Impact of a multidisciplinary school based clinic on asthma outcomes
Monday, March 5, 2018
South Hall A2 (Convention Center)
Christine M Barrett, Jennifer P Elliott, Nicole L. Sossong, BS, Erica Butler, Paige E. Dewhirst, MPH, Najwa Al-Ghamedi, PharmD, Deborah A. Gentile, MD
RATIONALE: Disparities in asthma control, as well as increases in asthma-related morbidity and mortality, have been identified among patient populations who lack access to ambulatory care; the purpose of this study is to determine whether a school-based health care delivery model improves asthma outcomes in at-risk pediatric populations.

METHODS: The study enrolled 41 patients, ages 6-12 years, from 6 elementary schools. Subjects were followed over a 3-month period; services were delivered by a board certified allergist and a pharmacist, who provided disease- and drug-specific education. Throughout the study, subjects and caregivers were assessed for visit compliance, medication compliance, and asthma treatment plan knowledge. Binomial distribution tests and Wilcoxon signed ranks tests were utilized to compare pre- and post-intervention knowledge.

RESULTS: A total of 38 study subjects (92.7%) achieved a visit compliance of 70% or greater. At the final visit, 19 subjects were assessed for controller medication compliance; 5 subjects (26.3%) achieved a medication compliance of 80% or greater. 60.6% (n=33) of subjects attained full knowledge of their asthma treatment plan at final visit, in comparison to 6.9% (n=39) of subjects at baseline (p<0.001). 71.4% (n=28) of caregivers attained full knowledge of their child’s asthma treatment plan at the final visit, in comparison to 30.6% (n=36) at baseline (p=0.006).

CONCLUSIONS: A school-based health care delivery model is a feasible approach to improve asthma treatment plan knowledge and compliance with visits in at risk pediatric populations.