"What we're trying to do is translate the GIP [Guidelines Implementation Panel] messages into clinical practice….The idea is to get the self-care part of the GIP message so that the patients can better follow-through on what the primary care provider and his or her staff are recommending. And…we're trying to teach the providers how to better send the message so that it's better received."
Walter Faggett, M.D., National Coordinator, National Medical Association Asthma and Allergy Rescue Project (Silver Spring, MD)
Walter Faggett, M.D., discusses how the National Medical Association empowers physicians and patients to put science into practice for improved asthma outcomes.
Through its Asthma and Allergy Rescue Project, the National Medical Association (NMA) expanded its education and outreach efforts to reduce asthma disparities by enhancing the delivery of quality asthma care in African-American communities. As part of this strategy, the NMA developed and tested a physician-training program using six mini-modules that integrated the six priority messages from the National Asthma Education and Prevention Program's (NAEPP) Guidelines Implementation Panel (GIP) Report with culturally competent approaches to patient education. The program also offered techniques and tools for monitoring asthma control and for improving patient-provider communication.
Dr. Michael LeNoir helps patients and providers in minority communities get the tools, knowledge, and resources they need to control asthma.
The NMA piloted the training program in Washington, DC, before presenting it at NMA regional meetings, the Detroit Medical Society Meeting, and the NMA Annual Convention. It also enlisted a core group of NMA Asthma Champions in every region of the country who worked to promote the priority GIP messages and deliver the training program in additional communities.
To spread these asthma management messages to other health care providers who treat asthma patients, the NMA also developed and launched an Asthma Online Toolkit for Healthcare Professionals. The toolkit features the downloadable pre-packaged NMA physician- training program—"Putting Guidelines Implementation Panel (GIP) Messages into Practice." In addition, it includes educational asthma materials and video for health care providers, patients, families, and schools from the NMA, NAEPP, and other sources.
The NMA also conducted a health education media campaign called "Take Control of Your Asthma." It used radio, print, and online ads; public service announcements; and video to build public awareness of the six GIP messages in several communities, including Detroit, MI; Washington, DC; and San Francisco, CA.
Develop a physician-training program comprised of six mini-modules and accompanying toolkit based on the NAEPP's six priority GIP messages.
Establish a core group of NMA champions to promote the GIP messages.
Incorporate one or more GIP messages into a health education media campaign called "Take Control of Your Asthma."
Challenges & Solutions
Challenge: Assess practice change. The NMA's training program aimed to introduce physicians to the six GIP messages so that physicians would feel confident using these recommendations when they returned to their practices. When the NMA attempted to follow up with physicians, however, there was little response.
Solution: Get immediate feedback. Although few physicians responded to the NMA's follow-up inquiries, the NMA was able to learn from the feedback they provided immediately before and after the training, which had been positive. The NMA plans further training and outreach to its members, other health care providers, patients, families, and the public to reinforce the key messages of the GIP Report.
The NMA conducted its Asthma and Allergy Rescue Project training program for health care providers in target cities, including Washington, DC, and Detroit, MI. Dr. Michael LeNoir, the project's principal investigator, presented the program at the 2011 NMA Annual Convention.
The NMA launched its expanded NMA Asthma Web site and an online Asthma Online Toolkit for Healthcare Professionals, including a new asthma fact sheet for health care professionals on the NAEPP's six priority GIP messages and asthma-related health disparities among African Americans.
The NMA's "Take Control of Your Asthma" health education media campaign promoted the project and the six GIP messages via radio spots, articles in the NMA's e-newsletter, rotating GIP banner ads in an online African-American newspaper, publication of the asthma fact sheet in the Journal of the National Medical Association, and a brief Web-based video presentation by Dr. LeNoir on the NMA's online toolkit.
The NMA recruited nine faculty members from each region of the country, including Dr. LeNoir and Dr. Faggett, to promote the NMA Asthma Champions Program and the online toolkit.
The NMA shared and collaborated with additional NACI-funded projects to advance asthma care best practices. For example:
At every training event, the NMA distributed information cards on the Great American Asthma Challenge, a self-paced asthma education program for patients and their families conducted by the Allergy and Asthma Network Mothers of Asthmatics, a NACI Strategic Partner.
The NMA featured in its online asthma toolkit additional resources from seven NACI-funded projects that conducted a range of activities—from home visits to spirometry training—to promote quality asthma care and reduce asthma disparities
The NMA used provider education and outreach to patients and the public to help meet its project goals.
Other NACI-funded projects that used NMA-type approaches are: