Poster Presentation
Water's Edge Ballroom (Hilton Waikoloa Village)
Wednesday, July 13, 2005
9:30 AM - 10:00 AM
Water's Edge Ballroom (Hilton Waikoloa Village)
Wednesday, July 13, 2005
2:30 PM - 3:00 PM
Improving Asthma Outcomes in Adolescents Using Evidence-Based Interventions in the School Setting
Beryl Shaw, RN1, Lauren Wondolowsi, BS2, Daisy Liu, BS2, Adam Davis, MPH2, and Ira Tager, MD, MPH3. (1) Oakland Kicks Asthma, American Lung Association, Emeryville, CA, USA, (2) Oakland Kicks Asthma, American Lung Association of the East Bay, Emeryville, CA, USA, (3) Oakland Kicks Asthma, UC Berkeley, Berkeley, CA, USA
| Learning Objective #1: List at least three strategies to engage adolesecent students in an asthma education program |
| Learning Objective #2: Describe the role of parent participation in follow up care for students completing an asthma education program |
Evidence Based Intervention: Oakland Kicks Asthma is an educational program targeted for middle and high school inner city youth to help students manage asthma, control asthma symptoms, and improve school attendance and performance. The Kickin' Asthma curriculum is a modification of a well studied educational program for elementary school students. The curriculum was adapted to meet the unique needs of secondary school students for which no school based asthma curriculum has existed. Vigorous evaluation has demonstrated overall reduced frequency of symptoms along with changes of up to four categories; reduced doctor and Emergency Room visits; reduced reported school absences; and improved self-management behaviors in a high risk population that presents unique challenges.
Population: In the past two years over 5500 incoming students were surveyed in 17 of 21 middle and high schools in Oakland. This represents an expansion of a successful program to almost all middle and high schools in the district. The incidence of students with an asthma diagnosis and current symptoms in this population is 17.3% or one in six students.
Strategy: Identified nurse educators with expertise in asthma provided education for students in a four session series in the school setting. Education included the Kickin' Asthma curriculum targeted toward those students who had an asthma diagnosis and current symptoms. Lessons learned from results of the first year resulted in curricular modifications, a focus on parent education through follow up letters and group meetings, and improved teaching strategies to recruit students and maintain interest in self care.
Summary: Evidence based interventions in the school setting that involves both students and families provides a model program that may be implemented globally to improve outcomes in this population.