ArticleAnnals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology2025
"Getting in and doing it personally": Engagement strategies for rural school asthma programs.
Article in Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAsthma is a common pediatric lung disease in the United States. Children in rural schools face unique environmental asthma triggers and longer distances to medical services than do urban children. Although Illinois law permits schools to carry undesignated rescue inhalers for respiratory distress, few rural schools participate.
objectiveTo develop a rural school engagement strategy for stock inhaler programming.
methodsAn initial engagement strategy was derived from a rural qualitative inquiry through semi-structured interviews and presented for feedback. A two-hour focus group was conducted with eight partners who work within or with rural schools related to school health. Participants were identified through purposeful and snowball sampling. The discussion was transcribed, and key themes were identified using rapid qualitative analysis.
resultsThree themes emerged from the analysis: Building Policy Awareness and Assessing Local Needs, Building Rapport and Support for Rural School Programming, and Unique Considerations for Rural Schools. Engagement strategy suggestions included working with a community health champion and conducting a needs assessment before proposing an intervention. Communication suggestions included concise top-down messaging tailored to rural communities with personal storytelling. Unique rural school characteristics identified were isolation, strong sense of community, insularity, and generosity. Barriers such as communication, liability concerns, and lack of school nurses and physicians were described. This feedback refined the rural engagement strategy.
conclusionA carefully selected focus group with diverse perspectives helped elucidate the best engagement and implementation strategies for rural school health interventions. Addressing the unique challenges faced may improve health outcomes for rural children.
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