Overview
Asthma is a chronic respiratory disease that affects over half a million children and adults living in Indiana. Asthma can be controlled but not cured. In a person with asthma, airways can swell and tighten making it hard to breathe.
Asthma is a serious health condition, but it doesn't have to slow you down! With proper management of triggers and control of symptoms, people with asthma can lead a full, healthy life.
- Signs and Symptoms
Asthma symptoms vary from person-to-person, but common signs and symptoms include:
- Coughing (especially if occurring during early mornings or at night)
- Wheezing
- Chest tightness or pain
- Breathlessness
Asthma symptoms can vary from day-to-day and are experienced differently by each individual who suffer from it, thus it is important to find the best treatment option(s) to help you gain control over your asthma. It can be hard to tell if someone has asthma, so it is important to check with your doctor if you frequently experience any of these symptoms.
- Risk Factors
- Genetics
- It is more likely that you will have asthma if a parent, or another immediate family member, has it
- Environmental factors
- Exposure to mold, allergens such as dust mites, air pollution, etc.
- Occupational factors
- Exposure to irritants at work such as wood dust or chemicals
- Having a severe respiratory infection as a child
- Tobacco use (or exposure to tobacco smoke)
- Genetics
- Treatment
There is no cure for asthma but, it can be managed with proper asthma medication (including proper usage of the medication) and by avoiding exposure to personal asthma triggers. One of the most effective ways to achieve well-controlled asthma is to personalize an asthma action plan with your doctor. These personalized asthma action plans help to: guide patient self-management, explain the what/when/how of their medication, detail the signs and symptoms of worsening asthma, and prepare patients to respond in case of an asthma-related emergency. It is necessary that we use asthma action plans to help patients achieve well-controlled asthma.
- Triggers
Asthma triggers are various irritants and substances that can trigger asthma symptoms, and in even worst cases, asthma attacks. Some asthma triggers include pollen, dust mites, indoor mold, tobacco smoke, outdoor air pollution, wood smoke, exercise, stress, and many more.
Tips to help control asthma:
- Maintain routine medical visits
- Discuss asthma symptoms, triggers, medications, and side effects with a healthcare provider
- Avoid smoking and being around others who are smoking
- Take medications as prescribed by a healthcare provider
- Work with health care providers to create an Asthma Action Plan that includes information concerning daily treatment, medications, short and long-term control measures, and when to seek medical treatment
- Ensure immediate access to quick-relief medication
- Limit exposure to your triggers
- Review potential triggers in your home
Asthma Resources
- Resources for Clinicians
Guidelines for the Diagnosis and Management of Asthma
- National Asthma Education and Prevention Program (NAEPP) Contains comprehensive guidelines for the diagnosis and management of asthma. The guidelines emphasize the importance of asthma control and introduce new approaches for monitoring asthma.
Use of Asthma Action Plans
An asthma action plan is a personalized self-management tool designed to help individuals manage their asthma effectively. Every person with asthma should have one. An asthma action plan outlines key prevention and management strategies for asthma symptoms and attacks, including identifying triggers, using medications correctly, monitoring symptoms, taking appropriate action steps, and knowing when to seek emergency care.
Asthma Action Plans should be developed collaboratively between patients and their healthcare providers to ensure they are tailored to individual needs and health outcomes.
Sample Asthma Action Plan Templates:
Asthma and Allergy Foundation of America (AAFA) Template
American Lung Association (ALA) Template
Allergy and Asthma Network (AAN) Template
Multiple Language Asthma Action Plans
To promote improved health outcomes and increase accessibility to care, several organizations offer asthma action plans in multiple languages:
University of Michigan: English, Arabic, Chinese, French, Japanese, Korean, Russian, and Spanish
American Lung Association: English, Spanish, Hebrew, and Haitian Creole
Allergy and Asthma Network: English and Spanish
SMART Therapy Asthma Action Plans
SMART therapy is short for Single Maintenance and Reliever Therapy. SMART Therapy is a treatment option that assists patients with moderate to severe asthma to improve their condition through combination treatment. This combination treatment is a single inhaler that combines an inhaled corticosteroid (daily long-term controller medicine) and an inhaled long-acting beta-2 agonist, also known as LABA (quick-relief medicine).
Asthma Triggers
Exposure to asthma triggers can cause symptoms to flare and may lead to asthma exacerbations, commonly known as asthma attacks. Recognizing and avoiding these triggers is a critical part of maintaining good asthma control. To support self-management, the following information sheet outlines common asthma triggers and steps individuals can take to minimize exposure and reduce their risk.
Continuing Education and Training
Asthma Educator Institute (AEI)
The American Lung Association offers an on-demand preparatory course designed for individuals eligible to take the National Board for Respiratory Care Certified Asthma Educator exam. It’s also ideal for healthcare professionals seeking to implement asthma guidelines-based care into their clinical practice. This course provides valuable insights and tools for those working directly with patients with asthma.
