Applying the Social Ecological Model to Creating Asthma-Friendly Schools in Louisiana

被引:11
作者
Nuss, Henry J. [1 ]
Hester, Laura L. [2 ]
Perry, Mark A. [3 ]
Stewart-Briley, Collette [4 ]
Reagon, Valamar M. [5 ]
Collins, Pamela [6 ]
机构
[1] Louisiana State Univ, Hlth Sci Ctr, Sch Publ Hlth, 2020 Grader St,Ste 216, New Orleans, LA 70112 USA
[2] Ctr Dis Control & Prevent, ORISE CDC Res Program, Ait Pollut & Resp Hlth Branch, Natl Ctr Environm Hlth, 4770 Buford Hwy, Atlanta, GA 30341 USA
[3] Univ Phoenix, Coll Hlth Sci & Nursing, Baton Rouge, LA USA
[4] Off Publ Hlth, Sect Environm Epidemiol & Toxicol, Dept Hlth & Hosp, 628 N,4th St, Baton Rouge, LA 70812 USA
[5] Georgia So Univ, Jiann Ping Hsu Coll Publ Hlth, 501 Forest Dr, Statesboro, GA 30458 USA
[6] Ctr Dis Control & Prevent, Air Pollut & Resp Hlth Branch, Natl Ctr Environm Hlth, Atlanta, GA 30341 USA
关键词
asthma; social ecological model; schools; HEALTH-PROMOTION; CHILDHOOD ASTHMA; PROGRAMS; CHILDREN;
D O I
10.1111/josh.12369
中图分类号
G40 [教育学];
学科分类号
040101 ; 120403 ;
摘要
BACKGROUNDIn 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. METHODSActivities 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. RESULTSThere 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 polices were adopted that improved AAP collection, compliance to bus-idling restrictions, and asthma medication self-carry. CONCLUSIONSThe SEM framework can be used for school-based programs to address successfully and improve asthma-related issues from the individual through policy levels.
引用
收藏
页码:225 / 232
页数:8
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