An Innovative Approach to Improving Asthma Control for World Trade Center Rescue and Recovery Workers Through Telehealth Enriched Asthma Management (WTC-TEAM)

Details

• Personal Author:
  Thanik E
• Description:
  Asthma self-management education encompasses a variety of tools to teach people with asthma how to best take care of their chronic condition. Topics range from how to use inhalers properly, reduce exposure to asthma triggers, recognize asthma symptoms and use an asthma action plan. The goal of this study was to address the unique needs of World Trade Center first responders and to overcome some of the barriers to asthma self-management by developing a tailored approach to optimizing asthma care, the Telehealth Enriched Asthma Management (TEAM) program. This study provided asthma self-management education over 4 virtual visits and at baseline, only a small percentage of participants reported ever receiving an asthma action plan (9%) or a spacer to use with their inhaler (15%). Just over half were ever shown how to use their inhaled asthma medications properly. The participants who received the TEAM self-management education showed an improvement in asthma control and quality of life by the 3rd visit, which was sustained throughout the study. Other findings also included a reduction in both daytime and nighttime asthma symptoms, as well as decreased rescue inhaler use compared to baseline. The percentage of participants who used a spacer with their inhaler increased 7-fold by the end of the study period. The TEAM study demonstrated the need for asthma self-management education in World Trade Center first responders and the effectiveness of an education program delivered in a series of telehealth encounters in improving asthma control and asthma-related quality of life. [Description provided by NIOSH]
• Subjects:
  Asthma Asthma, Occupational Emergency Responders Health Care Facilities Workforce And Services Occupational Health Safety September 11 Terrorist Attacks
• Keywords:
  Clinical Techniques Disaster Recovery Health Care Medical Monitoring Rescue Workers World Trade Center WTC
• Series:
  Grant Final Reports
• Publisher:
  National Institute for Occupational Safety and Health
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Final Grant Report
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  OEP - Office of Extramural Programs
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  1-11
• NIOSHTIC Number:
  nn:20069520
• Citation:
  Atlanta, GA: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, R21-OH-012253, 2023 Sep; :1-11
• Contact Point Address:
  Erik Thanik, MD, MPH, Icahn School of Medicine at Mount Sinai, 1 Gustave Levy Pl, New York, NY 10029-6574
• Email:
  erin.thanik@mssm.edu
• Federal Fiscal Year:
  2023
• Performing Organization:
  Icahn School of Medicine at Mount Sinai, New York
• Peer Reviewed:
  False
• Start Date:
  20210701
• Source Full Name:
  National Institute for Occupational Safety and Health
• End Date:
  20230630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:5f0db75af2715a84e7441dc7726994605491457541e9a0dc0cf60ea6bfecb137ef7b8f66f7e23887cb0228d9e5e68b42c68369ef42e6308176b0a7683407a706
• Download URL:
  https://stacks.cdc.gov/view/cdc/219234/cdc_219234_DS1.pdf
• File Type:
  [PDF - 1.53 MB ]