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. 2016 Mar;86(3):225-32.
doi: 10.1111/josh.12369.

Applying the Social Ecological Model to Creating Asthma-Friendly Schools in Louisiana

Henry J Nuss  1 , Laura L Hester  2 , Mark A Perry  3 , Collette Stewart-Briley  4 , Valamar M Reagon  5 , Pamela Collins  6
Affiliations

Applying the Social Ecological Model to Creating Asthma-Friendly Schools in Louisiana

Henry J Nuss et al. J Sch Health. 2016 Mar.

Abstract

Background: In 2010, the Louisiana Asthma Management and Prevention Program (LAMP) implemented the Asthma-Friendly Schools Initiative in high-risk Louisiana populations. The social ecological model (SEM) was used as a framework for an asthma program implemented in 70 state K-12 public schools over 2 years.

Methods: Activities included a needs assessment, identification of students with asthma, individualized asthma action plans (AAP), staff trainings, environmental quality improvement, and school system policy changes to address the asthma burden.

Results: There were 522 new or existing asthma cases recognized. Asthma knowledge/awareness was measurably improved among school personnel. School indoor air quality was improved across all locations. School-level policies were adopted that improved AAP collection, compliance to bus-idling restrictions, and asthma medication self-carry.

Conclusions: The SEM framework can be used for school-based programs to address successfully and improve asthma-related issues from the individual through policy levels.

Keywords: asthma; schools; social ecological model.

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Figures

Figure 1
Figure 1
Social Ecological Model Displaying the Multilevel Factors That Influence the Asthma Outcomes for a Student With Asthma and the Components That Address These Influences
Figure 2
Figure 2
Louisiana Asthma Management and Prevention Program’s Adoption of the National Heart, Lung, and Blood Institute’s “How Asthma Friendly Is Your School?” Checklist.
See this image and copyright information in PMC

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