title: Integrating Environmental Management of Asthma into Pediatric Health Care: What Worked and What Still Needs Improvement?
abstract: The National Environmental Education Foundation (NEEF) launched an initiative in 2005 to integrate environmental management of asthma into pediatric health care. This study, a follow-up to a 2013 study, evaluated the program's impact and assessed training results by 5 new faculty champions. We surveyed attendees at training sessions to measure knowledge and the likelihood of asking about and managing environmental triggers of asthma. To conduct the program evaluation, a workshop was held with the faculty champions and NEEF staff in which we identified major program benefits, as well as challenges and suggestions for the future. Trainee baseline knowledge of environmental triggers was low, but they reported robust improvement in environmental triggers knowledge and intention to recommend environmental management. The program has a broad, national scope, reaching more than 12 000 physicians, health care providers, and students, and some faculty champions successfully integrated materials into health record. Program barriers and future endeavors were identified.
authors.affiliation: 1 Medical University of South Carolina, Charleston, SC, USA.
authors.forename: James R
authors.initials: JR
authors.lastname: Roberts
authors.affiliation: 2 Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Nicholas
authors.initials: N
authors.lastname: Newman
authors.affiliation: 3 National Environmental Education Foundation, Washington, DC, USA.
authors.forename: Leyla E
authors.initials: LE
authors.lastname: McCurdy
authors.affiliation: 3 National Environmental Education Foundation, Washington, DC, USA.
authors.forename: Jane S
authors.initials: JS
authors.lastname: Chang
authors.affiliation: 4 The George Washington University, Washington, DC, USA.
authors.forename: Mauro A
authors.initials: MA
authors.lastname: Salas
authors.affiliation: 5 University of Missouri School of Medicine, Columbia, MO, USA.
authors.forename: Bernard
authors.initials: B
authors.lastname: Eskridge
authors.affiliation: 6 University of Texas Health Sciences Center, Houston, TX, USA.
authors.forename: Lisa
authors.initials: L
authors.lastname: De Ybarrondo
authors.affiliation: 7 Boston University School of Medicine, Boston, MA, USA.
authors.forename: Megan
authors.initials: M
authors.lastname: Sandel
authors.affiliation: 6 University of Texas Health Sciences Center, Houston, TX, USA.
authors.forename: Lynnette
authors.initials: L
authors.lastname: Mazur
authors.affiliation: 8 University of Washington, Seattle, WA, USA.
authors.forename: Catherine J
authors.initials: CJ
authors.lastname: Karr
mesh_terms: D001249:Asthma / Q000517:prevention & control* / Q000628:therapy; D002648:Child; D002983:Clinical Competence; D004781:Environmental Exposure / Q000517:prevention & control*; D005178:Faculty; D005500:Follow-Up Studies; D006282:Health Personnel / Q000193:education*; D006801:Humans; D054585:National Institute of Environmental Health Sciences (U.S.); D015397:Program Evaluation / Q000379:methods*; D014481:United States
keywords: asthma; education; environmental health; environmental triggers; pediatric