Evidence map›Paper›PMID 36755187›Full record

ArticlePediatric research2023

School-based health care: improving academic outcomes for inner-city children-a prospective cohort quasi-experimental study.

Saisujani Rasiah, Peter Jüni, Michael D Sgro, Kevin E Thorpe, Jonathon Maguire, Sloane J Freeman

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04540003 (School Based Health Care), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 25% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

NCT04540003 nacompletednot on this map

School Based Health Care: A Model for Improving Educational Achievement for Children in Inner City Schools

TypeinterventionalSponsorUnity Health TorontoRan2016 to 2022Enrolled147ConditionsEducational AchievementArmsAccess to School Based Health Centre
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Observational
  2. Article
  3. Mental Health Trajectories of Children and Caregivers Using School-Based Health Centers During the COVID-19 Pandemic.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Saisujani RasiahInstitute of Medical Sciences, University of Toronto, Toronto, ON, Canada.
Peter JüniApplied Health Research Centre, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Michael D SgroInstitute of Medical Sciences, University of Toronto, Toronto, ON, Canada.
Kevin E ThorpeApplied Health Research Centre, Li Ka Shing Knowledge Institute of St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Jonathon MaguireDepartment of Pediatrics, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada.
Sloane J FreemanDepartment of Pediatrics, St. Michael's Hospital, Unity Health Toronto, Toronto, ON, Canada. sloane.freeman@unityhealth.to.
St. Michael's Hospital · CAUniversity of Toronto · CASt Michael’s Hospital · IEUnity Health Toronto

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe examined whether a school-based health center model improved academic achievement compared to usual care.

methodsThis was a quasi-experimental prospective cohort study. The primary outcome was an academic achievement. In addition, we analyzed sociodemographic characteristics and their relationship to academic achievement, and the wait time for a developmental assessment.

resultsThe differences in change of grades over time (from 2016/2017 to 2018/2019) were small for reading (-0.83, 95% CI -3.48, 1.82, p = 0.51), writing (-1.11, 95% CI -3.25, 1.03, p = 0.28), and math (0.06, 95% CI -3.08, 2.94, p = 0.98). The experimental arm's average wait time for developmental assessment was 3.4 months.

conclusionIn this small, quasi-experimental prospective cohort study, we did not find evidence that our SBHC model improved academic achievement; however, the wait time at the SBHCs was considerably less than the provincial wait time for a developmental assessment.

trial registrationNCT04540003. IMPACT: This study describes a unique and innovative school-based health center model. Our findings support the benefits of school-based health centers in diagnosing and treating children with developmental and mental health disorders for disadvantaged communities. This study did not find an improvement in academic achievement for school-based health center users. This study found that the wait time to developmental assessment was shorter for school-based health center users compared to the wait time reported in the community. Pandemic-associated school disruptions have highlighted the importance of accessible school-based health services for children requiring mental health and developmental assessments and care.

Indexed as

Academic SuccessChildDelivery of Health CareEducational StatusHumansProspective StudiesSchool Health Services

Identifiers

PMID36755187
PMCPMC9907190
OpenAlexW4319591289

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.