title: Applying the Social Ecological Model to Creating Asthma-Friendly Schools in Louisiana.
abstract: BACKGROUND
  In 2010, the Louisiana Asthma Management and Prevention Program (LAMP) implemented the Asthma-Friendly Schools Initiative in high-risk Louisiana populations. The social ecological model (SEM) was used as a framework for an asthma program implemented in 70 state K-12 public schools over 2 years.
  
  
  METHODS
  Activities included a needs assessment, identification of students with asthma, individualized asthma action plans (AAP), staff trainings, environmental quality improvement, and school system policy changes to address the asthma burden.
  
  
  RESULTS
  There were 522 new or existing asthma cases recognized. Asthma knowledge/awareness was measurably improved among school personnel. School indoor air quality was improved across all locations. School-level policies were adopted that improved AAP collection, compliance to bus-idling restrictions, and asthma medication self-carry.
  
  
  CONCLUSIONS
  The SEM framework can be used for school-based programs to address successfully and improve asthma-related issues from the individual through policy levels.
authors.affiliation: Louisiana State University Health Sciences Center, School of Public Health, 2020 Gravier St., Ste. 216, New Orleans, LA 70112. hnussj@lsuhsc.edu.
authors.forename: Henry J
authors.initials: HJ
authors.lastname: Nuss
authors.affiliation: ORISE/CDC Research Program, Air Pollution and Respiratory Health Branch, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop F60, Atlanta, GA 30341. llhester@live.unc.edu.
authors.forename: Laura L
authors.initials: LL
authors.lastname: Hester
authors.affiliation: University of Phoenix, College of Health Sciences and Nursing, Baton Rouge, LA. mark.perry@la.gov.
authors.forename: Mark A
authors.initials: MA
authors.lastname: Perry
authors.affiliation: Section of Environmental Epidemiology and Toxicology, Office of Public Health, Department of Health and Hospitals, 628 N, 4th Street, Baton Rouge, LA 70812-4489. Collette.Stewart-Briley@LA.GOV.
authors.forename: Collette
authors.initials: C
authors.lastname: Stewart-Briley
authors.affiliation: Jiann-Ping Hsu College of Public Health, Georgia Southern University, 501 Forest Drive, Statesboro, GA 30458. jphcoph@georgiasouthern.edu.
authors.forename: Valamar M
authors.initials: VM
authors.lastname: Reagon
authors.affiliation: Air Pollution and Respiratory Health Branch, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Hwy, Mailstop F60, Atlanta, GA 30341. ing4@cdc.gov.
authors.forename: Pamela
authors.initials: P
authors.lastname: Collins
mesh_terms: D001249:Asthma / Q000453:epidemiology* / Q000517:prevention & control*; D004777:Environment; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D008145:Louisiana; D020380:Needs Assessment; D057766:Policy; D011788:Quality of Life; D012574:Schools / Q000458:organization & administration* / Q000592:standards; D012959:Socioeconomic Factors
keywords: asthma; schools; social ecological model
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