title: Effectiveness of a school-based academic asthma health education and counseling program on fostering acceptance of asthma in older school-age students with asthma.
abstract: OBJECTIVE
  The purpose of this study was to evaluate the effectiveness of the academic asthma education and counseling Staying Healthy-Asthma Responsible and Prepared™ (SHARP) program on fostering psychosocial acceptance of asthma.
  
  
  METHODS
  This was a phase III, two-group, cluster-randomized, single-blinded, longitudinal study. Students from grades 4 and 5 (N = 205) with asthma and their caregivers completed surveys at pre-intervention and at 1-, 12-, and 24-months post-intervention. Analysis involved multilevel modeling.
  
  
  RESULTS
  All students demonstrated significant improvement in aspects of acceptance; students in SHARP demonstrated significant improvement in openness to sharing and connectedness with teachers over students in the control condition.
  
  
  CONCLUSIONS
  The SHARP program offers a well-tested, effective program for psychosocial acceptance of asthma, which is welcomed by schools.
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: 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: D000367:Age Factors; D001249:Asthma / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D002648:Child; D016000:Cluster Analysis; D003376:Counseling / Q000458:organization & administration; D005260:Female; D005500:Follow-Up Studies; D006266:Health Education / Q000458:organization & administration*; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D015999:Multivariate Analysis; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data*; D015397:Program Evaluation; D058996:Quality Improvement; D012572:School Health Services / Q000458:organization & administration*; D012720:Severity of Illness Index; D016037:Single-Blind Method; D013781:Texas; D016896:Treatment Outcome
keywords: Adaptation; adjustment; intervention; pediatric; psychological; psychosocial; quality of life; randomized control trial