To learn more or register for the course, visit the Asthma Educator Institute webpage here.
Association of Asthma Educators (AAE)
The AAE is a 501(c)3 non-profit organization and a leading professional resource for healthcare providers who serve as asthma educators. AAE offers a range of educational opportunities, including asthma educator certification, continuing medical education, and training for community health workers. To learn more or explore courses, visit the AAE here.
Online Resources for Healthcare Providers
- Asthma Guideline Implementations Steps and Tools (GIST) A collection of resources to assist healthcare providers apply the NHLBI asthma guidelines when making treatment decisions. This toolkit was developed and led by the Michigan Department of Health and Human Services Asthma Program.
- Asthma IQ The American Academy of Allergy, Asthma and Immunology (AAAAI) has created an online continuing education program to assist primary care providers with the implementation of asthma guidelines.
Additional Resources
- National Institute of Allergy and Infectious Diseases
- Centers for Disease Control EXHALE Strategy: Guide for Healthcare Professionals
- Controlling Childhood Asthma, Reducing Emergencies (CCARE)
- American Academy of Pediatrics: Asthma
- The American Academy of Allergy Asthma and Immunology
- American Association for Respiratory Care
- American Lung Association: Asthma Health Professionals and Educators
- Resources for Schools and Childcare
The ALA Asthma Friendly Schools Initiative
The ALA Asthma Friendly Schools Initiative provides a framework and tools that communities and schools can use to work together on a comprehensive approach to asthma management, including planning tools, policy recommendations, and education programs. With the goal of working towards improving student heath, attendance, and academic achievement, IKE established a voluntary award opportunity to acknowledge schools with exceptional asthma management programs. The most basic and essential activities fall under the bronze level award. Successive award levels include additional activities and require more effort, resulting in progressively stronger programs and culminating in a Platinum level award. The Asthma Friendly Schools recognition levels represent points of progress toward the goal of improved asthma management, because every small step makes a difference. For more information on this program please email IDOHAsthma@health.IN.gov.
Asthma Inhalers Poster
The Asthma and Allergy Foundation of America (AAFA) is dedicated to saving lives and reducing the burden of disease for people with asthma and allergies through support, advocacy, education, and research. There are different types of asthma medicines and treatments. This Asthma Inhalers Poster is available in large and small sizes, as 50‑page pads, and as a free digital download. The poster provides information on respiratory treatment options, helps patients identify their inhalers, and serves as a reference for patient education.
Use of Asthma Action Plans
An asthma action plan is a personalized self-management tool designed to help individuals manage their asthma effectively. Every person with asthma should have one. An asthma action plan outlines key prevention and management strategies for asthma symptoms and attacks, including identifying triggers, using medications correctly, monitoring symptoms, taking appropriate action steps, and knowing when to seek emergency care.
Asthma Action Plans should be developed collaboratively between patients and their healthcare providers to ensure they are tailored to individual needs and health outcomes.
Sample Asthma Action Plan Templates:
Asthma and Allergy Foundation of America (AAFA) Template
American Lung Association (ALA) Template
Allergy and Asthma Network (AAN) Template
Multiple Language Asthma Action Plans
To promote improved health outcomes and increase accessibility to care, several organizations offer asthma action plans in multiple languages:
University of Michigan: English, Arabic, Chinese, French, Japanese, Korean, Russian, and Spanish
American Lung Association: English, Spanish, Hebrew, and Haitian Creole
Allergy and Asthma Network: English and Spanish
SMART Therapy Asthma Action Plans
SMART therapy is short for Single Maintenance and Reliever Therapy. SMART Therapy is a treatment option that assists patients with moderate to severe asthma to improve their condition through combination treatment. This combination treatment is a single inhaler that combines an inhaled corticosteroid (daily long-term controller medicine) and an inhaled long-acting beta-2 agonist, also known as LABA (quick-relief medicine).
Athletes and Asthma: The Community Coach’s Role
“Athletes and Asthma: The Community Coach’s Role” is a program designed to educate community coaches about the effects of asthma on athletes and how to help them play to their full potential.
Indoor Air Quality Rule
The Indiana Department of Health Environmental Public Health Division Indoor Air Quality program enforces the Indoor Air Quality in Schools and State Agencies (410 AIC 33), provides technical assistance, and educates the public. The following links provide a review of the School IAQ Rule and an overview of the school inspection process. There are also numerous best practices resource documents to assist schools in meeting the requirements of 410 IAC 33.
