3. Direct observation 6. School. asthma symptoms, days with 12. Family stress; exacerbations amongst To “evaluate the impact of therapy with preventive activity limitation, days needing poverty; poor access to urban children than that of the School-Based asthma medication reduces 7. School nurses. rescue medications, and days of care; difficulties in the children in the control Asthma Therapy trial on asthma symptoms in school missed school. communication group. asthma symptoms among settings. urban children with 9. Participants receiving 14. Further efforts are now persistent asthma” (p. 262). preventive medications in the needed to estimate the school setting had significantly costs of this intervention more; symptom-free days and to progress forward (adjusted difference=0.92 days with dissemination. per 2 weeks; 95% CI, fewer nighttime symptoms; less rescue medication use; fewer days with limited activity (all P.01); exacerbation requiring treatment with prednisone (12% vs 18%, respectively; relative risk=0.64; 95% CI, 0.41-1.00) than that of the children in the control group. Positive intervention effects seen in participants with smoke exposure (n=285; mean symptom-free days per 2 weeks: 11.6 for children in the treatment group vs 10.9 for those in the control group; difference=0.96 days per 2 weeks; 95% CI, 0.39-1.52). Kinter et al. (2014). 1. NR. 4. Caregivers of diagnosed 8. Episode management; risk 10. NR 13. Collaborative work with asthma students; Students reduction/prevention; health school teachers and nurses USA. 2. Staying Healthy–Asthma (dyads, n=216). promotion. 11. NR may increase the use of Responsible & Prepared asthma self-care behaviors. RCT. (SHARP). 5.Asthma. 9. SHARP- the SHARP main 12. NR effect was significant compared 14. The use of SHARP in 6. Schools. to the control group (t[151] = school and community
To “evaluate the impact of the School-Based Asthma Therapy trial on asthma symptoms among urban children with persistent asthma” (p. 262). 3. Direct observation therapy with preventive asthma medication reduces asthma symptoms in school settings. 6. School. 7. School nurses. asthma symptoms, days with activity limitation, days needing rescue medications, and days of missed school. 9. Participants receiving preventive medications in the school setting had significantly more; symptom-free days (adjusted difference=0.92 days per 2 weeks; 95% CI, fewer nighttime symptoms; less rescue medication use; fewer days with limited activity (all P.01); exacerbation requiring treatment with prednisone (12% vs 18%, respectively; relative risk=0.64; 95% CI, 0.41-1.00) than that of the children in the control group. Positive intervention effects seen in participants with smoke exposure (n=285; mean symptom-free days per 2 weeks: 11.6 for children in the treatment group vs 10.9 for those in the control group; difference=0.96 days per 2 weeks; 95% CI, 0.39-1.52). 12. Family stress; poverty; poor access to care; difficulties in communication exacerbations amongst urban children than that of the children in the control group. 14. Further efforts are now needed to estimate the costs of this intervention and to progress forward with dissemination. Kinter et al. (2014). USA. RCT. 1. NR. 2. Staying Healthy–Asthma Responsible & Prepared (SHARP). 4. Caregivers of diagnosed asthma students; Students (dyads, n=216). 5.Asthma. 6. Schools. 8. Episode management; risk reduction/prevention; health promotion. 9. SHARP- the SHARP main effect was significant compared to the control group (t[151] = 10. NR 11. NR 12. NR 13. Collaborative work with school teachers and nurses may increase the use of asthma self-care behaviors. 14. The use of SHARP in school and community
12912_2017_225_MOESM1_ESM.docx