Viswanathan Meera, Lux Linda, Lohr Kathleen N, Evans Tammeka Swinson, Smith Lucia Rojas, Woodell Carol, Mansfield Carol, Darcy Niamh, Ohadike Yvonne U, Lesch Julie Kennedy, Malveaux Floyd J
RTI International, Research Triangle Park, NC, USA.
Health Promot Pract. 2011 Nov;12(6 Suppl 1):9S-19S. doi: 10.1177/1524839911412594.
Pediatric asthma is a multifactorial disease, requiring complex, interrelated interventions addressing children, families, schools, and communities. The Merck Childhood Asthma Network, Inc. (MCAN) is a nonprofit organization that provides support to translate evidence-based interventions from research to practice. MCAN developed the rationale and vision for the program through a phased approach, including an extensive literature review, stakeholder engagement, and evaluation of funding gaps. The analysis pointed to the need to identify pediatric asthma interventions implemented in urban U.S. settings that have demonstrated efficacy and materials for replication and to translate the interventions into wider practice. In addition to this overall MCAN objective, specific goals included service and system integration through linkages among health care providers, schools, community-based organizations, patients, parents, and other caregivers. MCAN selected sites based on demonstrated ability to implement effective interventions and to address multiple contexts of pediatric asthma prevention and management. Selected MCAN program sites were mature institutions or organizations with significant infrastructure, existing funding, and the ability to provide services without requiring a lengthy planning period. Program sites were located in communities with high asthma morbidity and intended to integrate new elements into existing programs to create comprehensive care approaches.
儿童哮喘是一种多因素疾病，需要针对儿童、家庭、学校和社区采取复杂且相互关联的干预措施。默克儿童哮喘网络公司（MCAN）是一个非营利组织，致力于提供支持，将基于证据的干预措施从研究转化为实践。MCAN通过分阶段的方法制定了该项目的基本原理和愿景，包括广泛的文献综述、利益相关者参与以及对资金缺口的评估。分析表明，有必要确定在美国城市环境中实施的已证明有效的儿童哮喘干预措施以及可供复制的材料，并将这些干预措施推广到更广泛的实践中。除了MCAN的这一总体目标外，具体目标还包括通过医疗保健提供者、学校、社区组织、患者、家长和其他护理人员之间的联系实现服务和系统整合。MCAN根据已证明的实施有效干预措施的能力以及应对儿童哮喘预防和管理多种情况的能力来选择项目地点。选定的MCAN项目地点是具有重要基础设施、现有资金且无需漫长规划期就能提供服务的成熟机构或组织。项目地点位于哮喘发病率高的社区，旨在将新元素融入现有项目，以创建全面的护理方法。
