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Despite research demonstrating that school\u2010based asthma interventions can improve health and educational outcomes and advance equity, calls to shift the field to a dissemination and implementation focus have gone largely unanswered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contributions to Theory<\/jats:title>\n                    <jats:p>\n                      Building upon the foundation of Charles Basch's 2011\n                      <jats:italic>\u201cHealthier Students are Better Learners\u201d<\/jats:italic>\n                      framework, we summarize relevant findings from the recent literature on school\u2010based asthma interventions. Two key evidence\u2010based practices: nurse\u2010led care coordination and school\u2010based asthma care delivery, are identified. Application of the Exploration, Preparation, Implementation, Sustainment (EPIS) implementation science framework highlights inadequate school health infrastructure as the major barrier to systematic, comprehensive implementation of these approaches.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title>\n                    <jats:p>Policy solutions should prioritize the goal of at least one nurse in every school. Systematic yet flexible approaches support comprehensive school\u2010based programs tailored to the local context. Attention to compliant information sharing systems and engagement of youth and families is critical.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Effective, equity\u2010promoting school\u2010based asthma interventions exist. Adequate school health infrastructure is needed for systematic implementation and large\u2010scale impact. Implementation\u2010science frameworks like EPIS can guide these efforts.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/josh.70256","type":"journal-article","created":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T03:05:36Z","timestamp":1791774336000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Decreasing Asthma\u2010Related Health and Educational Inequity Through School\u2010Based Health Services"],"prefix":"10.1111","volume":"96","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7736-293X","authenticated-orcid":false,"given":"Katherine A.","family":"Connor","sequence":"first","affiliation":[{"name":"Division of General Pediatrics Johns Hopkins University School of Medicine  Baltimore Maryland USA"},{"name":"Center for School Health, Johns Hopkins University  Baltimore Maryland USA"},{"name":"Rales Center for the Integration of Health and Education, Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"family":"Nadhifah","sequence":"additional","affiliation":[{"name":"Bloomberg School of Public Health, Johns Hopkins University  Baltimore Maryland USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,11]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746\u20101561.2011.00632.x"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1746\u20101561.2011.00634.x"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13012\u2010018\u20100842\u20106"},{"key":"e_1_2_15_5_1","unstructured":"Centers for Disease Control and Prevention \u201cMost Recent National Asthma Data \u201dAsthma Web site accessed December 23 2025 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