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School-Supervised Asthma Therapy Is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children

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Title: School-Supervised Asthma Therapy Is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children
Language: English
Authors: Holly N. Shillan (ORCID 0000-0002-5160-3608), Janki P. Luther, Grace W. Ryan, Shushmita Hoque, Michelle A. Spano, Darleen M. Lessard, Lynn B. Gerald, Lori Pbert, Wanda Phipatanakul, Robert J. Goldberg, Michelle K. Trivedi
Source: Journal of School Nursing. 2024 40(4):440-445.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 6
Publication Date: 2024
Sponsoring Agency: National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)
National Heart, Lung, and Blood Institute (NHLBI) (DHHS/NIH)
National Cancer Institute (NCI) (DHHS/NIH)
Contract Number: UL1TR00145301
KL2TR001455
K23HL15034
T32CA172009
Document Type: Journal Articles
Reports - Research
Descriptors: Diseases, Therapy, Minority Group Children, Disproportionate Representation, Health Services, Comprehensive School Health Education, School Nurses, Program Effectiveness, Health Behavior, Low Income Students, Partnerships in Education
Geographic Terms: Massachusetts
DOI: 10.1177/10598405221100470
ISSN: 1059-8405
1546-8364
Abstract: Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency department (ED) visits and hospital admissions for 83 children enrolled in Asthma Link, a school nurse-supervised asthma therapy program serving predominantly underrepresented minority children. We compared outcomes between the year preceding enrollment and years one-four post-enrollment. Compared with the year prior to enrollment, asthma-related ED visits decreased by 67.9% at one year, 59.5% at two years, 70.2% at three years, and 50% at four years post-enrollment (all p-values< 0.005). There were also significant declines in mean numbers of total ED visits, asthma-related hospital admissions, and total hospital admissions. Our results indicate that school nurse-supervised asthma therapy could potentially mitigate racial/ethnic and socioeconomic inequities in childhood asthma.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1434813
Database: ERIC
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  Data: School-Supervised Asthma Therapy Is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children
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  Data: &lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Holly+N%2E+Shillan%22&quot;&gt;Holly N. Shillan&lt;/searchLink&gt; (ORCID &lt;externalLink term=&quot;https://orcid.org/0000-0002-5160-3608&quot;&gt;0000-0002-5160-3608&lt;/externalLink&gt;)&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Janki+P%2E+Luther%22&quot;&gt;Janki P. Luther&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Grace+W%2E+Ryan%22&quot;&gt;Grace W. Ryan&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Shushmita+Hoque%22&quot;&gt;Shushmita Hoque&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Michelle+A%2E+Spano%22&quot;&gt;Michelle A. Spano&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Darleen+M%2E+Lessard%22&quot;&gt;Darleen M. Lessard&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lynn+B%2E+Gerald%22&quot;&gt;Lynn B. Gerald&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Lori+Pbert%22&quot;&gt;Lori Pbert&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Wanda+Phipatanakul%22&quot;&gt;Wanda Phipatanakul&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Robert+J%2E+Goldberg%22&quot;&gt;Robert J. Goldberg&lt;/searchLink&gt;&lt;br /&gt;&lt;searchLink fieldCode=&quot;AR&quot; term=&quot;%22Michelle+K%2E+Trivedi%22&quot;&gt;Michelle K. Trivedi&lt;/searchLink&gt;
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
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  Data: National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH)&lt;br /&gt;National Heart, Lung, and Blood Institute (NHLBI) (DHHS/NIH)&lt;br /&gt;National Cancer Institute (NCI) (DHHS/NIH)
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  Data: Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency department (ED) visits and hospital admissions for 83 children enrolled in Asthma Link, a school nurse-supervised asthma therapy program serving predominantly underrepresented minority children. We compared outcomes between the year preceding enrollment and years one-four post-enrollment. Compared with the year prior to enrollment, asthma-related ED visits decreased by 67.9% at one year, 59.5% at two years, 70.2% at three years, and 50% at four years post-enrollment (all p-values&lt; 0.005). There were also significant declines in mean numbers of total ED visits, asthma-related hospital admissions, and total hospital admissions. Our results indicate that school nurse-supervised asthma therapy could potentially mitigate racial/ethnic and socioeconomic inequities in childhood asthma.
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  Data: EJ1434813
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1434813
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        Value: 10.1177/10598405221100470
    Languages:
      – Text: English
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        PageCount: 6
        StartPage: 440
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      – SubjectFull: Diseases
        Type: general
      – SubjectFull: Therapy
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      – SubjectFull: Minority Group Children
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      – SubjectFull: Disproportionate Representation
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      – SubjectFull: Health Services
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      – SubjectFull: Comprehensive School Health Education
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      – SubjectFull: Program Effectiveness
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      – SubjectFull: Health Behavior
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      – SubjectFull: Low Income Students
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      – SubjectFull: Massachusetts
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