Outcome
Type |
Measure |
Description |
Time frame |
Safety issue |
Primary |
Change in Asthma Control |
Asthma Control Questionnaire (ACQ) developed by E.F. Juniper et al. is a 6-item recall of asthma control indicators over the past week and one objective measure of airway caliber (FEV1%) through pulmonary function testing. The 6-item recall includes awakening at night with asthma symptoms, asthma symptoms upon waking, activity limitations due to asthma symptoms, shortness of breath, wheezing, and administration of asthma rescue medications. The score range for the ACQ is 0 - 6, with lower numbers indicating poor asthma control and higher numbers indicating greater asthma control. |
Baseline and 3, 6, 9, and 12 months |
|
Secondary |
Change in Asthma Symptoms |
Asthma symptoms will be measured using a 2-week recall diary |
Baseline and 3, 6, 9, and 12 months |
|
Secondary |
Change in School Absences |
School and parental report of child's school absences pre and post study enrollment |
Baseline and 12 months |
|
Secondary |
Change in Emergency Department (ED) visits and hospitalizations |
ED visits and hospitalizations for an asthma-related cause in the 12 months pre and post study enrollment |
Baseline and 3, 6, 9, and 12 months |
|
Secondary |
Intervention Cost-Effectiveness |
Healthcare costs for child during the 12-month follow-up period will be measured by parental report using a 3-month recall diary |
Baseline and 3, 6, 9, and 12 months |
|
Secondary |
Change in Asthma Caregiver's Quality of Life |
The Paediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLQ) by Juniper et al. is a 13-item measure of asthma caregiver's quality of life in two domains, activity limitation and emotional function, over the past week. All items are weighted equally and the score range is 1 - 7, with lower numbers indicating poor quality of life and higher numbers indicating better quality of life around caring for a child with asthma. |
Baseline and 12 months |
|
Secondary |
Baseline School Asthma Program Sustainability |
Semi-structured interviews with key school staff members and parents at the start of the intervention to assess barriers to sustainability of the intervention |
At start of school intervention |
|
Secondary |
Post-Intervention School Asthma Program Sustainability |
Semi-structured interviews with key school staff members and parents one year after the school intervention has ended to assess barriers to sustainability of the intervention |
One year post end of school intervention |
|
Secondary |
Baseline School Climate |
The Organizational Climate Index (OCI) is a 30-item descriptive measure for schools. The index has four dimensions: principal leadership, teacher professionalism, achievement press for students to perform academically, and vulnerability to the community. The score range for each questionnaire item is 1 - 4. The range for the principal leadership and teacher professionalism dimensions is 7 - 28. The range for achievement press is 8 - 32. The range for vulnerability to the community is 5 - 20. Higher scores reflect a better organizational climate. The total school score, range 27 - 108, is computed by summing the subscale means. Total school score can be converted to standardized scores and compared with national norms. |
At start of school intervention |
|
Secondary |
Post-Intervention School Climate |
The Organizational Climate Index (OCI) is a 30-item descriptive measure for schools. The index has four dimensions: principal leadership, teacher professionalism, achievement press for students to perform academically, and vulnerability to the community. The score range for each questionnaire item is 1 - 4. The range for the principal leadership and teacher professionalism dimensions is 7 - 28. The range for achievement press is 8 - 32. The range for vulnerability to the community is 5 - 20. Higher scores reflect a better organizational climate. The total school score, range 27 - 108, is computed by summing the subscale means. Total school score can be converted to standardized scores and compared with national norms. |
One year post end of school intervention |
|
Secondary |
Baseline School Leadership |
The Implementation Leadership Scale (ILS) is comprised of 12 items assessing the degree to which a leader is Proactive, Knowledgeable, Supportive, and shows Perseverance in implementing evidence-based practice. The range for total score and each subscale score is 0 - 4. Higher scores represent better implementation leadership. The mean of the subscale scores yields the total score. |
At start of school intervention |
|
Secondary |
Post-Intervention School Leadership |
The Implementation Leadership Scale (ILS) is comprised of 12 items assessing the degree to which a leader is Proactive, Knowledgeable, Supportive, and Perseverant in implementing evidence-based practice. The range for total score and each subscale score is 0 - 4. Higher scores represent better implementation leadership. The mean of the subscale scores yields the total score. |
One year post end of school intervention |
|
Secondary |
Baseline School Staff Attitudes |
The Evidence-Based Practice Attitude Scale (EBPAS) is a 15-item self-report measure of attitudes toward adoption of EBPs. It consists of four subscales: Appeal (is EBP intuitively appealing), Requirements (would an EBP be used if required), Openness (general openness to innovation), and Divergence (perceived divergence between EBP and current practice). Total score range is 0 - 60. The Appeal, Openness, and Divergence subscales have a range of 0 - 16. The Requirements subscale has a range of 0 - 12. Higher scores indicate more positive attitudes. Subscales are summed to compute a total score. |
At start of school intervention |
|
Secondary |
Post-Intervention School Staff Attitudes |
The Evidence-Based Practice Attitude Scale (EBPAS) is a 15-item self-report measure of attitudes toward adoption of EBPs. It consists of four subscales: Appeal (is EBP intuitively appealing), Requirements (would an EBP be used if required), Openness (general openness to innovation), and Divergence (perceived divergence between EBP and current practice). Total score range is 0 - 60. The Appeal, Openness, and Divergence subscales have a range of 0 - 16. The Requirements subscale has a range of 0 - 12. Higher scores indicate more positive attitudes. Subscales are summed to compute a total score. |
One year post end of school intervention |
|