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Asthma-I: Introduction01:29

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Asthma is a chronic respiratory ailment that requires careful management due to its varying symptoms and influencing factors. It is characterized by airway inflammation, bronchial hyperresponsiveness, and reversible airflow obstruction, leading to symptoms like wheezing, shortness of breath, chest tightness, and coughing. The symptom frequency and intensity may vary considerably over time. It is also linked to immune system responses to allergens and irritants, highlighting the complex...
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Clinical Assessment for Asthma:
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Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
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Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Asthma is a prevalent chronic respiratory condition marked by inflammation and hyperresponsiveness of the airways. Its pathophysiology involves complex interactions among inflammatory pathways, immune responses, and neural mechanisms.
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Understanding Core Community Needs for School-Based Asthma Programming: A Qualitative Assessment in Colorado

Sarah E Brewer1,2, Julia Reedy1, Danielle Maestas1

  • 1ACCORDS, University of Colorado Anschutz Medical Campus, Aurora, CO.

Ethnicity & Disease
|June 7, 2024
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Summary

To expand school-based asthma programs (SBAPs) in Colorado, stakeholders identified key needs including buy-in, prioritization, improved coordination, resources, education, and streamlined care plan completion. Addressing these will enhance asthma control for children statewide.

Keywords:
AsthmaCommunity-Based Participatory ResearchImplementation Science: Health Services Research—Needs AssessmentQualitative Research

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Area of Science:

  • Implementation Science
  • Public Health
  • Pediatric Asthma Management

Background:

  • Asthma affects 8.5% of Colorado children, with school-based programs showing success in improving control and reducing disparities.
  • Current school-based asthma programs (SBAPs) are primarily concentrated in the Denver area, limiting broader reach.
  • Understanding community needs is crucial for disseminating SBAPs to other regions in Colorado.

Purpose of the Study:

  • To identify community stakeholder needs for the wider implementation of school-based asthma programs (SBAPs) across Colorado.
  • To explore barriers and facilitators for expanding a successful SBAP beyond its current urban concentration.
  • To gather insights for tailoring SBAP dissemination strategies to diverse regional contexts.

Main Methods:

  • Conducted in-depth, semistructured interviews with 52 key informants across 5 Colorado regions.
  • Interviewees included school nurses, parents, healthcare providers, public health professionals, and community organization representatives.
  • Employed inductive and deductive analyses guided by the practical, robust, implementation, and sustainability model.

Main Results:

  • Identified six critical needs for SBAP implementation: stakeholder buy-in, asthma prioritization, enhanced inter-organizational coordination, resource availability for health and social determinants of health (SDOH), comprehensive asthma education, and improved care plan completion processes.
  • These needs were categorized into a three-tiered structure: foundational, relational, and functional.
  • Stakeholders highlighted the importance of addressing SDOH in conjunction with asthma management.

Conclusions:

  • The identified needs provide a roadmap for optimizing SBAP delivery and implementation strategies.
  • Tailoring implementation approaches to local contexts is essential for program fit, effectiveness, and long-term sustainability.
  • Future efforts should focus on adapting SBAPs to meet the specific requirements of diverse communities within Colorado.