Halterman Jill S, Borrelli Belinda, Fisher Susan, Szilagyi Peter, Yoos Lorrie
Department of Pediatrics, University of Rochester School of Medicine and Dentistry and Golisano Children's Hospital at Strong, Rochester, New York 14642, USA. jill
J Asthma. 2008 May;45(4):279-86. doi: 10.1080/02770900701854908.
The School Based Asthma Therapy (SBAT) trial builds on a pilot study in which we found that school-based administration of preventive asthma medications for inner-city children reduced asthma symptoms. However, the beneficial effects of this program were seen only among children not exposed to environmental tobacco smoke (ETS). The current study is designed to establish whether this intervention can be enhanced by more stringent adherence to asthma guidelines through the addition of symptom-based medication dose adjustments, and whether smoke-exposed children benefit from the intervention when it is combined with an ETS reduction program. The intervention consists of both administration of preventive asthma medications in school (with dose adjustments according to NHLBI guidelines) and a home-based ETS reduction program utilizing motivational interviewing principles. This paper describes the methodology, conceptual framework, and lessons learned from the SBAT trial. Results of this study will help to determine whether this type of comprehensive school-based program can serve as a model to improve care for urban children and reduce disparities.
基于学校的哮喘治疗（SBAT）试验建立在一项试点研究的基础上，在该试点研究中我们发现，为市中心儿童在学校使用预防性哮喘药物可减轻哮喘症状。然而，该项目的有益效果仅在未接触环境烟草烟雾（ETS）的儿童中可见。当前的研究旨在确定通过增加基于症状的药物剂量调整来更严格地遵循哮喘指南是否可以增强这种干预措施，以及当该干预措施与减少ETS项目相结合时，接触烟雾的儿童是否能从中受益。该干预措施包括在学校使用预防性哮喘药物（根据美国国立心肺血液研究所指南调整剂量）以及利用动机访谈原则开展的家庭式减少ETS项目。本文描述了SBAT试验的方法、概念框架以及经验教训。这项研究的结果将有助于确定这种类型的综合性校本项目是否可以作为改善城市儿童护理及减少差异的典范。
