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- Title
Medication Use Patterns among Urban Youth Participating in School-Based Asthma Education.
- Authors
Patel Shrimali, Bina; Hasenbush, Amira; Davis, Adam; Tager, Ira; Magzamen, Sheryl
- Abstract
lthough pharmaceutical management is an integral part of asthma control, few community-based analyses have focused on this aspect of disease management. The primary goal of this analysis was to assess whether participation in the school-based Kickin' Asthma program improved appropriate asthma medication use among middle school students. A secondary goal was to determine whether improvements in medication use were associated with subsequent improvements in asthma-related symptoms among participating students. Students completed an in-class case-identification questionnaire to determine asthma status. Eligible students were invited to enroll in a school-based asthma curriculum delivered over four sessions by an asthma health educator. Students completed a pre-survey and a 3-month follow-up post-survey that compared symptom frequency and medication use. From 2004 to 2007, 579 participating students completed pre- and post-surveys. Program participation resulted in improvements in appropriate use across all three medication use categories: 20.0% of students initiated appropriate reliever use when 'feeling symptoms' ( p < 0.001), 41.6% of students reporting inappropriate medication use 'before exercise' initiated reliever use ( p < 0.001), and 26.5% of students reporting inappropriate medication use when 'feeling fine' initiated controller use ( p < 0.02). More than half (61.6%) of participants reported fewer symptoms at post-survey. Symptom reduction was not positively associated with improvements in medication use in unadjusted and adjusted analysis, controlling for sex, asthma symptom classification, class attendance, season, and length of follow-up. Participation in a school-based asthma education program significantly improved reliever medication use for symptom relief and prior-to-exercise and controller medication use for maintenance. However, given that symptom reduction was not positively associated with improvement in medication use, pharmaceutical education must be just one part of a comprehensive asthma management agenda that addresses the multifactorial nature of asthma-related morbidity.
- Subjects
HEALTH education; ASTHMA; MEDICATION therapy management; URBAN youth; MIDDLE school students; HEALTH services administration; EDUCATION
- Publication
Journal of Urban Health, 2011, Vol 88, p73
- ISSN
1099-3460
- Publication type
Article
- DOI
10.1007/s11524-010-9475-z