Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
2006-8-21
pubmed:abstractText
The "Partners in School Asthma Management" program for inner-city elementary school children comprises (1) case finding; (2) linkage of school nurses, parents, and clinicians; (3) a computer-based tailored educational program; and (4) school environmental assessment and intervention. Case finding identified 1730 children in 60 elementary schools with probable asthma; 835 (96% Hispanic or African American) joined the study. Baseline, posttest, and follow-up measures of asthma knowledge, self-efficacy, and self-management behavior were obtained from the children, and data on symptoms, emergency department visits, and hospitalizations were obtained from their parents. The schools provided data on grades and absences. Each school had a baseline and follow-up environmental assessment. The children in the intervention group showed greater increases in knowledge, self-efficacy, and some aspects of self-management. No differences between groups were found in health status variables, school performance, attendance, or levels of environmental allergens in schools. In 15 schools, an enhanced intervention allowed children and their parents to meet with a project physician, develop an asthma action plan, and receive a 1-month supply of medication; the project physician then followed up with the child's community physician. Children participating in this enhanced intervention had better school performance and fewer absences than the comparison group. Overall, the program was effective in improving children's asthma self-management but not in improving their health status. While the case-finding, computer-based self-management training program and linkage system were successfully implemented, the program failed in creating needed changes in the medical (action plans by community physicians) and physical environments (reduced school allergen levels) of the children.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Aug
pubmed:issn
0022-4391
pubmed:author
pubmed:issnType
Print
pubmed:volume
76
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
283-90
pubmed:dateRevised
2007-11-19
pubmed:meshHeading
pubmed-meshheading:16918856-Absenteeism, pubmed-meshheading:16918856-African Americans, pubmed-meshheading:16918856-Asthma, pubmed-meshheading:16918856-Case Management, pubmed-meshheading:16918856-Child, pubmed-meshheading:16918856-Educational Status, pubmed-meshheading:16918856-Environment, pubmed-meshheading:16918856-Female, pubmed-meshheading:16918856-Health Education, pubmed-meshheading:16918856-Hispanic Americans, pubmed-meshheading:16918856-Humans, pubmed-meshheading:16918856-Male, pubmed-meshheading:16918856-Parent-Child Relations, pubmed-meshheading:16918856-Patient Education as Topic, pubmed-meshheading:16918856-Program Evaluation, pubmed-meshheading:16918856-School Health Services, pubmed-meshheading:16918856-Schools, pubmed-meshheading:16918856-Self Care, pubmed-meshheading:16918856-Urban Population
pubmed:year
2006
pubmed:articleTitle
Partners in school asthma management: evaluation of a self-management program for children with asthma.
pubmed:affiliation
Center for Health Promotion and Prevention Research, School of Public Health, University of Texas Health Science Center at Houston, 7000 Fannin, 25th Floor, Houston, TX 77030, USA. leona.k.bartholomew@uth.tmc.edu
pubmed:publicationType
Journal Article, Evaluation Studies, Research Support, N.I.H., Extramural