Dissemination of Evidence‐Based School Asthma Management Programs: Piloting Asthma 411 in an Urban Texas School District
ABSTRACT BACKGROUND The dissemination and implementation (D&I) of evidence‐based initiative (EBIs) is critical to improved public health. The Asthma 411 EBI was piloted in Texas from 2013 to 2015. The pilot's evaluation assessed its effectiveness and identified approaches to support D&I...
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| Veröffentlicht in: | The Journal of school health 2020-08, Vol.90 (8), p.594-603 |
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| container_title | The Journal of school health |
| container_volume | 90 |
| creator | Allsopp, Leslie Sterling, David A. Spence, Emily Aryal, Subhash |
| description | ABSTRACT
BACKGROUND
The dissemination and implementation (D&I) of evidence‐based initiative (EBIs) is critical to improved public health. The Asthma 411 EBI was piloted in Texas from 2013 to 2015. The pilot's evaluation assessed its effectiveness and identified approaches to support D&I of school‐health EBIs.
METHODS
The pilot study was conducted in two schools; service categories included: a consulting physician, enhanced school asthma services, and support for links to community health resources. Data was collected on Emergency Medical Service (EMS) calls, aggregated nursing services, demographic characteristics, availability of medication provided through existing policies, and informal interviews.
RESULTS
During the pilot, school‐day asthma‐related Emergency Medical Service (EMS) calls were eliminated. Documented asthma self‐management education, authorization for rescue medication, and efforts to communicate with parents and health providers increased. Between year‐1 and year‐2, the gap between unadjusted, weighted mean absences among students with and without asthma was reduced by 1.1 days. However, this difference was not seen in a fully adjusted negative, binomial regression model.
CONCLUSIONS
Evaluation of the Asthma 411 pilot suggests many EBI benefits were retained and identifies factors that may facilitate D&I of school health EBIs. Future research will clarify impacts on absenteeism and determine if observed benefits are sustained. |
| doi_str_mv | 10.1111/josh.12909 |
| format | Article |
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BACKGROUND
The dissemination and implementation (D&I) of evidence‐based initiative (EBIs) is critical to improved public health. The Asthma 411 EBI was piloted in Texas from 2013 to 2015. The pilot's evaluation assessed its effectiveness and identified approaches to support D&I of school‐health EBIs.
METHODS
The pilot study was conducted in two schools; service categories included: a consulting physician, enhanced school asthma services, and support for links to community health resources. Data was collected on Emergency Medical Service (EMS) calls, aggregated nursing services, demographic characteristics, availability of medication provided through existing policies, and informal interviews.
RESULTS
During the pilot, school‐day asthma‐related Emergency Medical Service (EMS) calls were eliminated. Documented asthma self‐management education, authorization for rescue medication, and efforts to communicate with parents and health providers increased. Between year‐1 and year‐2, the gap between unadjusted, weighted mean absences among students with and without asthma was reduced by 1.1 days. However, this difference was not seen in a fully adjusted negative, binomial regression model.
CONCLUSIONS
Evaluation of the Asthma 411 pilot suggests many EBI benefits were retained and identifies factors that may facilitate D&I of school health EBIs. Future research will clarify impacts on absenteeism and determine if observed benefits are sustained.</description><identifier>ISSN: 0022-4391</identifier><identifier>EISSN: 1746-1561</identifier><identifier>DOI: 10.1111/josh.12909</identifier><identifier>PMID: 32643214</identifier><language>eng</language><publisher>Malden, USA: Wiley Periodicals, Inc</publisher><subject>Absenteeism ; Administrator Education ; Asthma ; Asthma in children ; Authorization ; Care and treatment ; Childhood asthma ; Community health ; Company business management ; consolidated framework for implementation research ; Demography ; Development and progression ; Diseases ; Dissemination ; dissemination and implementation ; Drugs ; Emergency services ; Evaluation ; Evidence Based Practice ; Health education ; Health information ; Health Programs ; Health Services ; Management ; Management development programmes ; Medical Services ; Nursing ; Pilot Projects ; Program Effectiveness ; Public health ; Public health administration ; School attendance ; School districts ; School Health Services ; standing delegated order ; stock albuterol ; Urban Schools</subject><ispartof>The Journal of school health, 2020-08, Vol.90 (8), p.594-603</ispartof><rights>2020, American School Health Association</rights><rights>2020, American School Health Association.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4179-ac242380e0184a403e4bb36f3cfb56b97c3380397d6a1eac33b315173aacd0ed3</citedby><cites>FETCH-LOGICAL-c4179-ac242380e0184a403e4bb36f3cfb56b97c3380397d6a1eac33b315173aacd0ed3</cites><orcidid>0000-0002-7377-2912</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjosh.12909$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjosh.12909$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,30999,45574,45575</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1260493$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32643214$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allsopp, Leslie</creatorcontrib><creatorcontrib>Sterling, David A.</creatorcontrib><creatorcontrib>Spence, Emily</creatorcontrib><creatorcontrib>Aryal, Subhash</creatorcontrib><title>Dissemination of Evidence‐Based School Asthma Management Programs: Piloting Asthma 411 in an Urban Texas School District</title><title>The Journal of school health</title><addtitle>J Sch Health</addtitle><description>ABSTRACT
BACKGROUND
The dissemination and implementation (D&I) of evidence‐based initiative (EBIs) is critical to improved public health. The Asthma 411 EBI was piloted in Texas from 2013 to 2015. The pilot's evaluation assessed its effectiveness and identified approaches to support D&I of school‐health EBIs.
