Program

Oct 24, 2011

OVERVIEW

The Staying Healthy
– Asthma Responsible and Prepared (SHARP) program was designed for fourth- to
sixth-grade students with asthma. Five schools were randomly assigned to either
the SHARP intervention (N=3 schools, 38 students) or regular care (N=2 schools,
28 students). The students in the SHARP group showed significant improvements
in student knowledge of asthma, reasoning about asthma, use of risk- reduction
behaviors, participation in normal, chosen life activities, use of
asthma-episode-management behaviors, and acceptance of asthma outcomes.

DESCRIPTION
OF PROGRAM

Target
population: 
Fourth- to sixth- grade students with asthma (Ages = 9 to 12
years).

The Staying Healthy
– Asthma Responsible and Prepared (SHARP) program was developed, in
collaboration with school personnel and members of a community asthma coalition,
to foster acceptance of asthma by addressing cognitive, behavioral, and
psychosocial aspects of asthma management that impact quality-of-life outcomes.
The SHARP program uses the Acceptance of Asthma Model, a life-span development
perspective that addresses cognitive, behavioral and psychosocial needs of
students with asthma. The program aims to increase long-term responsibility for
maintaining and promoting health, and preventing complications. Students with
asthma meet for 50-minute sessions once a week for 10 weeks during school
hours. During these sessions, students work through the 100-page SHARP
workbook. Caregivers, family members, friends, neighbors, schoolteachers, and
club or sports leaders are invited by students to participate in one of three
programs of the community component that occurs during early weekday hours or on
the weekend. The caregiver-community component involves distribution of
informational material and other products, as well as a 90-minute presentation
about asthma combined with a question-and-answer component. Thus, SHARP
combines a student component and a community component to promote asthma
awareness.

EVALUATION(S)
OF PROGRAM

Kintner, E. K.,
& Sikorskii, A. (2009). Randomized clinical trial of a school-based academic
and counseling program for older school-age students. Nursing Research, 58,321-331.

Evaluated
population: 
Participants in this study (N=66) consisted of students in
fourth to sixth grade (ages 9 to 12 years). Fifty-two percent of the
participants were male; 30 percent were black, 36 percent were white, 18 percent
were biracial; and a wide range of family incomes was represented.

Approach:
Three schools (N=38 students) were randomly assigned to receive SHARP, and two
schools (N=28) were assigned to usual care. The SHARP program was integrated
into the schools as a teaching module. Caregivers and other people in support
of the student participated in a 3-hour information-sharing program. Data were
collected at pretest and posttest on participants’ knowledge of asthma, ability
to reason about asthma under various scenarios, asthma health behaviors,
acceptance of asthma, participation in life activities, general health history,
and severity of illness.

Results:
Students in the SHARP group showed statistically significant improvements in
their knowledge of asthma, reasoning about asthma, use of risk reduction
behaviors, participation in life activities, use of episode management
behaviors, and acceptance of asthma outcomes, compared with students in the
control group.

SOURCES FOR
MORE INFORMATION

Website:

https://sharp.nursing.wisc.edu

References:

Kintner, E. K., &
Sikorskii, A. (2009). Randomized clinical trial of a school-based academic and
counseling program for older school-age students. Nursing Research, 58,
321-331.

KEYWORDS:
Children; Elementary; Middle School; Males and Females; School-based; Parent
Training/Education; Skills Training; Health Status/Conditions

Program
information last updated 10/24/11