Development of a Tool to Evaluate Asthma Preparedness and Management in Child-Care Centers

Chelsea A. Young, Curtis Chan, Jodi Stookey, Anisha I. Patel, Jane Evans, Karen Cohn, Luz Agana, Irene H. Yen, Alicia Fernandez, Michael D. Cabana

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Introduction: Asthma is a common condition affecting many children in child-care centers. The National Asthma Education and Prevention Program offers recommendations about creating an asthma-friendly child-care setting. However, no studies have investigated the extent to which child-care centers adhere to these recommendations. This study describes the development of a novel instrument to determine the ability of child-care centers to meet national recommendations for asthma. Methods: The Preparing for Asthma in Child Care (PACC) Instrument was developed using information from existing recommendations and standards, the peer-reviewed literature, site visits, and expert interviews. The survey questions were pilot-tested at 36 child-care centers throughout San Francisco. Results: The instrument is composed of 43 items across seven domains: smoking exposure, presence of a medical consultant and policies, management of ventilation and triggers, access to medication, presence of asthma action plans, staff training, and encouragement of physical activity. Discussion: The PACC Instrument is an evidence-based and comprehensive tool designed to identify areas to target to improve asthma care for children in child-care centers.

Original languageEnglish (US)
Pages (from-to)121-128
Number of pages8
JournalPediatric, Allergy, Immunology, and Pulmonology
Volume28
Issue number2
DOIs
Publication statusPublished - Jun 1 2015
Externally publishedYes

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ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Immunology and Allergy
  • Pulmonary and Respiratory Medicine

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