{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,8]],"date-time":"2026-01-08T06:39:10Z","timestamp":1767854350349,"version":"3.49.0"},"reference-count":34,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T00:00:00Z","timestamp":1715817600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Pulmonology"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Social determinants of health (SDoH), including access to care, economic stability, neighborhood factors, and social context, strongly influence pediatric asthma outcomes. School\u2010supervised asthma therapy (SST) is an evidence\u2010based strategy that improves asthma outcomes, particularly for historically marginalized children, by providing support for daily medication adherence in school. However, little is known about the relationship between these programs and the adverse SDoH commonly affecting underrepresented minority and marginalized children with asthma.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We examined qualitative data from interviews (<jats:italic>n<\/jats:italic>\u2009=\u200952) conducted between 2017 and 2020 with diverse multi\u2010level partners involved in Asthma Link, a SST intervention. Participants included end\u2010users (children and their parents), deliverers (school nurses and pediatric providers), and systems\u2010level partners (e.g., insurers, legislators, and state officials). We used inductive coding to determine themes and subthemes and deductive coding using the Healthy People 2030 SDoH framework.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three themes emerged: (1) SST mitigates adverse SDoH (improves access to preventive healthcare and asthma health literacy), (2) SST benefits children experiencing specific adverse SDoH (provides a consistent medication routine to children with unstable family\/housing situations) and (3) specific adverse SDoH impede SST implementation (economic instability, culture and language barriers).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>This study suggests an important relationship between SDoH and SST that warrants further evaluation in our future work on this community\u2010based asthma intervention. Moreover, our findings underscore the importance of measuring SDoH in the implementation and evaluation of pediatric asthma interventions, particularly given the strong influence of these social factors on child health outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ppul.27065","type":"journal-article","created":{"date-parts":[[2024,5,16]],"date-time":"2024-05-16T11:45:01Z","timestamp":1715859901000},"page":"2553-2562","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Exploring the relationship between school\u2010supervised asthma therapy and social determinants of health in pediatric asthma care"],"prefix":"10.1002","volume":"59","author":[{"given":"Layana","family":"Al\u2010Halbouni","sequence":"first","affiliation":[{"name":"Department of Pediatrics UMass Memorial Children's Medical Center, UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace W.","family":"Ryan","sequence":"additional","affiliation":[{"name":"Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonia","family":"Radu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Pulmonology UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Spano","sequence":"additional","affiliation":[{"name":"Division of Pulmonary Medicine, Department of Pediatrics UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reshma","family":"Sabnani","sequence":"additional","affiliation":[{"name":"Department of Pediatrics UMass Memorial Children's Medical Center, UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8639-0473","authenticated-orcid":false,"given":"Wanda","family":"Phipatanakul","sequence":"additional","affiliation":[{"name":"Division of Asthma, Allergy, and Immunology Boston Children's Hospital, Harvard Medical School Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn B.","family":"Gerald","sequence":"additional","affiliation":[{"name":"Department of Medicine Office of Population Health Sciences, University of Illinois Chicago Chicago Illinois USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arvin","family":"Garg","sequence":"additional","affiliation":[{"name":"Department of Pediatrics UMass Memorial Children's Medical Center, UMass Chan Medical School Worcester Massachusetts USA"},{"name":"Department of Pediatrics Child Health Equity Center, UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lori","family":"Pbert","sequence":"additional","affiliation":[{"name":"Division of Preventive and Behavioral Medicine, Department of Population and Quantitative Health Sciences UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Trivedi","sequence":"additional","affiliation":[{"name":"Department of Pediatrics UMass Memorial Children's Medical Center, UMass Chan Medical School Worcester Massachusetts USA"},{"name":"Division of Pulmonary Medicine, Department of Pediatrics UMass Chan Medical School Worcester Massachusetts USA"},{"name":"Department of Pediatrics Child Health Equity Center, UMass Chan Medical School Worcester Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,16]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Prevention CfDCa.Social Determinants of Health at CDC. 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