{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:37:11Z","timestamp":1747186631398,"version":"3.40.5"},"reference-count":65,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,8,4]],"date-time":"2024-08-04T00:00:00Z","timestamp":1722729600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Asthma reliever medication access is critical, especially in schools. Policies that \u201cstock\u201d reliever inhalers in schools provide failsafe medication access. This research aims to understand barriers and facilitators to Illinois stock inhaler policy implementation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted 18 semi\u2010structured interviews in 2021\u20102022 with key school\u2010based and non\u2010school\u2010based partners (school administrators, nurses, governmental agencies, and advocacy leaders). Through Atlas.ti, code frequencies compared (Fisher's exact test), and a thematic analysis performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four themes emerged: facilitators, barriers, program rationale, and process considerations. The common facilitators were \u201cFinding a provider,\u201d having a \u201cChampion,\u201d and \u201cFunding\u201d. Barriers included \u201cNot enough school nurses,\u201d \u201cPharmacy refusal to fill prescriptions,\u201d and \u201cFeeling overwhelmed.\u201d All were supportive of the rationale for stock inhalers. Non\u2010school\u2010based informants (p\u2009&lt;\u2009.01) were more likely to mention medication donations, while school staff reported having enough nurses as a facilitator (p\u2009&lt;\u2009.01). School staff reported concerns about children with asthma not having their medication significantly more than other partners (p\u2009=\u2009.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title><jats:p>Our analysis revealed that school partners recognize the value of stock inhalers. Barrier mitigation to support the funding, prescription access and processing, and training are essential to success of stock inhaler programming. Multilevel collaborative efforts through coalitions could be a potential solution.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13500","type":"journal-article","created":{"date-parts":[[2024,8,5]],"date-time":"2024-08-05T03:39:58Z","timestamp":1722829198000},"page":"918-928","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Stock Inhalers: A Qualitative Data Analysis of Illinois Health Policy Trials and Triumphs"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-2232-7489","authenticated-orcid":false,"given":"Jessica","family":"Wrona","sequence":"first","affiliation":[{"name":"School of Public Health University of Illinois Chicago  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-7357-5322","authenticated-orcid":false,"given":"Paige","family":"Hardy","sequence":"additional","affiliation":[{"name":"School of Public Health University of Illinois Chicago  Chicago IL"},{"name":"Department of Pediatrics University of Illinois at Chicago  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Youssef","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Illinois Chicago  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Semmy","family":"Adeleke","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Illinois Chicago  Chicago IL"},{"name":"Department of Medicine University of Illinois at Chicago  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9295-7368","authenticated-orcid":false,"given":"Molly A.","family":"Martin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Illinois Chicago  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lynn B.","family":"Gerald","sequence":"additional","affiliation":[{"name":"Department of Medicine University of Illinois Chicago, at Chicago  Chicago IL"},{"name":"Office of Population Health Sciences, University of Illinois  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4901-3465","authenticated-orcid":false,"given":"Andrea A.","family":"Pappalardo","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Illinois Chicago  Chicago IL"},{"name":"Department of Medicine University of Illinois at Chicago  Chicago IL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,8,4]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Centers for Disease Control and Prevention.Asthma: most recent national asthma data; Available at:https:\/\/www.cdc.gov\/asthma\/most_recent_national_asthma_data.htm. Accessed July 13 2023."},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2017.1313273"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746\u20101561.2007.00276.x"},{"key":"e_1_2_7_5_1","unstructured":"Uncontrolled asthma vs. severe asthma: How to get the right diagnosis. American Lung Association;2020. Available at:https:\/\/www.lung.org\/blog\/uncontrolled\u2010asthma\u2010vs\u2010severe. Accessed May 9 2024."