Using school staff to establish a preventive network of care to improve elementary school students' control of asthma.: An article from: Journal of School Health
Book Details
PublisherThomson Gale
ISBN / ASINB000IMUVTA
ISBN-13978B000IMUVT2
AvailabilityAvailable for download now
MarketplaceUnited States 🇺🇸
Description
This digital document is an article from Journal of School Health, published by Thomson Gale on August 1, 2006. The length of the article is 4987 words. The page length shown above is based on a typical 300-word page. The article is delivered in HTML format and is available in your Amazon.com Digital Locker immediately after purchase. You can view it with any web browser.
From the author: School-based asthma interventions delivered by nonschool staff have been successful but are limited in their reach because of the cost and effort of bringing in outside educators and their inability to establish improved communication about asthma between schools, families, and primary care providers (PCPs). To address these problems, Columbia University and the New York City Department of Education and the New York City Department of Health and Mental Hygiene undertook a randomized controlled trial to test the efficacy of a comprehensive school-based asthma program. In this intervention, school nurses were trained to facilitate the establishment of a preventive network of care for children with asthma by coordinating communications and fostering relationships between families, PCPs, and school personnel PCPs also received training regarding asthma management. There was limited support for this model While case detection helped nurses identify additional students with asthma and nurses increased the amount of time spent on asthma-related tasks, PCPs did not change their medical management of asthma. Few improvements in health outcomes were achieved. Relative to controls, 12-months posttest intervention students had a reduction in activity limitations due to asthma (- 35% vs -9%, p < .05) and days with symptoms (26% vs 39%, p = .06). The intervention had no impact on the use of urgent health care services, school attendance, or caregiver's quality of life. There were also no improvements at 24-months postintervention. We faced many challenges related to case detection, training, and implementing preventive care activities, which may have hindered our success. We present these challenges, describe how we coped with them, and discuss the lessons we learned (J Sch Health. 2006;76(6):307-312)
Citation Details
Title: Using school staff to establish a preventive network of care to improve elementary school students' control of asthma.
Author: Jean-Marie Bruzzese
Publication:Journal of School Health (Magazine/Journal)
Date: August 1, 2006
Publisher: Thomson Gale
Volume: 76 Issue: 6 Page: 307(6)
Distributed by Thomson Gale
From the author: School-based asthma interventions delivered by nonschool staff have been successful but are limited in their reach because of the cost and effort of bringing in outside educators and their inability to establish improved communication about asthma between schools, families, and primary care providers (PCPs). To address these problems, Columbia University and the New York City Department of Education and the New York City Department of Health and Mental Hygiene undertook a randomized controlled trial to test the efficacy of a comprehensive school-based asthma program. In this intervention, school nurses were trained to facilitate the establishment of a preventive network of care for children with asthma by coordinating communications and fostering relationships between families, PCPs, and school personnel PCPs also received training regarding asthma management. There was limited support for this model While case detection helped nurses identify additional students with asthma and nurses increased the amount of time spent on asthma-related tasks, PCPs did not change their medical management of asthma. Few improvements in health outcomes were achieved. Relative to controls, 12-months posttest intervention students had a reduction in activity limitations due to asthma (- 35% vs -9%, p < .05) and days with symptoms (26% vs 39%, p = .06). The intervention had no impact on the use of urgent health care services, school attendance, or caregiver's quality of life. There were also no improvements at 24-months postintervention. We faced many challenges related to case detection, training, and implementing preventive care activities, which may have hindered our success. We present these challenges, describe how we coped with them, and discuss the lessons we learned (J Sch Health. 2006;76(6):307-312)
Citation Details
Title: Using school staff to establish a preventive network of care to improve elementary school students' control of asthma.
Author: Jean-Marie Bruzzese
Publication:Journal of School Health (Magazine/Journal)
Date: August 1, 2006
Publisher: Thomson Gale
Volume: 76 Issue: 6 Page: 307(6)
Distributed by Thomson Gale