METHODS
The pilot study was conducted in two schools; service categories included: a consulting physician, enhanced school asthma services, and support for links to community health resources. Data was collected on Emergency Medical Service (EMS) calls, aggregated nursing services, demographic characteristics, availability of medication provided through existing policies, and informal interviews.
RESULTS
During the pilot, school‐day asthma‐related Emergency Medical Service (EMS) calls were eliminated. Documented asthma self‐management education, authorization for rescue medication, and efforts to communicate with parents and health providers increased. Between year‐1 and year‐2, the gap between unadjusted, weighted mean absences among students with and without asthma was reduced by 1.1 days. However, this difference was not seen in a fully adjusted negative, binomial regression model.
CONCLUSIONS
Evaluation of the Asthma 411 pilot suggests many EBI benefits were retained and identifies factors that may facilitate D&I of school health EBIs. Future research will clarify impacts on absenteeism and determine if observed benefits are sustained.</description><subject>Absenteeism</subject><subject>Administrator Education</subject><subject>Asthma</subject><subject>Asthma in children</subject><subject>Authorization</subject><subject>Care and treatment</subject><subject>Childhood asthma</subject><subject>Community health</subject><subject>Company business management</subject><subject>consolidated framework for implementation research</subject><subject>Demography</subject><subject>Development and progression</subject><subject>Diseases</subject><subject>Dissemination</subject><subject>dissemination and implementation</subject><subject>Drugs</subject><subject>Emergency services</subject><subject>Evaluation</subject><subject>Evidence Based Practice</subject><subject>Health education</subject><subject>Health information</subject><subject>Health Programs</subject><subject>Health Services</subject><subject>Management</subject><subject>Management development programmes</subject><subject>Medical Services</subject><subject>Nursing</subject><subject>Pilot Projects</subject><subject>Program Effectiveness</subject><subject>Public health</subject><subject>Public health administration</subject><subject>School attendance</subject><subject>School districts</subject><subject>School Health Services</subject><subject>standing delegated order</subject><subject>stock albuterol</subject><subject>Urban Schools</subject><issn>0022-4391</issn><issn>1746-1561</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNp9kc1u1DAUhS1ERYfChj3IEpsKKcV_cSbshmFoqYqmUtu15Tg3GY8Su9iZ0rLiEXjGPkk9pNMFC-7ClnU-3XPkg9AbSo5omo9rH1dHlJWkfIYmtBAyo7mkz9GEEMYywUu6j17GuCZpCl68QPucScEZFRP064uNEXrr9GC9w77BixtbgzNw__vPZx2hxhdm5X2HZ3FY9Rp_10630IMb8HnwbdB9_ITPbecH69odJCjF1mHt8FWo0nkJtzruFiXHIVgzvEJ7je4ivH68D9DV18Xl_CQ7Wx5_m8_OMiNoUWbaMMH4lAChU6EF4SCqisuGm6bKZVUWhieVl0UtNQWdXhWnOS241qYmUPMDdDjuvQ7-xwbioHobDXSdduA3UaX1jJDkxRL6_h907TfBpXRbSkwpJ7JMVDZSre5AWWe8G-B2ML7roAWVws-XaibznOQFlzLxH0beBB9jgEZdB9vrcKcoUdsG1bZB9bfBBL97jLCpeqif0F1lCXg7ApA-8UlenFImiSh50umo_7Qd3P3HSp0uL05G0we_z65s</recordid><startdate>202008</startdate><enddate>202008</enddate><creator>Allsopp, Leslie</creator><creator>Sterling, David A.</creator><creator>Spence, Emily</creator><creator>Aryal, Subhash</creator><general>Wiley Periodicals, Inc</general><general>Wiley-Blackwell</general><general>American School Health Association</general><general>Blackwell Publishing Ltd</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TS</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-7377-2912</orcidid></search><sort><creationdate>202008</creationdate><title>Dissemination of Evidence‐Based School Asthma Management Programs: Piloting Asthma 411 in an Urban Texas School District</title><author>Allsopp, Leslie ; Sterling, David A. ; Spence, Emily ; Aryal, Subhash</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4179-ac242380e0184a403e4bb36f3cfb56b97c3380397d6a1eac33b315173aacd0ed3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Absenteeism</topic><topic>Administrator Education</topic><topic>Asthma</topic><topic>Asthma in children</topic><topic>Authorization</topic><topic>Care and treatment</topic><topic>Childhood asthma</topic><topic>Community health</topic><topic>Company business management</topic><topic>consolidated framework for implementation research</topic><topic>Demography</topic><topic>Development and progression</topic><topic>Diseases</topic><topic>Dissemination</topic><topic>dissemination