Do School-Based Asthma Education Programs Improve Self-Management and Health Outcomes?
Janet M. Coffman, MPP, PhDa,b, Michael D. Cabana, MD, MPHa,c, Edward H. Yelin, PhDa,d aPhilip R. Lee Institute for Health Policy Studies and Departments of bFamily and Community Medicine, cPediatrics, and dMedicine, University of California, San Francisco, California Context Asthma self-management education is critical for high-quality asthma care for children. A number of studies have assessed the effectiveness of providing asthma education in schools to augment education provided by primary care providers. Objective To conduct a systematic review of the literature on school-based asthma education programs. Methods As our data sources, we used 3 databases that index peer-reviewed literature: MEDLINE, the Cochrane Central Register of Controlled Trials, and the Cumulative Index to Nursing and Allied Health Literature. Inclusion criteria included publication in English and enrollment of children aged 4 to 17 years with a clinical diagnosis of asthma or symptoms consistent with asthma. Re