},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/thoraxjnl\u20102018\u2010211909"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746\u20101561.2006.00114.x"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201703\u2010259OC"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00246"},{"key":"e_1_2_7_10_1","unstructured":"Centers for Disease Control and Prevention.Uncontrolled Asthma Among Children With Current Asthma 2018\u20132020; Available at:https:\/\/www.cdc.gov\/asthma\/asthma_stats\/uncontrolled\u2010asthma\u2010children\u20102018\u20102020.htm. Accessed December 12 2022."},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.201202\u20100350ED"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40733\u2010015\u20100010\u20106"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.163.3.2006114"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2018.01.028"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2017.10.002"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2014.09.010"},{"key":"e_1_2_7_17_1","unstructured":"Global Strategy for Asthma Management and Prevention.Global Initiative for Asthma;2023. Available at:https:\/\/ginasthma.org\/2023\u2010gina\u2010main\u2010report\/."},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/FCH.0000000000000187"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/ped.2011.0118"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1513\/AnnalsATS.201510\u2010683LE"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prrv.2014.04.017"},{"key":"e_1_2_7_22_1","unstructured":"Respiratory Health Association.Racial Disparities in Childhood Asthma Chicago 2016\u20102021;2022. Available at:https:\/\/resphealth.org\/wp\u2010content\/uploads\/2022\/05\/Updated\u2010Asthma\u2010Disparities\u2010Report.pdf. Accessed June 16 2023."},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2009.05.040"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1080\/02770903.2019.1640729"},{"key":"e_1_2_7_25_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2005.071514"},{"key":"e_1_2_7_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2017.04.004"},{"key":"e_1_2_7_27_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2014\u20100402"},{"key":"e_1_2_7_28_1","doi-asserted-by":"publisher","DOI":"10.1164\/rccm.202106\u20101550ST"},{"key":"e_1_2_7_29_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746-1561.2007.00226.x"},{"key":"e_1_2_7_30_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019\u20101995"},{"key":"e_1_2_7_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2021.01.028"},{"key":"e_1_2_7_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.anai.2016.09.132"},{"key":"e_1_2_7_33_1","unstructured":"Respiratory Health Association.Asthma Policies in Illinois Schools: Knowledge Implementation and Challenges: Findings of School Nurse and Staff Surveys;2020. Available at:https:\/\/resphealth.org\/wp\u2010content\/uploads\/2021\/02\/Illinois\u2010Asthma\u2010Policies\u2010Schools\u2010Report.pdf. Accessed August 16 2022."},{"journal-title":"Am J Respir Crit Care Med.","article-title":"School nurse asthma policy knowledge and implementation: an Illinois perspective","author":"Pappalardo AA","key":"e_1_2_7_34_1"},{"key":"e_1_2_7_35_1","unstructured":"Public Act 100\u20130726 SB 3015 (2019); Available at:https:\/\/www.ilga.gov\/legislation\/publicacts\/fulltext.asp?Name=100\u20100726."},{"key":"e_1_2_7_36_1","unstructured":"Public Act 092\u20130402 SB 979 (2001); Available at:https:\/\/www.ilga.gov\/legislation\/publicacts\/pubact92\/acts\/92\u20100402.html."},{"key":"e_1_2_7_37_1","unstructured":"Public Act 097\u20130361 HB 3294 (2011); Available at:https:\/\/www.ilga.gov\/legislation\/publicacts\/fulltext.asp?Name=097\u20100361&GA=97."},{"key":"e_1_2_7_38_1","unstructured":"Public Act 099\u20130843 HB 6333 (2016); Available at:https:\/\/www.ilga.gov\/legislation\/publicacts\/fulltext.asp?Name=099\u20100843."},{"key":"e_1_2_7_39_1","unstructured":"The Administration of Undesignated Asthma Medication School Year 2021\u201322. Illinois State Board of Education;2022. Available at:https:\/\/www.ilga.gov\/reports\/ReportsSubmitted\/3590RSGAEmail7221RSGAAttachThe%20Administration%20of%20Undesignated%20Asthma%20Medication%20School%20Year%202021\u201022.pdf. Accessed June 2 2023."},{"key":"e_1_2_7_40_1","unstructured":"Illinois State Board of Education 2021 Annual Report Illinois State Board of Education. 2022; Available at:https:\/\/www.isbe.net\/Documents\/2021\u2010Annual\u2010Report.pdf. Accessed June 2 2023."},{"key":"e_1_2_7_41_1","unstructured":"Illinois Department of Public Health.Illinois Childhood Asthma Surveillance Report 2011\u20132014. 