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Use of the Written Asthma Plan in Kindergartens and Elementary Schools

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Objective: In this study, we aimed to establish the characteristics, availability, and use of an asthma Personalized Medical Plan (PMP) at school. Methods: We carried out a retrospective one school-year study in the public schools of Paris (School Health Department, SHP) and a prospective study in a Parisian Hospital Pulmonary Function Test (PFT) department. Results: The SHP group recorded 122,171 children in pre-kindergartens, kindergartens and elementary schools of which 2.9% had established a PMP for asthma. In the PFT group (N = 194) a PMP was more frequent (75.8%). In children with a PMP and during the study year, an asthma reliever had been administered at school according to the PMP prescription in 29% of children in the HSP group and in 59.2% in the PFT group. Children older than age 6 years were able to ask for the asthma reliever when necessary, whereas younger children relied on adults noticing their respiratory symptoms. Environmental tobacco exposure increased the use of PMP at school. Conclusion: A minority of asthmatic children have a PMP at school despite the ease of the process in our setting. When available, the PMP is frequently used.
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Keywords: ASTHMA; CHILD HEALTH; PERSONALIZED MEDICAL PLAN; PROGRAM EVALUATION; PULMONARY DISEASE; SCHOOL HEALTH

Document Type: Research Article

Publication date: January 1, 2020

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  • Health Behavior and Policy Review is a rigorously peer-reviewed scholarly bi-monthly publication that seeks manuscripts on health behavior or policy topics that represent original research, including papers that examine the development, advocacy, implementation, or evaluation of policies around specific health issues. The Review especially welcomes papers that tie together health behavior and policy recommendations. Articles are available through subscription or can be ordered individually from the Health Behavior and Policy Review site.
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