and implementation</topic><topic>Drugs</topic><topic>Emergency services</topic><topic>Evaluation</topic><topic>Evidence Based Practice</topic><topic>Health education</topic><topic>Health information</topic><topic>Health Programs</topic><topic>Health Services</topic><topic>Management</topic><topic>Management development programmes</topic><topic>Medical Services</topic><topic>Nursing</topic><topic>Pilot Projects</topic><topic>Program Effectiveness</topic><topic>Public health</topic><topic>Public health administration</topic><topic>School attendance</topic><topic>School districts</topic><topic>School Health Services</topic><topic>standing delegated order</topic><topic>stock albuterol</topic><topic>Urban Schools</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allsopp, Leslie</creatorcontrib><creatorcontrib>Sterling, David A.</creatorcontrib><creatorcontrib>Spence, Emily</creatorcontrib><creatorcontrib>Aryal, Subhash</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of school health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allsopp, Leslie</au><au>Sterling, David A.</au><au>Spence, Emily</au><au>Aryal, Subhash</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1260493</ericid><atitle>Dissemination of Evidence‐Based School Asthma Management Programs: Piloting Asthma 411 in an Urban Texas School District</atitle><jtitle>The Journal of school health</jtitle><addtitle>J Sch Health</addtitle><date>2020-08</date><risdate>2020</risdate><volume>90</volume><issue>8</issue><spage>594</spage><epage>603</epage><pages>594-603</pages><issn>0022-4391</issn><eissn>1746-1561</eissn><abstract>ABSTRACT
BACKGROUND
The dissemination and implementation (D&I) of evidence‐based initiative (EBIs) is critical to improved public health. The Asthma 411 EBI was piloted in Texas from 2013 to 2015. The pilot's evaluation assessed its effectiveness and identified approaches to support D&I of school‐health EBIs.
METHODS
The pilot study was conducted in two schools; service categories included: a consulting physician, enhanced school asthma services, and support for links to community health resources. Data was collected on Emergency Medical Service (EMS) calls, aggregated nursing services, demographic characteristics, availability of medication provided through existing policies, and informal interviews.
RESULTS
During the pilot, school‐day asthma‐related Emergency Medical Service (EMS) calls were eliminated. Documented asthma self‐management education, authorization for rescue medication, and efforts to communicate with parents and health providers increased. Between year‐1 and year‐2, the gap between unadjusted, weighted mean absences among students with and without asthma was reduced by 1.1 days. However, this difference was not seen in a fully adjusted negative, binomial regression model.
CONCLUSIONS
Evaluation of the Asthma 411 pilot suggests many EBI benefits were retained and identifies factors that may facilitate D&I of school health EBIs. Future research will clarify impacts on absenteeism and determine if observed benefits are sustained.</abstract><cop>Malden, USA</cop><pub>Wiley Periodicals, Inc</pub><pmid>32643214</pmid><doi>10.1111/josh.12909</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-7377-2912</orcidid></addata></record> |
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| ispartof | The Journal of school health, 2020-08, Vol.90 (8), p.594-603 |
| issn | 0022-4391 1746-1561 |
| language | eng |
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| source | Access via Wiley Online Library; Applied Social Sciences Index & Abstracts (ASSIA) |
| subjects | Absenteeism Administrator Education Asthma Asthma in children Authorization Care and treatment Childhood asthma Community health Company business management consolidated framework for implementation research Demography Development and progression Diseases Dissemination dissemination and implementation Drugs Emergency services Evaluation Evidence Based Practice Health education Health information Health Programs Health Services Management Management development programmes Medical Services Nursing Pilot Projects Program Effectiveness Public health Public health administration School attendance School districts School Health Services standing delegated order stock albuterol Urban Schools |
| title | Dissemination of Evidence‐Based School Asthma Management Programs: Piloting Asthma 411 in an Urban Texas School District |
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