title: Effectiveness of a school- and community-based academic asthma health education program on use of effective asthma self-care behaviors in older school-age students.
abstract: OBJECTIVE
  The purpose was to evaluate the effectiveness of Staying Healthy-Asthma Responsible & Prepared, an academic asthma health education and counseling program, on fostering the use of effective asthma self-care behaviors.
  
  
  METHODS
  This was a phase III, two-group, cluster randomized, single-blinded, longitudinal design-guided study. Caregivers of 205 fourth- and fifth-grade students completed the asthma health behaviors survey at preintervention, and 1, 12, and 24 months postintervention. Analysis involved multilevel modeling.
  
  
  RESULTS
  All students demonstrated improvement in episode management, risk reduction/prevention, and health promotion behaviors; Staying Healthy-Asthma Responsible & Prepared students demonstrated increased improvement in episode management and risk reduction/prevention behaviors.
  
  
  CONCLUSIONS
  Working with schoolteachers, nurses can improve the use of effective asthma self-care behaviors.
authors.affiliation: The University of Texas at Austin School of Nursing, Austin, Texas, USA.
authors.forename: Eileen K
authors.initials: EK
authors.lastname: Kintner
authors.forename: Gwendolyn
authors.initials: G
authors.lastname: Cook
authors.forename: C Nathan
authors.initials: CN
authors.lastname: Marti
authors.forename: April
authors.initials: A
authors.lastname: Allen
authors.forename: Debbie
authors.initials: D
authors.lastname: Stoddard
authors.forename: Phyllis
authors.initials: P
authors.lastname: Harmon
authors.forename: Melissa
authors.initials: M
authors.lastname: Gomes
authors.forename: Linda
authors.initials: L
authors.lastname: Meeder
authors.forename: Laurie A
authors.initials: LA
authors.lastname: Van Egeren
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001249:Asthma / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D017028:Caregivers / Q000193:education; D016000:Cluster Analysis; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009316:National Institutes of Health (U.S.); D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D011788:Quality of Life; D018570:Risk Assessment; D040242:Risk Reduction Behavior; D012572:School Health Services / Q000458:organization & administration; D012648:Self Care; D012720:Severity of Illness Index; D012737:Sex Factors; D016037:Single-Blind Method; D014481:United States; D055815:Young Adult
keywords: Adaptation; adjustment; condition management; episode management; health promotion; intervention; pediatric; prevention; quality of life; randomized control trial; risk reduction; self-management