Stock inhalers in action: results of a pilot study across multiple Illinois counties.

IF 1.3 4区 医学 Q3 ALLERGY
Journal of Asthma Pub Date : 2025-10-01 Epub Date: 2025-06-20 DOI:10.1080/02770903.2025.2519095
Andrea A Pappalardo, Paige Hardy, Caroline Youssef, Lynn B Gerald, Molly A Martin
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引用次数: 0

Abstract

Objective: Pediatric asthma health disparities are common. Schools often lack asthma diagnostic information and infrastructure to handle asthma symptoms. Undesignated or stock rescue inhalers available to anyone in respiratory distress can help prevent absences.

Methods: A stock inhaler pilot program was conceptualized and evaluated using implementation science frameworks. Districts from high-asthma-burden counties were engaged and offered guided implementation over the 2022-2023 or 2023-2024 school year. Districts were required to complete training and report stock inhaler incidents. Pre/post implementation interviews and surveys were performed to assess acceptability, feasibility, fidelity to emergency protocols, satisfaction, and utilization. Descriptive statistics were calculated for surveys and utilization data. Thematic data analysis was performed on interview transcripts.

Results: Fourteen pilot schools from six districts served 10,265 children. Twenty-eight stock inhaler events were documented. The majority of children (75%) using the stock inhaler had known asthma. Of the 24 events for which disposition was reported, 12 students returned to class (50%), 10 left school with a parent (42%), and only two were transported by emergency services (8%). Pre-implementation interviews revealed that school nurses were concerned about family asthma education (76%) and staff training (29%). One interviewee described the program as "a sturdy safety net… if you can't breathe, nothing else matters". All schools intended to continue stocking inhalers.

Conclusions: Stock inhaler programming was well received and improved student outcomes. Resources for Every School Confronting Unexpected Emergencies-Illinois (RESCUE-IL) secured state funding in Illinois to expand stock inhaler programming to over 80% of Illinois public schools. Multi-level, community-focused interventions can maximize the impact of health policies.

行动中的库存吸入器:伊利诺伊州多个县的试点研究结果。
儿童哮喘健康差异是常见的。学校往往缺乏哮喘诊断信息和处理哮喘症状的基础设施。任何呼吸窘迫的人都可以获得未经指定的或库存的救援吸入器,这有助于防止缺勤。方法:采用实施科学框架对库存吸入器试点项目进行概念化和评估。来自哮喘高负担县的学区参与其中,并在2022-2023或2023-2024学年指导实施。各区必须完成培训并报告库存吸入器事故。实施前/实施后进行访谈和调查,以评估可接受性、可行性、对应急方案的忠实度、满意度和利用率。对调查和利用数据进行描述性统计。对访谈笔录进行专题数据分析。结果:来自6个地区的14所试点学校服务了10265名儿童。记录了28起原液吸入器事件。大多数使用常规吸入器的儿童(75%)已知患有哮喘。在报告处置的24起事件中,12名学生返回教室(50%),10名学生与家长一起离开学校(42%),只有2名学生被紧急服务机构转移(8%)。实施前访谈显示,学校护士关注家庭哮喘教育(76%)和员工培训(29%)。一位受访者将该项目描述为“一张坚固的安全网……如果你不能呼吸,其他任何事情都不重要。”所有学校都打算继续储备吸入器。结论:库存吸入器规划效果良好,提高了学生的学习成绩。RESCUE-IL在伊利诺伊州获得了州政府的资助,将库存吸入器项目扩展到伊利诺伊州80%以上的公立学校。以社区为重点的多层次干预措施可以最大限度地发挥卫生政策的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Asthma
Journal of Asthma 医学-过敏
CiteScore
4.00
自引率
5.30%
发文量
158
审稿时长
3-8 weeks
期刊介绍: Providing an authoritative open forum on asthma and related conditions, Journal of Asthma publishes clinical research around such topics as asthma management, critical and long-term care, preventative measures, environmental counselling, and patient education.
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