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    Alignment of stakeholder agendas to facilitate the adoption of school-supervised asthma therapy

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    Name:
    Pediatric_Pulm_Asthma_Link_Sub ...
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    Description:
    Final Accepted Manuscript
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    Author
    Trivedi, Michelle
    Patel, Janki
    Hoque, Shushmita
    Mizrahi, Raphael
    Biebel, Kathleen
    Phipatanakul, Wanda
    Lemon, Stephenie C
    Byatt, Nancy
    Gerald, Lynn B
    Rosal, Milagros
    Pbert, Lori
    Show allShow less
    Affiliation
    Univ Arizona, Mel & Enid Zuckerman Coll Publ Hlth, Dept Hlth Promot Sci
    Issue Date
    2019-12-19
    Keywords
    daily inhaled corticosteroid
    pediatric asthma
    qualitative study
    stakeholder perspectives
    
    Metadata
    Show full item record
    Publisher
    WILEY
    Citation
    Trivedi, M, Patel, J, Hoque, S, et al. Alignment of stakeholder agendas to facilitate the adoption of school‐supervised asthma therapy. Pediatric Pulmonology. 2019; 1– 11. https://doi.org/10.1002/ppul.24611
    Journal
    PEDIATRIC PULMONOLOGY
    Rights
    © 2019 Wiley Periodicals, Inc.
    Collection Information
    This item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at repository@u.library.arizona.edu.
    Abstract
    Background School-supervised inhaled corticosteroid (ICS) therapy improves pediatric asthma medication adherence, outcomes, and morbidity. However, school-supervised ICS therapy has not been widely adopted into practice. We developed Asthma Link (TM) as a sustainable, low-cost model of school-supervised asthma therapy, designed for real-world adoption. Initial outcomes of Asthma Link (TM) demonstrated a significant improvement in health outcomes. Objective In this study, we examined the perspectives of Asthma Link (TM) participants to identify systems-level barriers and facilitators to refine the Asthma Link (TM) protocol and facilitate real-world uptake of school-supervised asthma therapy. Methods Using qualitative research methods, we interviewed 29 participants in Asthma Link (TM) from 2016 to 2018. Semi-structured interviews were conducted over the phone. Interviews were transcribed and the transcripts were coded to identify major themes within and across stakeholder groups. Results Stakeholders agreed on many facilitators for successful Asthma Link (TM) execution including the brief and easy to follow procedures and the perceived beneficial health impacts for children involved. Some of the barriers identified were deviations from the protocol and insurance companies denying coverage for two inhalers. However, the participants did propose solutions to address these barriers. Conclusion Asthma Link (TM) is a low-cost, sustainable model of school-supervised asthma therapy that leverages the established infrastructure and collaboration of medical providers, school staff, and families. In this study, we elicited the perspectives from these stakeholder groups and identified an agreement in several facilitators, barriers, and proposed solutions that will ultimately inform refinement of the program protocol and support real-world adoption of Asthma Link (TM) and other similar models.
    Note
    12 month embargo; published online: 19 December 2019
    ISSN
    8755-6863
    PubMed ID
    31856415
    DOI
    10.1002/ppul.24611
    Version
    Final accepted manuscript
    Sponsors
    National Institutes of HealthUnited States Department of Health & Human ServicesNational Institutes of Health (NIH) - USA [KL2TR001454, UL1TR001453-01, K24AI108622]
    ae974a485f413a2113503eed53cd6c53
    10.1002/ppul.24611
    Scopus Count
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