Social Circumstances Affecting Asthma: A Group Concept Mapping Study of School Stakeholders.
Vera Borkowski, Alvin D Jeffery, Marianna Marnie LaNoue
PMID 42112653WHAT IT FOUND
School nurses, clinic providers, staff and caregivers rated smoking/vaping exposure and asthma education as most impactful and feasible school asthma issues.
Other social risks were seen as impactful but less feasible. These are opinions, not tested outcomes.
Key findings
01Participants produced 84 statements that were grouped into 10 clusters of social circumstances affecting children with asthma.
02Smoking or vaping exposure and lack of caregiver/child asthma education were rated as the most impactful and feasible areas to address.
03Most clusters were rated more impactful than feasible, and stakeholder groups differed in agreement about feasibility.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study used convenience and snowball sampling, so the participants may not represent all schools, families, or stakeholders. The sample was small, and most participants were White, female, and older than 35 years. School-age children with asthma were not interviewed; families and caregivers spoke for them. The study reports stakeholder ratings and sorting, not patient outcomes, so it cannot show that any listed social circumstance or school action prevents asthma exacerbations. Small group sizes limited comparisons between stakeholder groups.
Declared interests
The authors declared no potential conflicts of interest.
The easy way to misread this
Do not read the high impact and feasibility ratings as evidence that school-based smoking or vaping prevention and asthma education reduce asthma exacerbations. The study recorded stakeholder opinions and ratings, not tested patient outcomes.