Asthma interventions in primary schools - a review

Al Aloola, Noha A., Naik-Panvelkar, Pradnya, Nissen, Lisa and Saini, Bandana (2014) Asthma interventions in primary schools - a review. Journal of Asthma, 51 8: 779-798. doi:10.3109/02770903.2014.914534

Author Al Aloola, Noha A.
Naik-Panvelkar, Pradnya
Nissen, Lisa
Saini, Bandana
Title Asthma interventions in primary schools - a review
Journal name Journal of Asthma   Check publisher's open access policy
ISSN 1532-4303
Publication date 2014-10-01
Year available 2014
Sub-type Critical review of research, literature review, critical commentary
DOI 10.3109/02770903.2014.914534
Open Access Status Not yet assessed
Volume 51
Issue 8
Start page 779
End page 798
Total pages 20
Place of publication Philadelphia, PA, United States
Publisher Taylor & Francis
Language eng
Formatted abstract
Objective: To explore, in depth, the literature for evidence supporting asthma interventions delivered within primary schools and to identify any "gaps" in this research area.

Methods: A literature search using electronic search engines (i.e. Medline, PubMed, Education Resources Information Center (ERIC), International Pharmaceutical Abstracts (IPA), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase and Informit) and the search terms "asthma", "asthma intervention" and "school-based asthma education program" (and derivatives of these keywords) was conducted.

Results: Twenty-three articles met the inclusion criteria; of these eight were Randomised Controlled Trials. There was much variety in the type, content, delivery and outcome measures in these 23 studies. The most common intervention type was asthma education delivery. Most studies demonstrated improvement in clinical and humanistic markers, for example, asthma symptoms medication use (decrease in reliever medication use or decrease in the need for rescue oral steroid), inhaler use technique and spacer use competency, lung function and quality of life. Relatively few studies explored the effect of the intervention on academic outcomes. Most studies did not report on the sustainability or cost effectiveness of the intervention tested. Another drawback in the literature was the lack of details about the intervention and inconsistency in instruments selected for measuring outcomes.

Conclusion: School-based asthma interventions regardless of their heterogeneity have positive clinical, humanistic, health economical and academic outcomes.
Keyword Asthma
Asthma education
Elementary schools
Primary schools
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Non-UQ

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Pharmacy Publications
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