A Randomized Study of the Management of School-Age Children with Asthma Treated at Home and at Dallas Independent School District Schools

2.50
Hdl Handle:
http://hdl.handle.net/10755/150082
Type:
Presentation
Title:
A Randomized Study of the Management of School-Age Children with Asthma Treated at Home and at Dallas Independent School District Schools
Abstract:
A Randomized Study of the Management of School-Age Children with Asthma Treated at Home and at Dallas Independent School District Schools
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Author:Johnson, Pauline T., PhD
P.I. Institution Name:Baylor University
Title:Professor and Director of the Graduate Program
Co-Authors:Anna Taylor Hilton, BS, RN; Mark W. Millard, MD; Mary K. Hart, RRT, RCP
Asthma disproportionately affects poor and inner-city families and is a leading cause of chronic school absenteeism, negatively impacting the academic progress of students with asthma and potentially decreasing state funding to some school districts. The majority of students in the Dallas Independent School District (DISD) live in low socioeconomic areas of the inner city. Since 1994, the Baylor University Louise Herrington School of Nursing, the Baylor Asthma and Pulmonary Rehabilitation Center (BAPRC), and DISD have collaborated on studies that explore asthma treatment modalities. A pilot project conducted among 22 students in one school investigated the feasibility of delivering inhaled corticosteroids (ICS) in a school based setting. At the end of 14 weeks, the students who received ICS at school experienced a 15% improvement in peak flow rates and a 66% decrease in inhaled bronchodilator use compared to students in a control group who received the community standard of care. Fifty students in eight schools participated in an expanded study. Students receiving school-based ICS therapy had a 92% attendance rate, compared to an 86% attendance rate for students receiving home-based ICS therapy, and a 78% attendance rate for the control group. A third study investigating ICS therapy began in fall 2002 with the development of screening tools to identify at-risk students. Interdisciplinary teams further evaluated children for persistent asthma. Beginning in February 2003 an estimated 200 subjects in 20 schools will be randomized into one of four treatment arms comparing home-based and school-based therapy. Outcome measurements include school absences, frequency of bronchodilator use at home and school, doctor and emergency room visits, hospitalizations, and student’s reports of asthma symptoms.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Randomized Study of the Management of School-Age Children with Asthma Treated at Home and at Dallas Independent School District Schoolsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150082-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Randomized Study of the Management of School-Age Children with Asthma Treated at Home and at Dallas Independent School District Schools</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Johnson, Pauline T., PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Baylor University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor and Director of the Graduate Program</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Pauline_Johnson@baylor.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Anna Taylor Hilton, BS, RN; Mark W. Millard, MD; Mary K. Hart, RRT, RCP</td></tr><tr><td colspan="2" class="item-abstract">Asthma disproportionately affects poor and inner-city families and is a leading cause of chronic school absenteeism, negatively impacting the academic progress of students with asthma and potentially decreasing state funding to some school districts. The majority of students in the Dallas Independent School District (DISD) live in low socioeconomic areas of the inner city. Since 1994, the Baylor University Louise Herrington School of Nursing, the Baylor Asthma and Pulmonary Rehabilitation Center (BAPRC), and DISD have collaborated on studies that explore asthma treatment modalities. A pilot project conducted among 22 students in one school investigated the feasibility of delivering inhaled corticosteroids (ICS) in a school based setting. At the end of 14 weeks, the students who received ICS at school experienced a 15% improvement in peak flow rates and a 66% decrease in inhaled bronchodilator use compared to students in a control group who received the community standard of care. Fifty students in eight schools participated in an expanded study. Students receiving school-based ICS therapy had a 92% attendance rate, compared to an 86% attendance rate for students receiving home-based ICS therapy, and a 78% attendance rate for the control group. A third study investigating ICS therapy began in fall 2002 with the development of screening tools to identify at-risk students. Interdisciplinary teams further evaluated children for persistent asthma. Beginning in February 2003 an estimated 200 subjects in 20 schools will be randomized into one of four treatment arms comparing home-based and school-based therapy. Outcome measurements include school absences, frequency of bronchodilator use at home and school, doctor and emergency room visits, hospitalizations, and student&rsquo;s reports of asthma symptoms.</td></tr></table>en_GB
dc.date.available2011-10-26T10:16:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:16:03Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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