Improving care for urban children with asthma: Design and methods of the school-based asthma therapy (SBAT) trial

TitleImproving care for urban children with asthma: Design and methods of the school-based asthma therapy (SBAT) trial
Publication TypeJournal Article
Year of Publication2008
AuthorsHalterman, JS, Borrelli, B, Fisher, S, Szilagyi, P, Yoos, L
JournalJournal of Asthma
Date PublishedMay
Publication Languageeng
ISBN Number1532-4303 (Electronic)0277-0903 (Linking)
Accession Number18446591
Keywords*School Health Services, Anti-Asthmatic Agents/*therapeutic use, Asthma/*drug therapy/prevention & control, Child, Child, Preschool, Female, Guideline Adherence, Humans, Male, Practice Guidelines as Topic, Research Design, Schools, Tobacco Smoke Pollution, Urban Population

The School Based Asthma Therapy (SBAT) trial builds on a pilot study in which we found that school-based administration of preventive asthma medications for inner-city children reduced asthma symptoms. However, the beneficial effects of this program were seen only among children not exposed to environmental tobacco smoke (ETS). The current study is designed to establish whether this intervention can be enhanced by more stringent adherence to asthma guidelines through the addition of symptom-based medication dose adjustments, and whether smoke-exposed children benefit from the intervention when it is combined with an ETS reduction program. The intervention consists of both administration of preventive asthma medications in school (with dose adjustments according to NHLBI guidelines) and a home-based ETS reduction program utilizing motivational interviewing principles. This paper describes the methodology, conceptual framework, and lessons learned from the SBAT trial. Results of this study will help to determine whether this type of comprehensive school-based program can serve as a model to improve care for urban children and reduce disparities.

Go to top