Stanley J Szefler1, Michelle M Cloutier2, Miguel Villarreal3, Jessica P Hollenbach4, Melanie Gleason5, Christy Haas-Howard6, Carol Vinick7, Agustin Calatroni3, Lisa Cicutto8, Marty White9, Shann Williams3, Meghan McGinn3, Christine Langton7, Donna Shocks10, Herman Mitchell3, David A Stempel11. 1. Pediatric Asthma Research Program and the Breathing Institute, Children's Hospital Colorado, and the Section of Pediatric Pulmonary and Sleep Medicine, University of Colorado School of Medicine, Aurora, Colo. Electronic address: Stanley.Szefler@childrenscolorado.org. 2. Pediatrics and Medicine, UCONN Health, and the Asthma Center, Connecticut Children's Medical Center, Hartford, Conn. 3. Rho, Chapel Hill, NC. 4. Department of Pediatrics, University of Connecticut School of Medicine, and the Asthma Center, Connecticut Children's Medical Center, Hartford, Conn. 5. Building Bridges Asthma Program, Children's Hospital Colorado, and the Department of Pediatrics, Section of Pediatric Pulmonary Medicine, University of Colorado School of Medicine, Aurora, Colo. 6. Denver Public Schools, Nursing and Student Health Services, and the Colorado Department of Education, Asthma Grant Program, Denver, Colo. 7. Building Bridges Coordinator, Asthma Center, and the Connecticut Children's Medical Center, Hartford, Conn. 8. Community Outreach and Research, National Jewish Health, and the Clinical Science Program, University of Colorado Denver AMC, Denver, Colo. 9. Children's Hospital Colorado/Denver Public Schools, Denver, Colo. 10. Denver Public Schools, Nursing and Student Health Services, Denver, Colo. 11. Propeller Health, San Francisco, Calif.
Abstract
BACKGROUND: Children with asthma are at increased risk for experiencing health and educational disparities because of increased school absence. School nurses are well positioned to support asthma management and improve school attendance. OBJECTIVE: We sought to implement and assess the effect of the Building Bridges for Asthma Care Program on improving school attendance and measures of asthma control. METHODS: Children with asthma (age, 5-14 years) in the Denver Public School System (n = 240) and the Hartford Public School System (n = 223) were enrolled in the Building Bridges Program during the 2013-2014 and 2014-2015 school years and followed until the end of the second school year. The primary outcome was school absence, with secondary outcomes, including asthma control, measured based on Childhood Asthma Control Test or the Asthma Control Test scores and rescue inhaler use. RESULTS: Participants experienced a 22% absolute decrease in school absenteeism, the number of children with an Asthma Control Test/Childhood Asthma Control Test score of less than the control threshold of 20 decreased from 42.7% to 28.8%, and bronchodilator use greater than 2 times per week decreased from 35.8% to 22.9% (all changes were significant, P < .01). CONCLUSIONS: Children enrolled in the Building Bridges for Asthma Care Program experienced reduced school absence and improved asthma control.
BACKGROUND:Children with asthma are at increased risk for experiencing health and educational disparities because of increased school absence. School nurses are well positioned to support asthma management and improve school attendance. OBJECTIVE: We sought to implement and assess the effect of the Building Bridges for Asthma Care Program on improving school attendance and measures of asthma control. METHODS:Children with asthma (age, 5-14 years) in the Denver Public School System (n = 240) and the Hartford Public School System (n = 223) were enrolled in the Building Bridges Program during the 2013-2014 and 2014-2015 school years and followed until the end of the second school year. The primary outcome was school absence, with secondary outcomes, including asthma control, measured based on Childhood Asthma Control Test or the Asthma Control Test scores and rescue inhaler use. RESULTS:Participants experienced a 22% absolute decrease in school absenteeism, the number of children with an Asthma Control Test/Childhood Asthma Control Test score of less than the control threshold of 20 decreased from 42.7% to 28.8%, and bronchodilator use greater than 2 times per week decreased from 35.8% to 22.9% (all changes were significant, P < .01). CONCLUSIONS:Children enrolled in the Building Bridges for Asthma Care Program experienced reduced school absence and improved asthma control.
Authors: Siti Nurkamilla Ramdzan; Julia Suhaimi; Katherine M Harris; Ee Ming Khoo; Su May Liew; Steve Cunningham; Hilary Pinnock Journal: NPJ Prim Care Respir Med Date: 2021-04-01 Impact factor: 2.871
Authors: Abel Kho; Gail L Daumit; Kimberly P Truesdale; Arleen Brown; Amy M Kilbourne; Joseph Ladapo; Soma Wali; Lisa Cicutto; Alicia K Matthews; Justin D Smith; Paris D Davis; Antoinette Schoenthaler; Gbenga Ogedegbe; Nadia Islam; Katherine T Mills; Jiang He; Karriem S Watson; Robert A Winn; June Stevens; Amy G Huebschmann; Stanley J Szefler Journal: Health Serv Res Date: 2022-06 Impact factor: 3.734
Authors: Lisa Cicutto; Melanie Gleason; Christy Haas-Howard; Marty White; Jessica P Hollenbach; Shann Williams; Meghan McGinn; Miguel Villarreal; Herman Mitchell; Michelle M Cloutier; Carol Vinick; Christine Langton; Donna J Shocks; David A Stempel; Stanley J Szefler Journal: J Sch Nurs Date: 2018-10-18 Impact factor: 2.835
Authors: Jean Hunleth; Julie Spray; Sienna Ruiz; Julia Maki; David A Fedele; Sreekala Prabhakaran; Rachel B Forsyth; Cassidy Sykes; Kaylah Crepps; James Shepperd; Deb Bowen; Erika A Waters Journal: J Asthma Date: 2020-10-27 Impact factor: 2.515