Creation and implementation of SAMPRO™: A school-based asthma management program

Lemanske, Robert F.; Kakumanu, Sujani; Shanovich, K.K.; Antos, Nicholas; Cloutier, Michelle M.; Mazyck, Donna; Phipatanakul, Wanda; Schantz, Shirley; Szefler, Stanley J.; Vandlik, Renee; Williams, Paul V.

doi:10.1016/j.jaci.2016.06.015

Cited by 82 publications

(53 citation statements)

References 32 publications

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“…Previous indoor environment intervention trials focused on individuals in single homes. If we demonstrate that reduction of classroom-specific exposures leads to improved asthma outcomes, then our findings can be translated into efficient and cost-effective strategies[62] to benefit communities of children through improving the school environment, where children in America spend the majority of their day.…”

Section: Discussionmentioning

confidence: 99%

The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned

Phipatanakul

Koutrakis

Coull

et al. 2017

Contemporary Clinical Trials

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Asthma is the most common chronic disease of childhood in the United States, causes significant morbidity, particularly in the inner-city, and accounts for billions of dollars in health care utilization. Home environments are established sources of exposure that exacerbate symptoms and home-based interventions are effective. However, elementary school children spend 7 to 12 h a day in school, primarily in one classroom. From the observational School Inner-City Asthma Study we learned that student classroom-specific exposures are associated with worsening asthma symptoms and decline in lung function. We now embark on a randomized, blinded, sham-controlled school environmental intervention trial, built on our extensively established school/community partnerships, to determine the efficacy of a school-based intervention to improve asthma control. This factorial school/classroom based environmental intervention will plan to enroll 300 students with asthma from multiple classrooms in 40 northeastern inner-city elementary schools. Schools will be randomized to receive either integrated pest management versus control and classrooms within these schools to receive either air purifiers or sham control. The primary outcome is asthma symptoms during the school year. This study is an unprecedented opportunity to test whether a community of children can benefit from school or classroom environmental interventions. If effective, this will have great impact as an efficient, cost-effective intervention for inner city children with asthma and may have broad public policy implications.

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Section: Discussionmentioning

confidence: 99%

The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned

Phipatanakul

Koutrakis

Coull

et al. 2017

Contemporary Clinical Trials

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“…For example, in response to stakeholder opinions, the Beacon project in Minnesota has tried to increase communication and collaboration in asthma care through a health information exchange . Additionally, multiple clinicians recently came together at a summit and agreed on 4 essential components of effective asthma care collaboration between schools and providers . However, there is still little qualitative research looking at specifically how stakeholders perceive communication in an effective SAP.…”

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confidence: 99%

Stakeholder Perspectives on Optimizing Communication in a School‐Centered Asthma Program

Snieder

Nickels

Gleason

et al. 2017

Journal of School Health

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Communication in SAPs is most effective when there are clearly delineated roles with the school being the focal point for education and monitoring of asthmatic students and PCPs being the focal point for diagnosis and changes in care. Communication should take place using modern technology that is integrated into existing workflow. Information sharing is most likely to be successful if there is deliberate relationship building.

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“…These may include the introduction of interactive web‐based platforms for HIPPA and FERPA compliant chronic disease communication, the use of CHWs within the school and/or mobile clinic space to help bridge the medical, school, and community sectors, as well as consideration of policy and further implementation of stock albuterol to improve emergency mediation availability in asthma. Tools, such as the School‐based Asthma Management Program or SAMPRO (Lemanske et al., ) created by the American Academy of Allergy, Asthma, and Immunology, exist to help guide school districts to standardize asthma management programs and reduce nurse administrative work (Lemanske et al., ; Liptzin et al., ). Furthermore, policymakers need to address school nurse staffing shortages and help legislatively to support the vital role of school nursing in Chicago, in Illinois, and across the country.…”

Section: Discussionmentioning

confidence: 99%

Chicago Public School nurses examine barriers to school asthma care coordination

Pappalardo

Paulson

Bruscato

et al. 2018

Public Health Nursing

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Objective/Design: Well documented asthma disparities in Chicago pose a continual challenge for the Chicago Public Schools (CPS). Coordinated Healthcare for Complex Kids (CHECK) is a health care demonstration project funded by a Centers for Medicare and Medicaid Services Health Care Innovation Award. A collaborative partnership was formed between CHECK and CPS. With CHECK support, CPS administered a survey to 160 nurses to understand the asthma problems nurses perceived and interest in intervention. Results: Seventy-five per cent (n = 120) completed the survey. While asthma was the top diagnosis managed by 95%, 72% reported gaps in asthma understanding. Appropriate communication between school nurses and providers occurred 33% of the time; 18% believed they received sufficient support to follow-up on deficient paperwork. The barriers mentioned were lack of medications (73%), time (67%), and communication with providers (61%). When asked their opinions on potential interventions, 78% of nurses supported web-based applications, 66% community health workers (CHW), and 66% stock albuterol in schools. Conclusions: The greatest barriers for CPS nurses with asthma management are time and communication. Potential interventions such as web-based communication applications and CHW in schools were well received. K E Y W O R D S asthma, Centers for Medicare and Medicaid Services, community health worker, communitybased participatory research, health disparities, nurse, pediatric asthma, school-based asthma, schools, survey, vulnerable population

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Creation and implementation of SAMPRO™: A school-based asthma management program

Cited by 82 publications

References 32 publications

The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned

The School Inner-City Asthma Intervention Study: Design, rationale, methods, and lessons learned

Stakeholder Perspectives on Optimizing Communication in a School‐Centered Asthma Program

Chicago Public School nurses examine barriers to school asthma care coordination

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