Providence School Asthma Partnership: School-based Asthma Program for Inner-City Families

作者: Judith D. DePue , Elizabeth L. McQuaid , Daphne Koinis-Mitchell , Christopher Camillo , Anthony Alario

DOI: 10.1080/02770900701421955

关键词: MedicaidAsthmaMedicineInner cityOral steroidAsthma symptomsSchool basedInsurance coverageFamily medicineHospital days

摘要: Over 3 years, 972 families participated in an after-school asthma program at their child's school. Parents and children attended concurrent 21/2 -hour workshops. were 74% Latino; 45% non-English speaking, with 77% of on Medicaid. Asthma symptoms significantly reduced, from multiple times per week to less than once average. Oral steroid use decreased one third baseline use. Hospital days 11% 2%; emergency visits 35% 4%; school missed 48% 20%. This has now become sustainable both private Medicaid insurance coverage.

参考文章(9)
Barbara Velsor-Friedrich, Theresa Pigott, Brenda Srof, None, A practitioner-based asthma intervention program with African American inner-city school children. Journal of Pediatric Health Care. ,vol. 19, pp. 163- 171 ,(2005) , 10.1016/J.PEDHC.2004.12.002
David Evans, Noreen M. Clark, Charles H. Feldman, Jill Rips, Deborah Kaplan, Moshe J. Levison, Yvonne Wasilewski, Bruce Levin, Robert B. Mellins, A School Health Education Program for Children with Asthma Aged 8-11 Years Health Education Quarterly. ,vol. 14, pp. 267- 279 ,(1987) , 10.1177/109019818701400302
Lisa Cicutto, Sue Murphy, Debbie Coutts, Janet O'Rourke, Gail Lang, Cori Chapman, Pamela Coates, Breaking the Access Barrier Chest. ,vol. 128, pp. 1928- 1935 ,(2005) , 10.1378/CHEST.128.4.1928
Sharon D. Horner, Effect of Education on School-Age Children's and Parents' Asthma Management Journal for Specialists in Pediatric Nursing. ,vol. 9, pp. 95- 102 ,(2004) , 10.1111/J.1547-5069.2004.00095.X
M J Rosier, J Bishop, T Nolan, C F Robertson, J B Carlin, P D Phelan, Measurement of functional severity of asthma in children. American Journal of Respiratory and Critical Care Medicine. ,vol. 149, pp. 1434- 1441 ,(1994) , 10.1164/AJRCCM.149.6.8004295
Marielena Lara, Lara Akinbami, Glenn Flores, Hal Morgenstern, Heterogeneity of Childhood Asthma Among Hispanic Children: Puerto Rican Children Bear a Disproportionate Burden Pediatrics. ,vol. 117, pp. 43- 53 ,(2006) , 10.1542/PEDS.2004-1714
P. J. Sharek, M. L. Mayer, L. Loewy, T. N. Robinson, R. S. Shames, D. T. Umetsu, D. A. Bergman, Agreement among measures of asthma status: a prospective study of low-income children with moderate to severe asthma. Pediatrics. ,vol. 110, pp. 797- 804 ,(2002) , 10.1542/PEDS.110.4.797
Noreen M. Clark, Randall Brown, Christine L.M. Joseph, Elizabeth W. Anderson, Manlan Liu, Melissa A. Valerio, Effects of a comprehensive school-based asthma program on symptoms, parent management, grades, and absenteeism. Chest. ,vol. 125, pp. 1674- 1679 ,(2004) , 10.1378/CHEST.125.5.1674