Skip to Main Content
 

Global Search Box

 
 
 
 

Files

File List


25708.pdf (2.29 MB)

ETD Abstract Container

Abstract Header

Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program

Dunfee, Madeline N.
http://orcid.org/0000-0003-2134-8105
http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699

Abstract Details

2017, MPH, University of Cincinnati, Medicine: Epidemiology.
BACKGROUND: Asthma morbidity is most prevalent among children living in under-resourced, urban environments. Additionally, children living in economically depressed regions tend to experience many barriers to accessing medical care. This study investigates the effects of combining school-based asthma care and health technology to increase access to asthma care among minority students in Cincinnati, Ohio from the perspectives of multiple stakeholders. METHODS: Patients in this study participated in the Asthma Free Schools pilot program (AFS) which engaged youth with poorly controlled asthma in six telehealth appointments with an asthma specialist and six telehealth appointments with an adherence specialist. Descriptive, secondary analysis of inter and post-intervention surveys revealed how well the AFS program met stakeholders’ expectations. Survey questions focused on the interaction between participants and the study staff, ease of technology use and participants' opinion of the value of telehealth appointments. RESULTS: Across surveys and stakeholder groups, results revealed high satisfaction with the AFS program. All guardians and nurses believed the telehealth visits met their child's healthcare needs. The AFS program drastically increased access to care among minority youth; 85% (n=11) patients reported that without telehealth, they would not have seen an asthma or adherence specialist. Finally, according to school administrators, participation in the AFS program proved a positive experience for school staff, students and families. DISCUSSION: The AFS program successfully combined school-based healthcare and health technology to increase access to patient-centered, asthma care among patients with uncontrolled asthma living in lower-income, minority communities. All stakeholders were pleased with the intervention, which was likely due to the rapport among researchers, school staff, and families. As school-based health centers become more prevalent, and health technology continues to advance, opportunities for improving access to patient-centered care for chronic conditions will also grow.
Liza Murrison, Ph.D MPH (Committee Chair)
Kevin Hommel, Ph.D. (Committee Member)
Rachelle Ramsey, Ph.D. (Committee Member)
51 p.
Public Health
school-based health; treatment adherence; telehealth; behavioral therapy; adolescent health; asthma

Recommended Citations

Citations

  • Dunfee, M. N. (2017). Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program [Master's thesis, University of Cincinnati]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699

    APA Style (7th edition)

  • Dunfee, Madeline. Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program. 2017. University of Cincinnati, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699.

    MLA Style (8th edition)

  • Dunfee, Madeline. "Connecting Patient Centered Care for Chronic Conditions to School-based Clinics through Telehealth: the Asthma Free Schools Program." Master's thesis, University of Cincinnati, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1491314488009699

    Chicago Manual of Style (17th edition)

ucin1491314488009699
226
© 2017, all rights reserved.
This open access ETD is published by University of Cincinnati and OhioLINK.