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

作者：Young Chelsea A; Chan Curtis; Stookey Jodi; Patel Anisha I; Evans Jane; Cohn Karen; Agana Luz; Yen Irene H; Fernandez Alicia; Cabana Michael D^*

来源：Pediatric, Allergy, Immunology, and Pulmonology, 2015, 28(2): 121-128.

DOI：10.1089/ped.2014.0471

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.

• 出版日期2015-6-1