Asthma home visits for high-risk pediatric patients with uncontrolled or poorly controlled asthma and recent history of emergency room use, led by a community health worker (CHW), have been shown to be effective in improving asthma outcomes and patient and caregiver quality of life.
In this model, CHWs work as part of the healthcare team to improve communication among patients, their families, and the clinical team, and to assess asthma triggers in patients’ homes. The intervention includes offering several low-cost items (mattress covers, HEPA vacuum, etc.), when needed, to remove the environmental triggers.
The CHW also educates patients and families about asthma self-management and double-checks their understanding of medications, reinforcing the asthma action plan created by the clinical providers. The CHW also helps to assess factors influencing patients’ ability to self-manage their care, advocates with their landlords, and links them to community resources and supports.
CHWs can be located in diverse clinical settings where they are closely integrated into the primary or specialty care clinical team, or they may work in a community-based program. Clinical settings can include community health centers, hospital-based clinics, private pediatric offices, and clinical provider groups. CHWs can be centrally managed for multiple practices. Regardless of where CHW is located, strong communication with primary care providers is a key component to the model’s success.
Learn more about CHW-led asthma home visiting.