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School-based asthma disease management.

David Tinkelman1, Abby Schwartz

  • 1National Jewish Medical and Research Center, Denver, Colorado 80206, USA. tinkelmand@njc.org

The Journal of Asthma : Official Journal of the Association for the Care of Asthma
|July 30, 2004
PubMed
Summary

A school-based asthma program significantly reduced missed school days and doctor visits for children with asthma. This comprehensive approach also improved symptom control and increased children's activity levels.

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Area of Science:

  • Pediatric Health
  • Public Health Interventions
  • Chronic Disease Management

Background:

  • Asthma is a leading cause of chronic illness and school absenteeism in children.
  • Schools offer a viable setting for asthma education programs targeting children and caregivers.
  • Improving asthma management in schools can reduce healthcare utilization and missed educational opportunities.

Purpose of the Study:

  • To evaluate a comprehensive school-based asthma management program.
  • To assess the program's impact on asthma control, student absenteeism, and caregiver workdays.
  • To compare outcomes with conventional asthma management strategies.

Main Methods:

  • Recruitment of students with physician-diagnosed asthma from urban elementary and middle schools.
  • Provision of peak flow meters, interactive asthma diaries, and monthly in-school education.
  • Delivery of supplementary online resources and educational calls for parents/caregivers, including 24/7 emergency support.

Main Results:

  • A two-thirds reduction in missed school days and unscheduled doctor visits at 6 months (p<0.01).
  • Significant improvements in daytime (62%) and nighttime (34%) symptom frequency (p<0.007 and p<0.03).
  • Increased caregiver perception of children's activity levels by 11% (p=0.037).

Conclusions:

  • A comprehensive, school-based asthma management program effectively enhances asthma control in students.
  • The program leads to a significant reduction in student absenteeism and caregiver lost workdays.
  • School-based interventions are crucial for managing childhood asthma and improving overall well-being.

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