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Outcomes for a Comprehensive School-Based Asthma Management Program
- Source :
- Journal of School Health. 76:291-296
- Publication Year :
- 2006
- Publisher :
- Wiley, 2006.
-
Abstract
- This article describes the evaluation of a comprehensive school-based asthma management program in an inner-city, largely African-American school system. All 54 elementary schools (combined enrollment 13,247 students) from a single urban school system participated in this study. Schools were randomly divided between immediate and delayed intervention programs. The intervention consisted of 3 separate educational programs (for school faculty/staff, students with asthma, and peers without asthma) and medical management for the children with asthma (including an Individual Asthma Action Plan, medications, and peakflow meters). Children with asthma were identified using a case detection program and 736 were enrolled into the intervention study. No significant differences were observed in school absences, grade point average, emergency room visits, or hospitalizations between the immediate and delayed intervention groups. Significant increases in knowledge were observed in the immediate intervention group. This study of a school-based asthma management education and medical intervention program did not show any differences between the intervention and control groups on morbidity outcomes. Our experience leads us to believe that such measures are difficult to impact and are not always reliable. Future researchers should be aware of the problems associated with using such measures. In addition, connecting children with a regular source of health care in this population was difficult. More intensive methods of medical management, such as school-based health centers or supervised asthma therapy, might prove more effective in inner-city schools.
- Subjects :
- Male
Program evaluation
Inservice Training
Urban Population
education
Population
Peer Group
Article
Education
Comprehensive school
Patient Education as Topic
Nursing
Intervention (counseling)
Absenteeism
Health care
Humans
Medicine
Child
Health Education
School Health Services
education.field_of_study
business.industry
Public Health, Environmental and Occupational Health
Attendance
Asthma
Black or African American
Philosophy
Educational Status
Female
Health education
business
Case Management
Program Evaluation
Subjects
Details
- ISSN :
- 17461561 and 00224391
- Volume :
- 76
- Database :
- OpenAIRE
- Journal :
- Journal of School Health
- Accession number :
- edsair.doi.dedup.....ea2ba28f611b85e1d6dd13a5a52ba22d
- Full Text :
- https://doi.org/10.1111/j.1746-1561.2006.00114.x