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Sustaining school-based asthma interventions through policy and practice change.
- Source :
-
The Journal of school health [J Sch Health] 2013 Dec; Vol. 83 (12), pp. 859-66. - Publication Year :
- 2013
-
Abstract
- Background: Schools are an ideal setting for implementation of asthma interventions for children; however, sustaining school-based programs can be challenging. This study illustrates policy and practice changes brought about through the Childhood Asthma Linkages in Missouri (CALM) program to sustain such programs.<br />Methods: Researchers analyzed caregiver-reported quantitative data regarding asthma-related outcomes in preintervention and postintervention surveys and qualitative data regarding sustainability efforts in schools reported by CALM grantees. A grounded theory approach was used to identify key concepts and themes that emerged.<br />Results: In 330 children, significant improvements were seen in asthma symptoms, rescue inhaler use, health care utilization, school absenteeism, and activity limitations. Overall, 27 school-based policy and practice changes supporting program sustainability were reported, with policy changes most often concerning the assessment and/or monitoring of children with asthma in the school setting, and practice changes most often regarding institution of regular asthma education programs for students and school personnel.<br />Conclusions: Sustaining school-based asthma programs is challenging, but can be realized through the participation of diverse partners in enacting policy and practice changes that support the institutionalization of programs into the day-to-day processes of the schools.<br /> (© 2013, American School Health Association.)
- Subjects :
- Absenteeism
Capacity Building organization & administration
Communication
Drug Utilization
Health Education organization & administration
Health Knowledge, Attitudes, Practice
Health Services statistics & numerical data
Humans
Missouri
Asthma therapy
Disease Management
Health Policy
School Health Services organization & administration
Subjects
Details
- Language :
- English
- ISSN :
- 1746-1561
- Volume :
- 83
- Issue :
- 12
- Database :
- MEDLINE
- Journal :
- The Journal of school health
- Publication Type :
- Academic Journal
- Accession number :
- 24261520
- Full Text :
- https://doi.org/10.1111/josh.12104