{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:46:20Z","timestamp":1791765980558,"version":"4.3.4"},"reference-count":25,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T00:00:00Z","timestamp":1791244800000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["1 R01 HL144652\u201001A1"],"award-info":[{"award-number":["1 R01 HL144652\u201001A1"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>School nurses are vital to childhood asthma management. Although school\u2010based asthma therapy (SBAT) improves clinical outcomes, its academic impact remains unclear. SBAT reduces barriers to guideline\u2010based care through directly observed preventive medication therapy for children with persistent, poorly controlled asthma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective academic record review (2013\u20132019) for 552 SBAT\u2010enrolled children in a large urban district. Outcomes included missed instructional time, behavioral incidents, and grades compared across 4 quarters pre\u2010 and post\u2010enrollment, stratified by school level, sex, race\/ethnicity, and SES.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Unexcused hours decreased significantly post\u2010SBAT: 17% elementary; 53% middle\/high school, with no sex or race\/ethnicity differences. Excused hours decreased 27% among middle\/high school students. Level 2 incidents decreased 32% in elementary and 34% in middle\/high school students. Females had more excused hours and Level 1\/2 behavioral incidents than males, while Black elementary students had fewer Level 1\/2 incidents than Whites. Grades did not change significantly.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health, Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>SBAT has potential as an equity\u2010promoting school healthcare practice to mitigate disparities in asthma morbidity, absenteeism, and school engagement among students in disadvantaged communities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SBAT highlights potential educational benefits, supporting integration of guideline\u2010based asthma management into routine school health services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70253","type":"journal-article","created":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T12:21:55Z","timestamp":1791289315000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Health Supports Learning: Academic Outcomes Improved by the School\u2010Based Asthma Therapy Program"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8209-0908","authenticated-orcid":false,"given":"Kimberly","family":"Arcoleo","sequence":"first","affiliation":[{"name":"College of Nursing Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8172-7938","authenticated-orcid":false,"given":"Holly","family":"McGregor","sequence":"additional","affiliation":[{"name":"School of Medicine &amp; Dentistry University of Rochester  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phoebe","family":"Marx","sequence":"additional","affiliation":[{"name":"College of Nursing Michigan State University  East Lansing Michigan USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth","family":"Allen","sequence":"additional","affiliation":[{"name":"School Health Services Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8089-7967","authenticated-orcid":false,"given":"Mary Kay","family":"Irwin","sequence":"additional","affiliation":[{"name":"School Health Services Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Dela Cruz","sequence":"additional","affiliation":[{"name":"School Health Services Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jill S.","family":"Halterman","sequence":"additional","affiliation":[{"name":"School of Medicine &amp; Dentistry University of Rochester  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,6]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"Centers for Disease Control & Prevention CDC Most Recent National Asthma Data. 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