School-supervised Asthma Therapy is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children

UMMS Affiliation

School of Medicine; Department of Population and Quantitative Health Sciences; Department of Medicine; Division of Pulmonary Medicine, Department of Pediatrics; UMass Worcester Prevention Research Center

Publication Date


Document Type



Community Health and Preventive Medicine | Epidemiology | Pediatric Nursing | Pediatrics | Preventive Medicine | Pulmonology | Respiratory Tract Diseases


Asthma morbidity disproportionately impacts children from low-income and racial/ethnic minority communities. School-supervised asthma therapy improves asthma outcomes for up to 15 months for underrepresented minority children, but little is known about whether these benefits are sustained over time. We examined the frequency of emergency department (ED) visits and hospital admissions for 83 children enrolled in Asthma Link, a school nurse-supervised asthma therapy program serving predominantly underrepresented minority children. We compared outcomes between the year preceding enrollment and years one-four post-enrollment. Compared with the year prior to enrollment, asthma-related ED visits decreased by 67.9% at one year, 59.5% at two years, 70.2% at three years, and 50% at four years post-enrollment (all p-values < 0.005). There were also significant declines in mean numbers of total ED visits, asthma-related hospital admissions, and total hospital admissions. Our results indicate that school nurse-supervised asthma therapy could potentially mitigate racial/ethnic and socioeconomic inequities in childhood asthma.


asthma emergency department visits, asthma hospital admissions, long-term outcomes, low-income, school nurse, school-supervised asthma therapy, underrepresented minority children

DOI of Published Version



Shillan HN, Luther JP, Ryan GW, Hoque S, Spano MA, Lessard DM, Gerald LB, Pbert L, Phipatanakul W, Goldberg RJ, Trivedi MK. School-supervised Asthma Therapy is Associated with Improved Long-Term Asthma Outcomes for Underrepresented Minority Children. J Sch Nurs. 2022 May 12:10598405221100470. doi: 10.1177/10598405221100470. Epub ahead of print. PMID: 35548948. Link to article on publisher's site

Journal/Book/Conference Title

The Journal of school nursing : the official publication of the National Association of School Nurses

Related Resources

Link to Article in PubMed

PubMed ID