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School-Based Asthma Interventions Reduce Hospitalizations and Emergency Department Visits The Community Preventive Services Task Force (CPSTF) recommends school-based asthma self-management interventions to reduce hospitalizations and emergency room visits among children and adolescents with asthma. The recommendation is based on a systematic review conducted by a team of specialists who assessed evidence from studies identified in a published review.1 CPSTF finds school-based self-management interventions for asthma control are likely to reduce asthma morbidity, improve asthma-related quality of life, and advance health equity.

Based on a separate systematic review of economic evidence, CPSTF finds there is not enough information to determine cost-effectiveness or cost-benefit for these interventions. CPSTF notes several areas that would benefit from additional research. Future studies could consider intervention effects on costs associated with emergency department visits and hospital stays as well as parents’ work productivity, and loss of school district revenues associated with asthma-related absences. This additional research could explore more comprehensively the economic merit of the intervention in terms of societal cost-benefit and cost-effectiveness.

Why is this important? Asthma is the most common chronic lung disease among children in the United States, affecting one out of every twelve children.2 In the United States, approximately $6 billion are spent each year on costs associated with childhood asthma (i.e., emergency department visits, hospitalizations, missed school days, and missed workdays for caregivers).3-5

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Intervention Summary—read a summary of the evidence review and CPSTF finding for school-based asthma self-management interventions

One-Pager—use this one-pager for school-based asthma self-management interventions as a quick reference

Twitter®—retweet @CPSTF messages about the new recommendation or tweet one of the following examples: Systematic review evidence from @CPSTF shows school-based #asthma self-management interventions reduce hospitalizations and emergency room visits among children and adolescents. There was not enough information to determine cost-effectiveness or cost-benefit. https://www.thecommunityguide.org/findings/asthma-school-based-self-management-interventions-children-and-adolescents-asthma @CPSTF calls for more research in new systematic review of economic benefits from school-based #asthma self-management interventions. These interventions can reduce hospitalizations and emergency room visits among children and adolescents. https://www.thecommunityguide.org/findings/asthma-school-based-self-management-interventions-children-and-adolescents-asthma

We encourage you to share these materials with your colleagues and constituents. If you do, please e-mail us at communityguide@cdc.gov with audience information (e.g., who, approximate size), and if possible, a copy of/link to your communication materials. As always, we appreciate your interest and support, The Community Guide

References 1Harris KM, Kneale D, Lasserson TJ, McDonald VM, Grigg J, Thomas J. School-based self-management interventions for asthma in children and adolescents: a mixed methods systematic review. Cochrane Database of Systematic Reviews 2019, Issue 1. Art. No.: CD011651. DOI:10.1002/14651858.CD011651.pub2 2Zahran HS, Bailey CM, Damon SA, Garbe PL, Breysse PN. Vital Signs: Asthma in Children — United States, 2001–2016. MMWR 2018;67:149–55. 3Perry R, Braileanu G, Palmer T, Stevens P. The economic burden of pediatric asthma in the United States: literature review of current evidence. Pharmacoeconomics 2019;37:155-67. 4Agency for Healthcare Research and Quality. Overview of children in the emergency department, 2010. Rockville (MD): Agency for Healthcare Research and Quality; 2013. 5Agency for Healthcare Research and Quality. Overview of hospital stays for children in the United States, 2012. Rockville (MD): Agency for Healthcare Research and Quality; 2014.

The Guide to Community Preventive Services (The Community Guide) is a website that is a collection of all the evidence-based findings and recommendations of the Community Preventive Services Task Force.

www.thecommunityguide.org

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