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. 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

Noreen M Clark  1 , Laurie Lachance, Linda Jo Doctor, Lisa Gilmore, Cindy Kelly, James Krieger, Marielena Lara, John Meurer, Amy Friedman Milanovich, Elisa Nicholas, Michael Rosenthal, Shelley C Stoll, Margaret Wilkin
Affiliations

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

Noreen M Clark et al. Am J Public Health. 2010 May.

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.

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Figures

FIGURE 1
FIGURE 1
Numbers of policy and system changes achieved (n = 254) per site, by type of partners: Allies Against Asthma, 7 US locations, 2002–2006.
See this image and copyright information in PMC

References

    1. International Conference on Primary Health Care Declaration of Alma-Ata. WHO Chron 1978;32(11):428–430 - PubMed
    1. McMillan B, Florin P, Stevenson J, Kerman B, Mitchell RE. Empowerment praxis in community coalitions. Am J Community Psychol 1995;23(5):699–727 - PubMed
    1. El-Ansari W, Phillips CJ, Zwi AB. Public health nurses' perspectives on collaborative partnerships in South Africa. Public Health Nurs 2004;21(3):277–286 - PubMed
    1. Cashman SB, Adeky S, Allen AJ, et al. The power and the promise: working with communities to analyze data, interpret findings, and get to outcomes. Am J Public Health 2008;98(8):1407–1417 - PMC - PubMed
    1. Hemingway A. Determinants of coronary heart disease risk for women on a low income: literature review. J Adv Nurs 2007;60(4):359–367 - PubMed

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