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Conceptual Framework of the Controlling Asthma in American Cities Project

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Abstract

The Controlling Asthma in American Cities Project (CAACP) was designed to improve the control of asthma in inner-city populations of children with a disparate burden of symptoms and adverse outcomes. As with many chronic diseases, asthma is the manifestation of multiple biologic, environmental, and social determinants. In addition to appropriate medical management, individuals with asthma must have logistical, financial, and cultural access to environments that allow avoidance of asthma triggers and encourage good asthma management practices. In recognition of this complexity, the CAACP required the seven project sites to coordinate and synchronize multiple interventions (education, healthcare access, medical management, trigger reduction) at multiple levels (individual, home, school, community, and policy) through the collaboration of relevant groups, institutions, and individuals. This paper describes the “program theory” of the CAACP project—the assumptions about how the project worked, how the components were linked, and what outcomes were anticipated. It relates the subsequent papers in the supplement to the program theory and describes how the papers can inform and guide other community-based interventions, and advance the translation of scientific knowledge to effective interventions in communities of need.

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Acknowledgements

The author thanks Maureen Wilce, Amanda Savage Brown, and Sheri Disler for their thoughtful reviews of the manuscript and Krista Valenzuela for her assistance with the figures and references. The findings and conclusions in this paper are those of the author and do not necessarily represent the views of the Centers for Disease Control and Prevention.

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Authors and Affiliations

  1. Air Pollution and Respiratory Health Branch, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway MS F58, Atlanta, GA, 30341, USA

    Elizabeth Jane Herman MD, MPH

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  1. Elizabeth Jane Herman MD, MPH
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Corresponding author

Correspondence to Elizabeth Jane Herman MD, MPH.

Additional information

This project was supported through a cooperative agreement with the Centers for Disease Control and Prevention, US Department of Health and Human Services, under program announcement 03030.

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Herman, E.J. Conceptual Framework of the Controlling Asthma in American Cities Project. J Urban Health 88 (Suppl 1), 7–15 (2011). https://doi.org/10.1007/s11524-010-9473-1

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