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Area of Science:

  • Pediatric Asthma Management
  • School Health Interventions
  • Public Health Policy

Background:

  • Chicago Public Schools face high asthma prevalence and severe health outcomes among students.
  • Stock inhalers offer a crucial solution for managing asthma attacks when personal inhalers are unavailable.
  • Previous interventions lacked a structured approach for widespread adoption.

Purpose of the Study:

  • To evaluate the guided implementation of a stock inhaler program in Chicago Public Schools.
  • Assess the feasibility and effectiveness of school-based asthma management strategies.
  • Determine the impact of stock inhalers on student health outcomes in an urban school setting.

Main Methods:

  • A mixed-methods pilot study utilizing the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework.
  • Four pilot schools with high asthma rates and full-time nurses were selected.
  • Data collected via interviews, surveys, and utilization records from September 2023 to June 2024.

Main Results:

  • The program reached 6,023 students, with 124 stock inhaler events. 67.5% of students returned to class after use.
  • Nurses reported improved student outcomes in 77.4% of cases. Protocol fidelity was 60.2%.
  • The program successfully scaled to 306 schools, serving 160,181 students by June 2024.

Conclusions:

  • Stock inhaler programs are feasible and beneficial for improving student health in urban schools.
  • Guided implementation and scalable interventions are key for effective school-based asthma management.
  • This initiative demonstrates a successful model for enhancing asthma care accessibility in educational settings.