Screening Tools in School-Based Health Centers for Children With Asthma.
Vanessa F Maier, Olivia Dhaliwal, Amanda Liu and 3 others
PMID 40539258WHAT IT FOUND
Asthma control did not differ significantly between intervention and control families in this 20-family pilot, but screening identified home triggers and legal concerns, and intervention families received home assessment/remediation and medical-legal referral when positive.
Key findings
01Asthma control did not differ significantly between intervention and control families.
02Screening identified common home triggers and legal concerns, and intervention families received home assessment/remediation and medical-legal referral when positive.
03All participants rated their experience as good or excellent, and all intervention families reported benefit from participation.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Only 20 families were analysed, so the study was too small to reliably detect a difference in asthma control. The environmental and legal screening tools were author-developed and have unknown validity and reliability. Recruitment was delayed by the pandemic and restricted to English-speaking families because research staff and materials were English-only. The intervention combined home assessment/remediation and medical-legal partnership referral, so the contribution of any single component cannot be separated. Recruitment began in two high-volume elementary schools closest to an affiliated primary care home, so the sample may not represent all schools served by the center. The text and Table 1 give conflicting participant sex percentages.
Declared interests
The supplied metadata lists NIH extramural research support. No conflicts-of-interest or funding statement is included in the article text provided.
The easy way to misread this
Do not read the positive participant experiences or identified home triggers as evidence that screening and referral improved asthma control. The study was a small pilot, the primary asthma-control outcome did not show a significant difference, and the screening tools have unknown validity.