ERIC Number: EJ741863
Record Type: Journal
Publication Date: 2006-Aug
Pages: 5
Abstractor: Author
ISBN: N/A
ISSN: ISSN-0022-4391
EISSN: N/A
The Efficacy of Asthma Case Management in an Urban School District in Reducing School Absences and Hospitalizations for Asthma
Levy, Marian; Heffner, Brenda; Stewart, Tara; Beeman, Gail
Journal of School Health, v76 n6 p320-324 Aug 2006
Pediatric asthma rates are reaching epidemic proportions, adversely affecting children's quality of life, educational potential, and health care costs, especially those in the inner city. This study evaluated the effectiveness of a school-based asthma case management (CM) approach with medically undeserved inner-city children attending Memphis City schools. Fourteen elementary schools with high rates of asthma-related hospital utilization were grouped according to school size, percentage of children with asthma enrolled, and percentage of children eligible for free or reduced-price lunch. Schools were randomized to either a nurse CM intervention or a usual care (UC) condition. The CM group included 115 students; 128 students were in the UC group. A longitudinal design was used to follow students' progress. Students were primarily African-American children diagnosed with asthma. In CM schools, nurse case managers conducted weekly group sessions incorporating the Open Airways curriculum, followed up on students' school absences, and coordinated students' asthma care with families, school personnel, and medical providers. In UC schools, students received routine school nursing services. CM students had fewer school absences than their counterparts in UC schools (mean 4.38 vs 8.18 days, respectively) and experienced significantly fewer emergency department visits (p less than 0.0001) and fewer hospital days (p less than 0.05) than UC students. No such differences existed before program initiation. Replication and follow-up in year 2 showed continued significant improvements. School-based nurse CM can achieve significant improvements in school attendance and medical utilization.
Descriptors: Program Effectiveness, Diseases, Urban Schools, Longitudinal Studies, Attendance, Hospitalized Children, African American Children, School Health Services, Early Intervention, Clinical Diagnosis
Blackwell Publishing. 350 Main Street, Malden, MA 02148. Tel: 800-835-6770; Tel: 781-388-8200; Fax: 781-388-8210; e-mail: subscrip@bos.blackwellpublishing.com; Web site: http://www.blackwellpublishing.com/.
Publication Type: Journal Articles; Reports - Evaluative
Education Level: Elementary Education
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Tennessee
Grant or Contract Numbers: N/A