2016; Available at:https:\/\/dph.illinois.gov\/content\/dam\/soi\/en\/web\/idph\/files\/publications\/publicationsowh2016\u2010il\u2010childhood\u2010asthma\u2010surveillance\u2010report\u20100.pdf. Accessed August 16 2022."},{"key":"e_1_2_7_42_1","unstructured":"Asthma medication in schools.American Lung Association;2024. Available at:https:\/\/www.lung.org\/lung\u2010health\u2010diseases\/lung\u2010disease\u2010lookup\/asthma\/health\u2010professionals\u2010educators\/asthma\u2010in\u2010schools\/asthma\u2010medication\u2010in\u2010schools. Accessed May 1 2024."},{"key":"e_1_2_7_43_1","unstructured":"Albuterol in schools.Asthma and Allergy Foundation of America;2023. Available at:https:\/\/aafa.org\/advocacy\/key\u2010issues\/access\u2010to\u2010medications\/albuterol\u2010in\u2010schools\/. Accessed May 20 2024."},{"key":"e_1_2_7_44_1","unstructured":"Stock Inhaler Toolkit.American Academy of Allergy Asthma & Immunology;2023. Available at:https:\/\/www.aaaai.org\/Aaaai\/media\/Media\u2010Library\u2010PDFs\/Tools%20for%20the%20Public\/School%20Tools\/Stock\u2010Inhaler\u2010Toolkit\u2010for\u2010Schools.pdf. Accessed May 9 2024."},{"key":"e_1_2_7_45_1","unstructured":"Implementation Guidance for Quick\u2010Relief Stock Asthma Medication.Respiratory Health Association Illinois Department of Public Health;2020. Available at:https:\/\/resphealth.org\/wp\u2010content\/uploads\/2020\/04\/Stock\u2010Albuterol\u2010Schools\u2010Toolkit.pdf. Accessed February 27 2023."},{"key":"e_1_2_7_46_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaip.2021.12.032"},{"key":"e_1_2_7_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2023.01.017"},{"key":"e_1_2_7_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13142\u2010017\u20100520\u20102"},{"key":"e_1_2_7_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pmedr.2021.101620"},{"key":"e_1_2_7_50_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.publhealth.19.1.173"},{"key":"e_1_2_7_51_1","first-page":"83","volume-title":"Research Strategies for Community Practice","author":"Schulz AJ","year":"1998"},{"key":"e_1_2_7_52_1","doi-asserted-by":"publisher","DOI":"10.1093\/heapol\/15.3.239"},{"key":"e_1_2_7_53_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13031"},{"volume-title":"The Coding Manual for Qualitative Researchers","year":"2016","author":"Saldana J","key":"e_1_2_7_54_1"},{"key":"e_1_2_7_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0749-3797(18)30662-7"},{"key":"e_1_2_7_56_1","doi-asserted-by":"publisher","DOI":"10.2217\/cer.15.52"},{"key":"e_1_2_7_57_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.4770180211"},{"key":"e_1_2_7_58_1","doi-asserted-by":"publisher","DOI":"10.4135\/9781483398655"},{"key":"e_1_2_7_59_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010015\u20100209\u20101"},{"key":"e_1_2_7_60_1","doi-asserted-by":"publisher","DOI":"10.3389\/frhs.2022.896885"},{"key":"e_1_2_7_61_1","first-page":"465","volume-title":"Health Behavior and Health Education: Theory, Research, and Practice","author":"Sallis JF","year":"2008"},{"key":"e_1_2_7_62_1","unstructured":"Chapter 1: Models and frameworks. Agency for Toxic Substances and Disease Registry;2015. Available at:https:\/\/www.atsdr.cdc.gov\/communityengagement\/pce_models.html#:\u223c:text=The%20social%20ecological%20model%20conceptualizes World%20Health%20Organization%2C%201947. Accessed May 11 2024."},{"key":"e_1_2_7_63_1","doi-asserted-by":"publisher","DOI":"10.1188\/14.ONF.545\u2010547"},{"key":"e_1_2_7_64_1","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_2_7_65_1","unstructured":"National Association of School Nurses.Student Access to School Nursing Services; Available at:https:\/\/www.nasn.org\/nasn\u2010resources\/professional\u2010practice\u2010documents\/position\u2010statements\/ps\u2010access\u2010to\u2010services. Accessed April 12 2023."},{"key":"e_1_2_7_66_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016\u20100852"}],"container-title":["Journal of School Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/josh.13500","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T09:56:20Z","timestamp":1732096580000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/josh.13500"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,4]]},"references-count":65,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1111\/josh.13500"],"URL":"https:\/\/doi.org\/10.1111\/josh.13500","archive":["Portico"],"relation":{},"ISSN":["0022-4391","1746-1561"],"issn-type":[{"type":"print","value":"0022-4391"},{"type":"electronic","value":"1746-1561"}],"subject":[],"published":{"date-parts":[[2024,8,4]]},"assertion":[{"value":"2023-08-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-07-13","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-08-04","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}