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Related Experiment Videos

Outcomes for a comprehensive school-based asthma management program.

Lynn B Gerald1, David Redden, Angelina R Wittich

  • 1Department of Biostatistics, School of Public Health, University of Alabama at Birmingham, Birmingham, AL 35249-7337, USA. geraldl@uab.edu

The Journal of School Health
|August 22, 2006
PubMed
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A school-based asthma program improved knowledge but did not reduce school absences or emergency visits for inner-city students. Further research is needed to explore more intensive asthma management strategies.

Area of Science:

  • Public Health
  • Pediatrics
  • Epidemiology

Background:

  • Inner-city African-American children face significant asthma burdens.
  • School-based interventions are a potential strategy for managing childhood asthma.

Purpose of the Study:

  • To evaluate a comprehensive school-based asthma management program.
  • To assess the program's impact on morbidity outcomes and knowledge in an urban school system.

Main Methods:

  • A randomized controlled trial involving 54 elementary schools and 736 students with asthma.
  • Intervention included educational programs for staff, students with asthma, and peers, plus medical management.
  • Comparison between immediate and delayed intervention groups.

Main Results:

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  • No significant differences in school absences, GPA, ER visits, or hospitalizations between groups.
  • Significant increase in asthma knowledge observed in the immediate intervention group.
  • Challenges were noted in connecting children to regular healthcare sources.

Conclusions:

  • The evaluated school-based asthma program did not significantly improve morbidity outcomes.
  • Measuring the impact of such programs on specific outcomes can be challenging.
  • More intensive interventions, like school-based health centers, may be more effective for inner-city populations.