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Applying the Social Ecological Model to Creating Asthma-Friendly Schools in Louisiana
Henry J Nuss1, Laura L Hester2, Mark A Perry3
1Louisiana State University Health Sciences Center, School of Public Health, 2020 Gravier St., Ste. 216, New Orleans, LA 70112. hnussj@lsuhsc.edu.
Background:
In 2010, the Louisiana Asthma Management and Prevention Program (LAMP) implemented the Asthma-Friendly Schools Initiative in high-risk Louisiana populations. The social ecological model (SEM) was used as a framework for an asthma program implemented in 70 state K-12 public schools over 2 years.
Methods:
Activities included a needs assessment, identification of students with asthma, individualized asthma action plans (AAP), staff trainings, environmental quality improvement, and school system policy changes to address the asthma burden.
Results:
There were 522 new or existing asthma cases recognized. Asthma knowledge/awareness was measurably improved among school personnel. School indoor air quality was improved across all locations. School-level policies were adopted that improved AAP collection, compliance to bus-idling restrictions, and asthma medication self-carry.
Conclusions:
The SEM framework can be used for school-based programs to address successfully and improve asthma-related issues from the individual through policy levels.
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