Providence school asthma partnership: school-based asthma program for inner-city families.
Over 3 years, 972 families participated in an after-school asthma program at their child's school. Parents and children attended concurrent 2(1/2)-hour workshops. Parents were 74% Latino; 45% non-English speaking, with 77% of children on Medicaid. Asthma symptoms were significantly reduced, from multiple times per week to less than once per week on average. Oral steroid use decreased to one third of baseline use. Hospital days decreased from 11% to 2%; emergency visits decreased 35% to 4%; and school days missed decreased 48% to 20%. This program has now become sustainable with both private and Medicaid insurance coverage.
DePue
Judith D
JD
The Centers for Behavioral and Preventive Medicine, the Miriam Hospital/Brown Medical School, Providence, Rhode Island 02903, USA. JDePue@Lifespan.org
McQuaid
Elizabeth L
EL
Koinis-Mitchell
Daphne
D
Camillo
Christopher
C
Alario
Anthony
A
Klein
Robert B
RB
D001249:Asthma / Q000188:drug therapy / Q000208:ethnology / Q000517:prevention & control*; D002648:Child; D004638:Emergency Treatment / Q000706:statistics & numerical data; D005260:Female; D005500:Follow-Up Studies; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008913:Minority Groups / Q000706:statistics & numerical data; D010290:Parents / Q000193:education; D010353:Patient Education as Topic; D015397:Program Evaluation; D012237:Rhode Island / Q000453:epidemiology; D012572:School Health Services; D013256:Steroids / Q000627:therapeutic use; D016896:Treatment Outcome; D014505:Urban Population
D013256:Steroids