcripts were thematically analyzed using a modified Framework approach. Results: HS programs actively communicate with families about asthma management and facilitate communication between families and primary care providers (PCPs). Both HS staff and families reported a strong trusting relationship allowing HS staff to provide asthma management support. HS needs strong linkages with supportive services and PCP offices to engage families, address environmental triggers, and educate staff. While families across the state report interest in peer education on asthma through HS, there were some region-specific asthma care barriers for urban and rural programs. Conclusion: This needs assessment confirmed interest among all stakeholders in integrating asthma care through HS and identified communication strategies, supportive infrastructure, and addressing regional access to care as key elements for program design.

KW - Asthma

KW - Care

KW - Children

KW - Chronic

KW - Education

KW - Family

KW - Head Start

KW - Management

KW - Maryland

KW - Needs assessment

KW - Opportunities

KW - Pediatric

KW - Preschool

KW - Qualitative

UR - http://www.scopus.com/inward/record.url?scp=85070070803&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85070070803&partnerID=8YFLogxK

U2 - 10.1016/j.evalprogplan.2019.101684

DO - 10.1016/j.evalprogplan.2019.101684

M3 - Article

C2 - 31394433

AN - SCOPUS:85070070803

VL - 77

JO - Evaluation and Program Planning

JF - Evaluation and Program Planning

SN - 0149-7189

M1 - 101684

ER -