Colorado Asthma-Friendly Schools: An On-Ramp to Implementation Science

IF 7.2 1区医学 Q1 ALLERGY

Journal of Allergy and Clinical Immunology-In Practice Pub Date : 2026-10-01 Epub Date: 2026-08-11 DOI:10.1016/j.jaip.2026.07.043

Stanley J. Szefler MD, Melanie C. Gleason MS, PA-C, Arthur E. McFarlane II MS, Christy Haas-Howard MPH, BSN, RN, NCSN, AE-C, Ana Kim RN, BSN, AE-C, Heather H. De Keyser MD, MSCS

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引用次数: 0

Abstract

Schools are a key point of intervention for child health. Children spend most of their days in school, and school nurses are well trained in the acute management of many childhood chronic diseases. The approach to asthma has changed significantly over time, with updates to inhaled corticosteroid use, the use of single inhalers for both relievers and controllers, and the increasing use of asthma biologics for managing severe asthma. Asthma specialists can play an important role in providing timely updates for school nurses about ongoing changes in overall asthma management. The purpose of this review is to summarize the evolution of our urban-centered school-based asthma program to one that has expanded into many school districts across Colorado, including rural communities, by applying principles of implementation science. We will share steps that we took to grow and scale this program as well as lessons learned during dissemination to additional school districts in Colorado. An effective school nurse-clinician interaction sets up a strong infrastructure for identifying children and adolescents who are not receiving optimal chronic disease care. Such efforts can leverage existing partnerships between schools and the health care system to improve the network of care for children with poorly controlled asthma.

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科罗拉多州哮喘友好学校：通往实施科学的匝道。

学校是儿童健康干预的重点。儿童大部分时间在学校度过，学校护士在许多儿童慢性疾病的急性管理方面受过良好的训练。随着时间的推移，治疗哮喘的方法发生了重大变化，吸入皮质类固醇的使用更新，使用单一吸入器来缓解和控制哮喘，以及越来越多地使用哮喘生物制剂来治疗严重哮喘。哮喘专家可以发挥重要作用，及时向学校护士提供有关整体哮喘管理正在发生的变化的最新信息。本综述的目的是总结我们以城市为中心的以学校为基础的哮喘项目的演变，通过应用实施科学的原则，该项目已扩展到科罗拉多州的许多学区，包括农村社区。我们将分享我们为发展和扩大该项目所采取的步骤，以及在向科罗拉多州其他学区传播过程中吸取的经验教训。有效的学校护士-临床医生互动建立了一个强大的基础设施，用于识别没有得到最佳慢性病护理的儿童和青少年。这种努力可以利用学校和卫生保健系统之间现有的伙伴关系，改善对哮喘控制不佳的儿童的护理网络。

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 Allergy and Clinical Immunology-In Practice ALLERGYIMMUNOLOGY-IMMUNOLOGY

CiteScore

11.10

自引率

9.60%

发文量

683

审稿时长

50 days

期刊介绍： JACI: In Practice is an official publication of the American Academy of Allergy, Asthma & Immunology (AAAAI). It is a companion title to The Journal of Allergy and Clinical Immunology, and it aims to provide timely clinical papers, case reports, and management recommendations to clinical allergists and other physicians dealing with allergic and immunologic diseases in their practice. The mission of JACI: In Practice is to offer valid and impactful information that supports evidence-based clinical decisions in the diagnosis and management of asthma, allergies, immunologic conditions, and related diseases. This journal publishes articles on various conditions treated by allergist-immunologists, including food allergy, respiratory disorders (such as asthma, rhinitis, nasal polyps, sinusitis, cough, ABPA, and hypersensitivity pneumonitis), drug allergy, insect sting allergy, anaphylaxis, dermatologic disorders (such as atopic dermatitis, contact dermatitis, urticaria, angioedema, and HAE), immunodeficiency, autoinflammatory syndromes, eosinophilic disorders, and mast cell disorders. The focus of the journal is on providing cutting-edge clinical information that practitioners can use in their everyday practice or to acquire new knowledge and skills for the benefit of their patients. However, mechanistic or translational studies without immediate or near future clinical relevance, as well as animal studies, are not within the scope of the journal.