USING SCHOOLS TO IMPROVE HEALTH OF CHILDREN WITH ASTHMA

这项研究的目的是证明， 哮喘的护理，将家庭、儿童的医生和 学校可以改善哮喘儿童的健康状况。 新 约克市学校儿童和青少年健康局（BSCAH），新 约克市教育委员会（京东方），学校护士和初级保健 医生和研究人员将合作，形成一个网络， 关注哮喘的预防方面， 哮喘在学校，并与家庭和医生的工作， 为每个孩子制定哮喘管理计划，包括监督 在学校吃药。 这项研究将集中在儿童与穷人 控制哮喘。该网络将提供给医生， 哮喘儿童在学校或附近的做法，继续医疗 根据NAEPP与哥伦比亚大学合作开展教育 哮喘护理指南。 该项目将介绍缺乏 继续照顾医生谁根据NAEPP准则执业。 此外，他们将教导京东方教师和其他学校工作人员， 对哮喘儿童做出适当的反应， 教育，以帮助儿童和家庭管理哮喘。 该网络将 与京东方和哥伦比亚合作，开发关于生物学的课堂课程， 呼吸和哮喘的问题。有两个阶段， 建议的研究。 在第一阶段，将在8所学校开展试点工作， 建立一个预防性护理网络， 在初步研究中得到发展。 第二阶段包括一个受控的 在40所学校进行了试验，这些学校被随机分配到干预组， 控制状态。 研究人员假设，相对于对照组， 12所干预学校的儿童哮喘的发病率会降低， 发病率，减少有限活动的天数，提高入学率， 性能和生活质量的改善。

The purpose of this study is to demonstrate that a preventive network of care for asthma that links the family, the child's physician, and the school can improve the health status of children with asthma. The New York City Bureau of School Children and Adolescent Health (BSCAH), the New York City Board of Education (BOE), school nurses and primary care physicians, and the investigators will collaborate to form a network of care focusing on preventive aspects of asthma to identify children with asthma in the school, and work with the family and the physician to develop an asthma management plan for each child including supervision of medicine-taking at school. The study will focus on children with poorly controlled asthma. The network will offer to physicians, who treat children with asthma at school or a nearby practice, continuing medical education in cooperation with Columbia University based on the NAEPP guidelines for asthma care. The project will refer children who lack continuing care to physicians who practice under NAEPP guidelines. Furthermore, they will teach BOE teachers and other school staff to respond appropriately to children with asthma and will provide health education to help the child and family manage asthma. The network will work with BOE and Columbia to develop classroom lessons on the biology of breathing and asthma for all children in school. There are two phases in the proposed research. In Phase 1, pilot work in eight schools will be done to create a preventive network of care using methodology that has been developed in preliminary studies. Phase 2 consists of a controlled trial in 40 schools matched and randomly assigned to intervention and control status. The investigators hypothesize that relative to controls the children in the 12 intervention schools will have less asthma morbidity, fewer days of limited activity, improved school attendance and performance, and improved quality of life.