Policy and System Change and Community Coalitions: Outcomes From Allies Against Asthma.
American Journal of Public Health, 2010
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 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.
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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