Program

Dec 15, 2010

OVERVIEW

School-based supervised asthma therapy is an intervention that involves staff
members supervising children’s use of inhaled corticosteroid medications in
school and correcting improper use of inhalers. An evaluation found a positive
impact for episodes of poor asthma control.

DESCRIPTION OF PROGRAM

Target
population:

Children
with asthma who use daily controller medication

School-based supervised asthma therapy is a 15-month intervention in which staff
members observe children taking their inhaled corticosteroid medications every
day at school . If the child incorrectly uses their inhaler, they are taught how
to properly use it.

EVALUATION
OF PROGRAM

Evaluated
population:

290
children with asthma who used daily controller medication and were enrolled in
any of the 36 participating schools. The sample was 57 percent male and 91
percent Black; the average age was 11 years.

Approach: Students were randomly assigned to supervised therapy or the usual care
condition. Usual care consisted of continuation of the usual parent- or
self-supervised daily inhaled corticosteroid treatment. Data were collected
during a three-month baseline period prior to the intervention, and throughout
the 15-month intervention, on episodes of poor asthma control, defined as
absence from school because of asthma or a respiratory illness, average use of
rescue medication of more than twice a week over the course of a month, or more
than one peak flow reading of less than 80 percent of the best value in a month.

Results:
A positive
impact was found for episodes of poor asthma control, with students in the
supervised therapy group less likely to experience an episode of poor asthma
control than students in the usual care group during the intervention.

SOURCES
FOR MORE INFORMATION

References

Gerald,
L.B., McClure, L.A., Mangan, J.M., Harrington, K.F., Gibson, L., Erwin, S.,
Atchison, J., & Grad, R. (2009). Increasing adherence to inhaled steroid therapy
among schoolchildren: Randomized, controlled trial of school-based supervised
asthma therapy. Pediatrics, 123,466-474.

Contact
information

Lynn B.
Gerald

UAB Lung
Health center

OHB 138

619 19th
St. South

Birmingham, AL 35249-7337


geraldl@uab.edu

KEYWORDS:
Children
(3-11), Adolescents (12-17), Elementary, Middle School, Males and Females
(Co-ed), School-Based, Counseling/Therapy, Health Status/Conditions

Program
information last updated on 12/15/10.

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