Additional Resources
- Centers for Disease Control and Prevention: Information on Asthma for School and Childcare Providers
- Environmental Protection Agency: Asthma- Improving Health in Communities and Schools
- National Institute of Environmental Health Sciences: Asthma
- National Association of School Nurses
- Indiana Department of Education
- Indiana Joint Asthma Coalition
- Indiana Association of School Nurses
- Improving Kids' Environments
- National Association of School Nurses Asthma Resources
- Asthma & Allergy Foundation of America: Managing Asthma and Allergies at School
- Vape-Free Indiana
- Resources for Schools to Address Asthma
- K-12 Stock Emergency Medication in K-12 Schools
- Resources for Citizens
Asthma Basics
Asthma is a chronic respiratory disease that affects over half a million children and adults living in Indiana. Asthma can be controlled but not cured. In a person with asthma, airways can swell and tighten making it hard to breathe. When an asthma attack happens, the inside of the airways swell and fill with mucus. The muscles around the airways tighten. This makes the airways smaller. Some of the most common symptoms of asthma include wheezing, shortness of breath, tightness in the chest, and coughing.
People with asthma can help control their symptoms by managing triggers in their environment. Triggers include anything that brings on asthma symptoms, and they differ for each person with asthma. Some triggers include dust mites, cigarette smoke, perfumes and fragrances, mold, pet dander, cockroaches, and stressful or emotional situations.
People with asthma should talk to their doctor about developing an asthma action plan. Asthma action plans help people with asthma to manage their symptoms. Plans include a list of triggers, how to avoid them, information on medications and when they should be taken, and emergency telephone numbers.
Asthma is a serious health condition, but it doesn't have to slow you down! With proper management of triggers and control of symptoms, people with asthma can lead a full, healthy life. Keep reading for more information on managing asthma.
Asthma Medication Assistance Programs
The Children's Health Alliance of Wisconsin's asthma medication assistance website has coupons and resources to assist patients in receiving free or reduced-cost asthma medications.
Asthma Action Plans
Everyone with asthma needs their own Asthma Action Plan. Work with your health care provider to create a plan that works for you. Your goal is to prevent and control your asthma symptoms and attacks. Find the template that works best for you and your needs; sample templates include:
- CDC template
- AAFA template
- ALA template
- AAN template
- Wallet-size action plan - National Heart, Lung, and Blood Institute.
Asthma Self-Management
Breathe Well, Live Well is an adult-focused program, and asthma self-management education is essential for all asthma patients. Asthma self-management refers to the things you can do for yourself to keep your asthma in control, have fewer asthma symptoms, breathe easier and live a full and active life. The American Lung Association (ALA) hosts free educational resources online. The Allergy & Asthma Network (AAN) has a free online Asthma Coach available. Talk with your health care provider about other asthma self-management topics to best support your needs.
Asthma and Allergy Foundation of America
AAFA is offering several resources and education programs for patients, caregivers, and healthcare professions which can be found here. The first is Wee BreathersTM. This program is designed to help educate children under the age of seven about the basics of asthma management. The program is available online free of charge. Secondly, the Asthma Management Education Online (AME-O) is designed as a resource for asthma educators wishing to improve their knowledge of asthma management. The program allows respiratory therapists and nurses to earn 9.75 contact hours from the American Association for Respiratory Care (AARC) and American Nurses Credentialing Center’s Commission on Accreditation (ANCC).
For Kids!
- American Academy of Allergy Asthma &Immunology (AAAAI) Just for Kids-Website features asthma-related asthma and allergy games, activities, stories and videos for children
- A Is for Asthma!
- Dusty the Asthma Goldfish and His Asthma Triggers Funbook
Additional Resources
- Asthma at Work
- The Pathway to Managing Your Asthma
- For Parents of Children with Asthma
- Healthychildren.org: Allergies and Asthma
- CDC EXHALE Guide for People with Asthma, Their Families, and Their Caregivers
- Environmental Protection Agency: Asthma
- American Lung Association: Asthma
- Asthma and Allergy Foundation of America: Asthma
- KidsHealth: Asthma Center
- Improving Kids' Environment (IKE)
- General Resources
- American Lung Association - Training for Professionals
- Asthma Home Triggers
- CDC Tips from Former Smokers
- Guides on Using EXHALE
- Asthma Action Plan
- Wallet-size action plan
- CDC Controlling Asthma: Common Asthma Triggers
- Asthma Home Characteristics and Asthma Triggers Checklist
- American Lung Association: Asthma Basics
- Asthma and Allergy Foundation of Americas Learning Catalog
- What if I Can't Afford My Asthma Medication
- Drug Assistance Programs
- Quit Now Indiana
Data
Estimated Asthma Prevalence for Indiana in 20211:
- Adult Age-Adjusted Current Asthma Rate - 10.2%
- Adult Age-Adjusted Lifetime Asthma Rate - 15.3%
- Child Age-Adjusted Current Asthma Rate - 6.3%
- Child Age-Adjusted Lifetime Asthma Rate - 9.4%
Source: 1| CDC and Indiana Department of Health Data Analysis Team [IDOH DAT]. (2023). Behavioral Risk Factor Surveillance System Prevalence Data, 2021.
- Fact Sheets
- Asthma Slide Library
Reports, Surveillance, and Presentations
- Reports, Surveillance, and Presentations

