Mansfield Carol, Viswanathan Meera, Woodell Carol, Nourani Vesall, Ohadike Yvonne U, Lesch Julie Kennedy, Malveaux Floyd J, Bryant-Stephens Tyra, Findley Sally, Lara Marielena, Matiz Adriana, Valencia Gilberto Ramos, Rosenthal Michael, Persky Victoria W, Uyeda Kimberly, Williams Rhonda, Banda Elizabeth, Ramirez-Diaz Erline, Reyes Beatriz Morales, Montoya Jorge, West Caroline
RTI International, Research Triangle Park, NC, USA.
Health Promot Pract. 2011 Nov;12(6 Suppl 1):34S-51S. doi: 10.1177/1524839911415665.
This article reports on an evaluation of the Merck Childhood Asthma Network, Inc. (MCAN) initiative using pooled cross-site data on patient-reported outcomes pre- and postintervention to quantify the changes experienced by children in five program sites supported by the network. The results show a consistent pattern of improvement across all measured outcomes, including symptoms, hospital and emergency department use, school absences, and caregiver confidence. Children who started with uncontrolled asthma experienced larger improvements than children with controlled asthma at baseline. However, even considering the significant gains made by children with uncontrolled asthma at baseline, after 12 months, most of the outcomes for these children were significantly worse than the 12-month outcomes for children with controlled asthma at baseline. The evaluation of the MCAN initiative offers a model that can be used in cases where resources must be balanced between evaluation and delivering services to children. The design process and results from the common survey instrument provide information for future initiatives seeking to translate evidence-based interventions in a community-based setting.
本文报告了对默克儿童哮喘网络公司（MCAN）倡议的一项评估，该评估使用了干预前后患者报告结果的汇总跨站点数据，以量化该网络支持的五个项目地点的儿童所经历的变化。结果显示，在所有测量结果中都呈现出一致的改善模式，包括症状、医院和急诊科就诊情况、学校缺勤以及照顾者信心。基线时哮喘未得到控制的儿童比基线时哮喘得到控制的儿童改善幅度更大。然而，即使考虑到基线时哮喘未得到控制的儿童取得了显著进展，但12个月后，这些儿童的大多数结果仍明显比基线时哮喘得到控制的儿童的12个月结果更差。对MCAN倡议的评估提供了一个模型，可用于在评估与为儿童提供服务之间必须平衡资源的情况下。通用调查工具的设计过程和结果为未来旨在在社区环境中转化基于证据的干预措施的倡议提供了信息。
