{"doi":"10.1016/j.jacig.2025.100428","title":"School-based asthma therapy: Improving medication adherence, asthma control, and health care utilization","abstract":"Background: Undertreatment and poor adherence remain prevalent for children with persistent asthma. School-based asthma therapy (SBAT) provides guideline-based treatment by systematic school-based asthma screenings and direct administration of daily controller medications. Objective: We examined asthma control and health care utilization for children enrolled in the SBAT program in Columbus, Ohio, from 2013 to 2019. Methods: Six-year retrospective medical records were reviewed for 1 year before and 1 year after SBAT enrollment for children aged 5 to 19 years from 2 metropolitan school districts. Asthma control was assessed by the Asthma Control Test (ACT) and health care provider (HCP) ratings. Information was collected regarding asthma-related health care utilization, including emergency department (ED), urgent care, and acute care visits; hospitalizations; and pediatric intensive care unit (PICU) admissions. Results: Percentage increases in well-controlled asthma were 37% (ACT) and 56% (HCP). Asthma-related ED visits decreased by 49%, hospitalizations 50%, PICU admissions 71%, urgent care visits 41%, and acute care visits 38%. Black and Latino children had significant improvements. Black children saw 40% (ACT) and 66% (HCP) increases in well-controlled asthma, with reductions of 42% in ED and urgent care visits, 52% in acute care visits, and 49% and 67% declines in hospitalizations and PICU admissions, respectively. Latino children had 55% (ACT) and 33% (HCP) asthma control improvements, with 62%, 81%, and 50% drops in ED, urgent care, and acute care visits, respectively; hospitalizations decreased by 40% and PICU admissions by 100%. Conclusions: The SBAT program would serve well as a model for enhancing controller medication adherence, reducing morbidity, and bridging the health disparities gap for children with poorly controlled asthma.","journal":"Journal of Allergy and Clinical Immunology Global","year":2025,"id":551432,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":1,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9578,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":941317,"name":"Colleen McGovern","orcid":"0000-0002-4616-5121","position":1,"is_corresponding":false},{"id":1447184,"name":"Elizabeth D. Allen","orcid":"0000-0002-6535-8308","position":2,"is_corresponding":false},{"id":1447185,"name":"Mary Kay Irwin","orcid":"0000-0002-8089-7967","position":3,"is_corresponding":false},{"id":1447561,"name":"Musmulyono Musmulyono","orcid":null,"position":4,"is_corresponding":false},{"id":1447186,"name":"Ivette Cruz","orcid":"0000-0002-1578-2557","position":5,"is_corresponding":false},{"id":1447562,"name":"Alli Walsh","orcid":null,"position":6,"is_corresponding":false},{"id":351345,"name":"Katia Noyes","orcid":"0000-0002-0725-8448","position":7,"is_corresponding":false},{"id":304181,"name":"Peter J. Veazie","orcid":"0000-0003-4566-7696","position":8,"is_corresponding":false},{"id":954433,"name":"Holly A. McGregor","orcid":null,"position":9,"is_corresponding":false},{"id":469098,"name":"Samantha M. Harden","orcid":"0000-0003-3520-2457","position":10,"is_corresponding":false},{"id":514189,"name":"Jill S. Halterman","orcid":null,"position":11,"is_corresponding":false},{"id":530504,"name":"Kimberly Arcoleo","orcid":"0000-0001-8209-0908","position":0,"is_corresponding":true}],"reference_count":35,"raw_metadata":null,"created_at":"2026-07-19T02:54:25.065895Z","pmid":"40091882","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}