Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2008 May;45(4):279-86.
doi: 10.1080/02770900701854908.

Improving care for urban children with asthma: design and methods of the School-Based Asthma Therapy (SBAT) trial

Jill S Halterman  1 , Belinda Borrelli, Susan Fisher, Peter Szilagyi, Lorrie Yoos
Affiliations
Randomized Controlled Trial

Improving care for urban children with asthma: design and methods of the School-Based Asthma Therapy (SBAT) trial

Jill S Halterman et al. J Asthma. 2008 May.

Abstract

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Summary of study design, N =530.
Figure 2
Figure 2
Medication schematic.
Figure 3
Figure 3
An adaptation of the chronic care model.
See this image and copyright information in PMC

Similar articles

See all similar articles

Cited by

See all "Cited by" articles

References

    1. Adams PF, Marano MA. Current estimates from the National Health Interview Survey, 1994. Vital Health Stat. 1995;(193 Pt 1):1–260. - PubMed
    1. Centers for Disease Control and Prevention. Surveillance for Asthma—US, 1960–1995. MMWR. 1995;47:1022–1025.
    1. NIH. National Heart, Lung, and Blood Institute. Data Fact Sheet Asthma Statistics. Bethesda, Maryland, USA: National Institutes of Health, Public Health Services; 1999.
    1. Centers for Disease Control and Prevention. Asthma mortality and hospitalization among children and adults—United States, 1980–1993. MMWR. 1996;45(17):350–353. - PubMed
    1. Gergen PJ, Weiss KB. Changing patterns of asthma hospitalization among children: 1979 to 1987. JAMA. 1990;264(13):1688–1692. - PubMed

Publication types

Substances