Research Support for Problem In USA: Asthma in Children

0Running head: RESEARCH SUPPORT
Research Support
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Author’s note

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Research Support for the Problem
In USA, the most common chronic condition prevalent among the children is asthma
(Sleath et al., 2014). As per the US Institute of Medicine, patient centered care and shared
decision making under clinical setting will be helpful to fight against this problem. For shared
decision making, exchange of valuable information is mandatory. In pediatric settings effective
two-way exchange of information is important. Here the care-givers and children should ask
questions along with stating preferences for the treatment. However, exchange of information
related to asthma management between children and caregiver is minimal (Sleath et al., 2014).
On the other hand, inadequate preventive care is also a reason behind increase in asthma
morbidity in United States. The anti-inflammatory medications like corticosteroids become too
costly to afford by the poor and minority families and the teens in their adolescents do not abide
by this preventive medication (Blaakman, Cohen, Fagnano & Halterman, 2014). These
difficulties in Optimal quality treatment for the children with asthma leads to sleep disturbances,
school absence, emergency visits, and restrictions of physical activity (Al Aloola, Naik-
Panvelkar, Nissen & Saini, 2014; Brown et al., 2016).
Research Support for the Proposed Solution
School occupies a significant proportion of children's life. Asthma, a chronic health
disease creates imbalance in healthy school life. Asthma affects attendance, physical activity and
academic performance (Al Aloola, Naik-Panvelkar, Nissen & Saini, 2014). Proper management
of asthma can improve the academic performance of the students. Interventions based on school
helps in improving quality of life of asthmatic children. Main school based interventions include
proper control of school environment via removing asthma causing agent, proper education of

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school staff and adequate implementation of first aid principles for asthma. Teachers are the
main pillars of school based asthma prevention model (Al Aloola, Naik-Panvelkar, Nissen &
Saini, 2014).
Effective school based asthma interventions
Source: (Hollenbach & Cloutier, 2014)
However, there also lies sudden challenges in implementing successful school based
intervention and this includes lack of school nurses and policies related with the compulsory use
of self carry student inhalers (Hollenbach & Cloutier, 2014).
Description of the research methods and keywords
The search was conducted across the months. The main databases, which are considered
for the literature search included: PubMed, Medline, and Education Resources Information
Center (ERIC), Cumulative Index to Nursing and Allied Health Literature (CINAHL),
International Pharmaceutical Abstracts (IPA), Informit, Embase, Joanna Briggs Institute EBP

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Database and Centre for Evidence Based Medicine website. These databases were searched
using the combinations of following terms: adolescents, asthma, asthma management,
motivational interviewing, qualitative content analysis, intervention, bronchial asthma, school
nurse, children asthma, asthma education, childhood asthma AND asthma intervention. Other
keywords include school asthma education program OR asthma self-management OR school
based asthma education program OR asthma action OR elementary school asthma education
program AND primary school asthma education program. The keywords were collectively
identified as appropriate descriptors, based on common literatures on asthma in pediatric care.
Limits are selectively applied via selecting research studies pertaining to human subjects,
conducted in United States, those published in English language, those published between the
tenure of 2010 to 2017, and where the target participants were children falling under the age
group of 6 and 12 years old. The researches, which are carried before 2010 and included adults,
are excluded from the study.
Exclusion Criteria Inclusion Criteria
Reviews Asthma intervention
Reports Conducted in primary and elementary school
Conducted in location other than schools Targeted school children with asthma, parents of
the affected school children, school nurses, school
teachers and combination of these groups
Targeted different age group Studies with a focus group of 50 or more students
Articles dealing with study of the asthma drug
Articles with asthma diagnosis

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Articles which study cost benefit associated with
asthma
Table: Exclusion and Inclusion Criteria
Source: Created by author
The validity of the research lies in the fact that all the articles which have been selected
for the study have been derived from the peered reviewed journals and are conducted in United
States with asthmatic patients and thus will be beneficial for Harris health system.
Strength of the study
The strength of the study is, it provides a detailed summary of the intervention types and
subsequent outcomes for asthma programs in school, which will help in future translation. The
study also explores gaps in the area of asthma management in pediatric care. The study also
shows that that the school based intervention have positive clinical, health and economic
outcome irrespective of the heterogeneity.
Limitations of the study
The major limitation of this research is that the cite articles considered for the study lack
detailing and clarity about the intervention used for asthmatic care. This can be explain via citing
one example, the research studies, which are conducted via applying educational interventions
lack a concrete outline of format like session plan, preparation, resource required, session plan
and delivery time. All these make the replication of the study and subsequent implementation
difficult.

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