ArticleThe Journal of asthma : official journal of the Association for the Care of Asthma2018
School nurse asthma program reduces healthcare utilization in children with persistent asthma.
Article in The Journal of asthma : official journal of the Association for the Care of Asthma, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Effect of the Telemedicine Enhanced Asthma Management-Uniting Providers (TEAM-UP) Program on Asthma Outcomes: A Randomized Clinical Trial.The Journal of pediatrics · 2026Trial
- A Pilot Pragmatic Cluster Randomized Trial of School-Supervised Therapy to Improve Pediatric Asthma Control.The journal of allergy and clinical immunology. In practice · 2025Trial
- Strategies to improve the recruitment and retention of underserved children and families in clinical trials: A case example of a school-supervised asthma therapy pilot.Contemporary clinical trials · 2022Trial
- Effect of the School-Based Asthma Care for Teens (SB-ACT) program on asthma morbidity: a 3-arm randomized controlled trial.The Journal of asthma : official journal of the Association for the Care of Asthma · 2022Trial
- Promoting the recruitment of historically underrepresented children and families in clinical trials: Perspectives of pediatric clinic staff.Contemporary clinical trials communications · 2026Article
- A Systematic Review of School-Based Behavioral Interventions and the Symbolic Labor of Inclusion for Children with Chronic Illness.Healthcare (Basel, Switzerland) · 2025Review
- School-based asthma therapy: Improving medication adherence, asthma control, and health care utilization.The journal of allergy and clinical immunology. Global · 2025Article
- A Rapid Review of Mental Health Training Programs for School Nurses.The Journal of school nursing : the official publication of the National Association of School Nurses · 2025Review
- Advancing Equitable Participation in Pediatric Clinical Trials Through Cognitive Interviewing.Pediatrics · 2025Article
- Addressing health inequities in pediatric asthma through implementation of school-supervised asthma therapy.The journal of allergy and clinical immunology. In practice · 2025Article
- Recommendations for Clinicians to Combat Environmental Disparities in Pediatric Asthma: A Review.Chest · 2024Review
- Exploring the relationship between school-supervised asthma therapy and social determinants of health in pediatric asthma care.Pediatric pulmonology · 2024Article
- School-supervised Asthma Therapy is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children.The Journal of school nursing : the official publication of the National Association of School Nurses · 2024Article
- Participant Perspectives on the Implementation of a School-Linked Text-Message Intervention to Improve Pediatric Asthma Medication Adherence.Pediatric allergy, immunology, and pulmonology · 2024Article
- School Nurse Perspectives on Addressing Chronic Absenteeism.The Journal of school nursing : the official publication of the National Association of School Nurses · 2023Review
- School health systems under strain: an example of COVID-19 experiences & burnout among school health staff in Pima County, Arizona.BMC public health · 2023Article
- Appropriate inhaler use in children with asthma: barriers and opportunities through the lens of the socio-ecological model.The Journal of asthma : official journal of the Association for the Care of Asthma · 2023Review
- The role of supervised school therapy in poorly controlled asthma in children.Proceedings (Baylor University. Medical Center) · 2023Article
- School Nurse Perspectives on School-Supervised Asthma Therapy: A Qualitative Study.Pediatric allergy, immunology, and pulmonology · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveWe examined the impact of a novel, school nurse-supervised asthma therapy program on healthcare utilization.
methodsWe retrospectively reviewed charts of 84 children enrolled in this program in central Massachusetts between 2012 and 2015. Physicians identified children with persistent asthma and poor medication adherence. These children were enrolled in the program to receive daily-inhaled corticosteroid at school, supervised by their school nurse, with ongoing communication between physician's office and school nurse through the school year. This program relied on established family, provider and school resources rather than research staff. The primary outcome was change in the number of emergency department (ED) visits in the year before and after enrollment. Secondary outcomes were hospital admissions, school absences, and rescue medication use.
resultsThe study population was on average 10.5 years old, 63% male, 67% Hispanic, 19% black, 14% white with 95% using Medicaid insurance. Asthma-related ED visits over a 1-year period decreased 37.5%, from a pre-intervention mean of 0.8 visits to a post-intervention mean of 0.3 visits (p < 0.001). Asthma-related hospital admissions decreased from a pre-intervention mean of 0.3 admissions to post-intervention mean of 0 admissions (p < 0.001). Asthma rescue medication refills decreased by 46.3% from the pre- to post-intervention period (p = <.001). There were also non-significant declines in school absences and oral steroid use for children enrolled.
conclusionsWe demonstrate a significant reduction in healthcare utilization for children enrolled in this unique school nurse-supervised asthma program, which utilizes a clinical-school partnership to deliver preventative asthma medication to school-aged children under sustainable conditions.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.