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Related Experiment Videos

Asthma screening, case identification and treatment in school-based programs.

Barbara P Yawn1

  • 1Olmsted Medical Center and Department of Family and Community Health, University of Minnesota, Rochester, Minnesota 55904, USA. yawnx002@umn.edu

Current Opinion in Pulmonary Medicine
|December 17, 2005
PubMed
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School-based asthma programs aim to identify and manage childhood asthma. However, current screening tools are often ineffective, and interventions show limited impact on children's health, highlighting the need for better strategies.

Area of Science:

  • Pediatric respiratory health
  • Public health interventions
  • School-based health programs

Background:

  • Asthma significantly impacts school-aged children.
  • Schools are key sites for addressing under-recognized and under-treated childhood asthma.
  • Teachers and coaches require specific knowledge and plans for managing asthma emergencies.

Purpose of the Study:

  • To review school-based asthma work in 2005, focusing on identifying unrecognized asthma and managing under-treated cases.
  • To evaluate the effectiveness of school-based asthma screening and intervention programs.

Main Methods:

  • Analysis of school-based asthma screening tools and their efficacy.
  • Review of programs designed to supplement usual asthma care with in-school interventions.

Related Experiment Videos

  • Identification of barriers to effective school-based asthma management.

    • Main Results:

    • New asthma screening tools often yield more false-positive than true-positive results.
    • 'Case-finding' for diagnosed symptomatic asthma is suggested as a more effective approach than general screening.
    • In-school interventions and communication strategies have shown limited success in improving asthma care, with a significant barrier being the lack of school nurses.

    Conclusions:

    • School-based asthma interventions have had minimal impact on children's asthma-related health.
    • Most current programs require modification and further evaluation.
    • The burden on schools and the need for trained personnel, particularly school nurses, are critical considerations for future programs.