Pediatric asthma is one of the leading causes of school absenteeism. In our recent
article, we described an evaluation of the Easy Breathing For Schools
1
program, which provides school-nurse-led asthma management for students with asthma.
Program elements include assessment of asthma risk and asthma control, asthma education,
medication review, and a pediatrician communication tool. We employed a quasi-experimental
design to evaluate the efficacy of the program, and demonstrated that enrolled students
experienced a 25% decrease in absenteeism and improvement in inhaler technique compared
to students with asthma not enrolled in the program. Importantly, 92% of the school
nurses were satisfied with the program. In this progress report, we consider our study's
findings in light of additional research published since we submitted our original
report for publication on January 22, 2019, and discuss additional innovative delivery
models, implementation strategies, and policies to improve asthma outcomes using school-based
care.Keywords
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References
- A school nurse-led asthma program reduces absences: evaluation of easy breathing for schools.Acad Pediatr. 2020; 20: 73-80
- Association of a school-based, asthma-focused telehealth program with emergency department visits among children enrolled in South Carolina Medicaid.JAMA Pediatr. 2019; 173: 1041-1048
- Evaluating the financial sustainability of the school-based telemedicine asthma management program.Popul Health Manag. 2021; https://doi.org/10.1089/pop.2020.0361
- Effectiveness of a home- and school-based asthma educational program for head start children with asthma: a randomized clinical trial.JAMA Pediatr. 2020; 174: 1191-1198
- Improving teacher comfort and self-efficacy in asthma management.J Asthma. 2020; 57: 1237-1243
Holmes LC, Orom H, Lehman HK, et al. A pilot school-based health center intervention to improve asthma chronic care in high-poverty schools. J Asthma. 2021 [e-pub ahead of print]. https://doi.org/10.1080/02770903.2020.1864823
McGovern C, Arcoleo K, Melnyk B. Sustained effects from a school-based intervention pilot study for children with asthma and anxiety. J Sch Nurs. 2020 [e-pub ahead of print]. https://doi.org/10.1177/1059840520934178
- School nurses' perspectives on components of asthma programs to address pediatric disparities.J Pediatr Psychol. 2020; 45: 900-909
- Facilitators and barriers to implementation of school-based telehealth asthma care: program champion perspectives.Acad Pediatr. 2021; 21: 1262-1272
- Managing respiratory emergencies at school: a county-wide stock inhaler program.J Allergy Clin Immunol. 2021; 148 (e425): 420-427
Article Info
Publication History
Published online: November 28, 2021
Accepted:
November 11,
2021
Received:
September 15,
2021
Footnotes
The authors declare no potential conflicts of interest nor corporate sponsors.
Identification
Copyright
Copyright © 2021 by Academic Pediatric Association
