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Screening Tools in School-Based Health Centers for Children with Asthma

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Title: Screening Tools in School-Based Health Centers for Children with Asthma
Language: English
Authors: Vanessa F. Maier (ORCID 0009-0000-3194-4985), Olivia Dhaliwal, Amanda Liu, Kim Foreman, Matthew Linick, Katie Feldman
Source: Journal of School Health. 2025 95(8):622-630.
Availability: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
Peer Reviewed: Y
Page Count: 9
Publication Date: 2025
Sponsoring Agency: National Institutes of Health (NIH) (DHHS)
Contract Number: 5U54MD00226513
Document Type: Journal Articles
Reports - Research
Education Level: Elementary Secondary Education
Descriptors: School Health Services, Diseases, Child Health, Screening Tests, Urban Schools, Intervention, Access to Health Care, Symptoms (Individual Disorders), Home Programs, Program Effectiveness, Family Environment, Elementary Secondary Education, Environmental Influences
Geographic Terms: Ohio
DOI: 10.1111/josh.70033
ISSN: 0022-4391
1746-1561
Abstract: Background: There is a large body of research suggesting the role of school-based health centers (SBHCs) in improving outcomes for children with asthma, but there are no evidence-based guidelines for the care of children with asthma in SBHCs. We conducted a randomized trial to assess screening in children with asthma in an urban SBHC. Methods: Participants were screened for asthma triggers. The intervention group received home assessments and medical legal partnership (MLP) referrals as indicated. The primary outcome of asthma severity was assessed using the asthma control test (ACT). All participants completed semi-structured interviews to evaluate their experience. Results: All families randomized to intervention qualified for and completed home remediation. There were no statistically significant differences in asthma severity. There was 100% retention of participants, and all participants rated their experience as good or excellent. Implications for School Health Policy, Practice and Equity: This study demonstrates a high prevalence of home-based asthma triggers for children with asthma who receive care in SBHCs. Although not large enough to demonstrate significance in primary outcomes, participants were successfully recruited from a diverse population and retained through completion of the study. Participants rated their experience as good or excellent, suggesting that the recruitment and retention of diverse participants for clinical trials in SBHCs can be successful. Conclusions: Home-based asthma triggers for children with asthma who receive care in SBHCs are prevalent. Although complex collaborations are required, SBHCs are a viable site for clinical trials. More research is needed to understand the benefit of interventions in SBHCs to reduce asthma severity.
Abstractor: As Provided
Entry Date: 2025
Accession Number: EJ1476585
Database: ERIC
FullText Text:
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  Data: Screening Tools in School-Based Health Centers for Children with Asthma
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  Data: <searchLink fieldCode="AR" term="%22Vanessa+F%2E+Maier%22">Vanessa F. Maier</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0000-3194-4985">0009-0000-3194-4985</externalLink>)<br /><searchLink fieldCode="AR" term="%22Olivia+Dhaliwal%22">Olivia Dhaliwal</searchLink><br /><searchLink fieldCode="AR" term="%22Amanda+Liu%22">Amanda Liu</searchLink><br /><searchLink fieldCode="AR" term="%22Kim+Foreman%22">Kim Foreman</searchLink><br /><searchLink fieldCode="AR" term="%22Matthew+Linick%22">Matthew Linick</searchLink><br /><searchLink fieldCode="AR" term="%22Katie+Feldman%22">Katie Feldman</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+School+Health%22"><i>Journal of School Health</i></searchLink>. 2025 95(8):622-630.
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  Data: Wiley. Available from: John Wiley & Sons, Inc. 111 River Street, Hoboken, NJ 07030. Tel: 800-835-6770; e-mail: cs-journals@wiley.com; Web site: https://www.wiley.com/en-us
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  Data: Y
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  Data: 9
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  Data: 2025
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  Data: National Institutes of Health (NIH) (DHHS)
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  Data: Journal Articles<br />Reports - Research
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  Data: <searchLink fieldCode="EL" term="%22Elementary+Secondary+Education%22">Elementary Secondary Education</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22School+Health+Services%22">School Health Services</searchLink><br /><searchLink fieldCode="DE" term="%22Diseases%22">Diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Child+Health%22">Child Health</searchLink><br /><searchLink fieldCode="DE" term="%22Screening+Tests%22">Screening Tests</searchLink><br /><searchLink fieldCode="DE" term="%22Urban+Schools%22">Urban Schools</searchLink><br /><searchLink fieldCode="DE" term="%22Intervention%22">Intervention</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms+%28Individual+Disorders%29%22">Symptoms (Individual Disorders)</searchLink><br /><searchLink fieldCode="DE" term="%22Home+Programs%22">Home Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Program+Effectiveness%22">Program Effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Family+Environment%22">Family Environment</searchLink><br /><searchLink fieldCode="DE" term="%22Elementary+Secondary+Education%22">Elementary Secondary Education</searchLink><br /><searchLink fieldCode="DE" term="%22Environmental+Influences%22">Environmental Influences</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Ohio%22">Ohio</searchLink>
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1111/josh.70033
– Name: ISSN
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  Data: 0022-4391<br />1746-1561
– Name: Abstract
  Label: Abstract
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  Data: Background: There is a large body of research suggesting the role of school-based health centers (SBHCs) in improving outcomes for children with asthma, but there are no evidence-based guidelines for the care of children with asthma in SBHCs. We conducted a randomized trial to assess screening in children with asthma in an urban SBHC. Methods: Participants were screened for asthma triggers. The intervention group received home assessments and medical legal partnership (MLP) referrals as indicated. The primary outcome of asthma severity was assessed using the asthma control test (ACT). All participants completed semi-structured interviews to evaluate their experience. Results: All families randomized to intervention qualified for and completed home remediation. There were no statistically significant differences in asthma severity. There was 100% retention of participants, and all participants rated their experience as good or excellent. Implications for School Health Policy, Practice and Equity: This study demonstrates a high prevalence of home-based asthma triggers for children with asthma who receive care in SBHCs. Although not large enough to demonstrate significance in primary outcomes, participants were successfully recruited from a diverse population and retained through completion of the study. Participants rated their experience as good or excellent, suggesting that the recruitment and retention of diverse participants for clinical trials in SBHCs can be successful. Conclusions: Home-based asthma triggers for children with asthma who receive care in SBHCs are prevalent. Although complex collaborations are required, SBHCs are a viable site for clinical trials. More research is needed to understand the benefit of interventions in SBHCs to reduce asthma severity.
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  Data: EJ1476585
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        Value: 10.1111/josh.70033
    Languages:
      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 622
    Subjects:
      – SubjectFull: School Health Services
        Type: general
      – SubjectFull: Diseases
        Type: general
      – SubjectFull: Child Health
        Type: general
      – SubjectFull: Screening Tests
        Type: general
      – SubjectFull: Urban Schools
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      – SubjectFull: Intervention
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      – SubjectFull: Symptoms (Individual Disorders)
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      – SubjectFull: Home Programs
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      – SubjectFull: Program Effectiveness
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      – SubjectFull: Elementary Secondary Education
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      – SubjectFull: Environmental Influences
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      – SubjectFull: Ohio
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      – TitleFull: Screening Tools in School-Based Health Centers for Children with Asthma
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            NameFull: Vanessa F. Maier
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              Type: published
              Y: 2025
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