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Sustaining school-based asthma interventions through policy and practice change.

Laurie M Carpenter1, Laurie Lachance, Margaret Wilkin

  • 1Senior Research Associate, (lauriemc@umich.edu), Center for Managing Chronic Disease, University of Michigan, 1415 Washington Heights, Ann Arbor, MI 48109.

The Journal of School Health
|November 23, 2013
PubMed
Summary

Sustaining school asthma programs is achievable through policy and practice changes. The Childhood Asthma Linkages in Missouri (CALM) program demonstrated improvements in child asthma outcomes and program institutionalization.

Keywords:
child and adolescent healthchronic diseasesevaluationpolicyschool health servicesschool nurses

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Area of Science:

  • Public Health
  • Pediatric Asthma Management
  • School Health Programs

Background:

  • School-based asthma interventions are crucial for children's health.
  • Sustaining these programs presents significant challenges.
  • The Childhood Asthma Linkages in Missouri (CALM) program aimed to address sustainability.

Purpose of the Study:

  • To illustrate policy and practice changes enabling the sustainability of school-based asthma programs.
  • To assess the impact of the CALM program on children's asthma-related outcomes.
  • To identify key factors contributing to program sustainability in schools.

Main Methods:

  • Analysis of caregiver-reported quantitative data on asthma outcomes (pre- and post-intervention).
  • Qualitative data analysis of sustainability efforts reported by program grantees.
  • Application of a grounded theory approach to identify emergent themes.

Main Results:

  • Significant improvements observed in 330 children, including reduced asthma symptoms, rescue inhaler use, healthcare utilization, school absenteeism, and activity limitations.
  • 27 school-based policy and practice changes were implemented to support program sustainability.
  • Policy changes focused on asthma assessment/monitoring; practice changes emphasized asthma education for students and staff.

Conclusions:

  • Sustaining school-based asthma programs is feasible through collaborative efforts.
  • Diverse partner participation is key to enacting policy and practice changes.
  • Institutionalizing programs into daily school processes enhances long-term sustainability.