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Autor/inn/enCarpenter, Laurie M.; Lachance, Laurie; Wilkin, Margaret; Clark, Noreen M.
TitelSustaining School-Based Asthma Interventions through Policy and Practice Change
QuelleIn: Journal of School Health, 83 (2013) 12, S.859-866 (8 Seiten)Infoseite zur Zeitschrift
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Spracheenglisch
Dokumenttypgedruckt; online; Zeitschriftenaufsatz
ISSN0022-4391
DOI10.1111/josh.12104
SchlagwörterDiseases; Child Health; School Health Services; Intervention; Sustainability; School Policy; Educational Practices; Surveys; Statistical Analysis; Qualitative Research; Grounded Theory; Improvement; Children; Health Behavior; Symptoms (Individual Disorders); Attendance; Physical Activity Level; Change; Missouri
AbstractBackground: 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. 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. 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. 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. (As Provided).
AnmerkungenWiley-Blackwell. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8598; Fax: 781-388-8232; e-mail: cs-journals@wiley.com; Web site: http://www.wiley.com/WileyCDA/
Erfasst vonERIC (Education Resources Information Center), Washington, DC
Update2017/4/10
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