Comparison of Asthma Programs for Schools
| Status: | Completed |
|---|---|
| Conditions: | Asthma, Pulmonary |
| Therapuetic Areas: | Pulmonary / Respiratory Diseases |
| Healthy: | No |
| Age Range: | 9 - Any |
| Updated: | 4/21/2016 |
| Start Date: | September 2009 |
| End Date: | September 2014 |
The purpose was to evaluate effectiveness and impact of an academic and counseling asthma
health education program (SHARP) for fourth- and fifth-grade students diagnosed with asthma.
Students attending schools randomized to the low-dose control condition received Open
Airways for Schools (OAS). The first aim was to evaluate the effectiveness of SHARP,
compared to the low-dose group, for students on cognitive, psychosocial, and behavioral
aspects of asthma management at 1, 12, and 24 months post-intervention. We hypothesized that
compared to students enrolled in elementary schools who received the low-dose program,
students in elementary schools that received SHARP would increase asthma knowledge
(cognition) and logical reasoning abilities for managing acute episodes (cognition),
acceptance of asthma as a chronic condition (psychosocial), and use of effective asthma
health behaviors (behavior). The second aim was to evaluate the long-term impact of SHARP,
compared to the low-dose group, for students on condition characteristics, use of healthcare
services, and quality of life at 12 and 24 months post intervention. We hypothesized that
compared to students enrolled in elementary schools who received the low-dose program;
students in elementary schools who received SHARP would decrease asthma severity, use of
healthcare services, and school absenteeism due to asthma, and increase participation in
life activities (quality of life).
health education program (SHARP) for fourth- and fifth-grade students diagnosed with asthma.
Students attending schools randomized to the low-dose control condition received Open
Airways for Schools (OAS). The first aim was to evaluate the effectiveness of SHARP,
compared to the low-dose group, for students on cognitive, psychosocial, and behavioral
aspects of asthma management at 1, 12, and 24 months post-intervention. We hypothesized that
compared to students enrolled in elementary schools who received the low-dose program,
students in elementary schools that received SHARP would increase asthma knowledge
(cognition) and logical reasoning abilities for managing acute episodes (cognition),
acceptance of asthma as a chronic condition (psychosocial), and use of effective asthma
health behaviors (behavior). The second aim was to evaluate the long-term impact of SHARP,
compared to the low-dose group, for students on condition characteristics, use of healthcare
services, and quality of life at 12 and 24 months post intervention. We hypothesized that
compared to students enrolled in elementary schools who received the low-dose program;
students in elementary schools who received SHARP would decrease asthma severity, use of
healthcare services, and school absenteeism due to asthma, and increase participation in
life activities (quality of life).
Over 7 million US children younger than age 18 years are currently diagnosed with asthma,
and approximately 4 million children experience exacerbation of asthma symptoms annually.
The NIH National Guidelines for the Diagnosis and Management of Asthma specify that part of
a successful management program includes educating students with asthma and their caregivers
about the condition. The guidelines recommend expanding education of students and families
to schools and community settings. An academic and counseling program was developed for
older school-age students with asthma and their family caregivers titled Staying
Healthy-Asthma Responsible & Prepared™ (SHARP). A two-group prospective randomized
single-blinded design was used. The sample consisted of two cohorts of students diagnosed
aged 9-12 years with asthma and their caregivers from varying socioeconomic, racial, and
ethnic backgrounds. Cohort dyads were drawn from 23 elementary schools that were located in
a diverse, moderately sized, medically underserved, inner-city community. The schools were
matched based on projected enrollment numbers, standardized reading and math scores,
free/reduced lunch eligibility, and racial/ethnic proportions prior to randomization.
Recently retired certified elementary schoolteachers, identified by the district, were
trained to serve as interveners to deliver both programs in the schools during instructional
time.
and approximately 4 million children experience exacerbation of asthma symptoms annually.
The NIH National Guidelines for the Diagnosis and Management of Asthma specify that part of
a successful management program includes educating students with asthma and their caregivers
about the condition. The guidelines recommend expanding education of students and families
to schools and community settings. An academic and counseling program was developed for
older school-age students with asthma and their family caregivers titled Staying
Healthy-Asthma Responsible & Prepared™ (SHARP). A two-group prospective randomized
single-blinded design was used. The sample consisted of two cohorts of students diagnosed
aged 9-12 years with asthma and their caregivers from varying socioeconomic, racial, and
ethnic backgrounds. Cohort dyads were drawn from 23 elementary schools that were located in
a diverse, moderately sized, medically underserved, inner-city community. The schools were
matched based on projected enrollment numbers, standardized reading and math scores,
free/reduced lunch eligibility, and racial/ethnic proportions prior to randomization.
Recently retired certified elementary schoolteachers, identified by the district, were
trained to serve as interveners to deliver both programs in the schools during instructional
time.
Inclusion Criteria:
- Student eligibility inclusion criteria included (a) a diagnosis of asthma, (b)
availability to participate in scheduled classes or make-up sessions, and (c) verbal
and written assent to participate in the study. Caregiver eligibility inclusion
criteria included (a) being a caregiver of a student with asthma, (b) ability to
understand English, and (c) expressed availability to attend and participate in the
community program.
Exclusion Criteria:
- Exclusion criteria included student's expressed unwillingness to participate or lack
of consent from parent/legal guardian. Severity of symptoms was not a criterion for
eligibility. Exclusion criteria included expressed unwillingness to participate or
lack of consent.
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