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Screening Tools in School-Based Health Centers for Children With Asthma
Vanessa F Maier1,2, Olivia Dhaliwal3,4, Amanda Liu4,5
1Department of Family Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
The Journal of School Health
|June 20, 2025
Summary
School-based health centers (SBHCs) can successfully recruit and retain diverse participants for asthma research. While home asthma triggers are common, this study did not find significant improvements in asthma severity.
Area of Science:
- Pediatric Asthma Management
- School Health Services Research
- Clinical Trial Methodology
Background:
- Research indicates school-based health centers (SBHCs) can improve asthma outcomes in children.
- Evidence-based guidelines for asthma care in SBHCs are lacking.
- A randomized trial was conducted to evaluate asthma trigger screening in an urban SBHC.
Purpose of the Study:
- To assess the effectiveness of screening for asthma triggers in children attending an urban SBHC.
- To evaluate the impact of home assessments and medical-legal partnership (MLP) referrals on asthma severity.
- To assess participant experiences and retention in a clinical trial conducted within an SBHC setting.
Main Methods:
- Participants were screened for home-based asthma triggers.
- The intervention group received home assessments and MLP referrals.
- Asthma severity was measured using the Asthma Control Test (ACT); semi-structured interviews evaluated participant experience.
Main Results:
- All intervention families received and completed home remediation.
- No statistically significant differences in asthma severity were observed between groups.
- Participant retention was 100%, with all rating their experience as good or excellent.
Conclusions:
- Home-based asthma triggers are prevalent in children receiving care at SBHCs.
- SBHCs are suitable settings for clinical trials, demonstrating successful recruitment and retention of diverse populations.
- Further research is necessary to determine the benefits of SBHC-based interventions for reducing asthma severity.
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