School-based asthma programs

J Allergy Clin Immunol. 2009 Aug;124(2):195-200. doi: 10.1016/j.jaci.2009.05.040. Epub 2009 Jul 16.


Asthma is prevalent in school-age children and contributes to school absenteeism and limitation of activity. There is a sizable literature on school-based interventions for asthma that attempt to identify children with asthma and improve outcomes. The purpose of this review is to describe and discuss limitations of screening tools and school-based asthma interventions. Identification of children with asthma may be appropriate in schools located in districts with a high prevalence of children experiencing significant morbidity and a high prevalence of undiagnosed asthma, provided there is access to high-quality asthma care. We review strategies for improving access to care, for teaching self-management skills in schools, and for improving school personnel management skills. Although studies indicate that school-based programs have the potential to improve outcomes, competing priorities in the educational system present challenges to their implementation and emphasize the need for practical, targeted, and cost-effective strategies.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Asthma / diagnosis*
  • Asthma / epidemiology
  • Asthma / prevention & control*
  • Child
  • Humans
  • Patient Education as Topic / standards*
  • Patient Education as Topic / trends
  • School Health Services / standards*
  • School Health Services / trends
  • Schools*
  • Self Care / standards*
  • Self Care / trends