Facilitators and Barriers to Implementation of School-Based Telehealth Asthma Care: Program Champion Perspectives

Johnson, Emily; MacGeorge, Claire; King, Kathryn; Andrews, Annie Lintzenich; Teufel, Ronald J.; Kruis, Ryan; Hale, Kathryn C.; Ford, Dee W.; Sterba, Katherine R.

doi:10.1016/j.acap.2021.04.025

Cited by 14 publications

(7 citation statements)

References 22 publications

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“…The Fox et al study (2022) focused on key informants from grantee organizations (e.g., academic medical centers and hospitals); it is unclear how school champions' voices were represented in the study, if at all. This lack of school champions' perspectives on school-based telehealth and SBTBH studies is also reflected in the literature reviews on school-based telehealth (Reynolds & Maughan, 2015;Sanchez et al, 2019), especially in pediatric behavioral health (Fox et al, 2022;Hayes et al, 2019;Johnson et al, 2021). However, adopting telehealth services relies on local school and community champions.…”

Section: Implementation Of School-based Telebehavioral Healthmentioning

confidence: 99%

Site coordinators’ perspectives on implementing a school‐based telebehavioral health program

Zhang,

Engel,

Giovanetti

et al. 2023

Psychology in the Schools

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School‐based telebehavioral health service is increasingly important in addressing the health disparities youth in rural communities face. The study examines barriers and successes of implementation and sustainability of a rural school‐based telebehavioral health program from the perspective of site coordinators or school champions informed by the Consolidated Framework for Implementation Research framework. Six coordinators participated in semi‐structured interviews and completed a self‐report questionnaire (organizational readiness for implementing change) to describe their experiences with telebehavioral health. The authors used thematic analysis to extract themes. The overarching themes included (1) benefits, challenges, and opportunities; (2) resources and support; and (3) work processes and challenges. Site coordinators endorsed their workplaces’ commitment to telebehavioral health but shared uncertainty about the telebehavioral health program's sustainability. The emphasis coordinators place on relationships, communication, continuity, and advocacy for families and students underscores their critical role in providing high‐quality telehealth services in schools and the broader community. Their perspectives are vital to ensuring these services’ continued successful implementation and sustainability. Site coordinators’ focus on the need for school‐based champions and increased awareness of telehealth services in their communities highlights a need for outreach efforts to continue engaging relevant stakeholders.

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Section: Implementation Of School-based Telebehavioral Healthmentioning

confidence: 99%

Site coordinators’ perspectives on implementing a school‐based telebehavioral health program

Zhang,

Engel,

Giovanetti

et al. 2023

Psychology in the Schools

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“… 30 One barrier rural school staff face compared with their urban peers is fewer opportunities to engage in asthma education programs. 31 In addition, common barriers identified by school nurses for SBTM included inadequate nursing time and challenges engaging caregivers. 32 One study reported responses from 36 underresourced South Carolina schools.…”

Section: The Originating Sitementioning

confidence: 99%

“…Recommendations to create a shared vision, build engagements with stakeholders and families, and grow strong program-school partnerships exist, but these take time and significant effort, which are not reimbursed financially. 31 Despite the known limitations and barriers to SBTM, the school remains a valuable originating site because approximately 10% of school-age children have asthma, with rural children often having worse outcomes compared with their urban peers.…”

Section: The Originating Sitementioning

confidence: 99%

Telehealth and Allergy Services in Rural and Regional Locations That Lack Specialty Services

Waibel

Perry

2022

The Journal of Allergy and Clinical Immunology: In Practice

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“…With school-based asthma telehealth, we must consider the facilitators and barriers experienced by schools during implementation, including capacity building among key stakeholders [55], as well as marketing, technological assistance, and education [55]. Schools with a strong nursing leadership remain an important indicator of program success [55].…”

Section: School-based Telemedicine/telehealth Strategiesmentioning

confidence: 99%

Updates in school-based asthma management

Lowe

Onge

Trivedi

2022

Current Opinion in Allergy &Amp; Clinical Immunology

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Purpose of reviewSchool-based asthma management is an important component of pediatric asthma care that has the potential to provide more universal evidence-based asthma care to children and mitigate asthma-related health inequities. The purpose of this review is to highlight relevant developments in school-based asthma management over the past 2 years.Recent findingsThere have been considerable recent scientific advances in school-based asthma management including robust clinical trials of environmental interventions in the classroom setting, school-nurse led interventions, stock albuterol policy changes, school-based telemedicine approaches and innovative methods to engage community stakeholders in research that have pushed the frontiers of school-based asthma care.SummaryRecent scientific work in school-based asthma management demonstrates the potential power of schools in providing access to guideline-based asthma care for all children with asthma and in improving their health outcomes. Future work should focus on the evaluation of methods to promote the adoption of school-based asthma management strategies in real-world practice and support evidence-based policy change and strategic partnerships to improve asthma health outcomes and produce meaningful public health impact for diverse children and families.

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Facilitators and Barriers to Implementation of School-Based Telehealth Asthma Care: Program Champion Perspectives

Cited by 14 publications

References 22 publications

Site coordinators’ perspectives on implementing a school‐based telebehavioral health program

Site coordinators’ perspectives on implementing a school‐based telebehavioral health program

Telehealth and Allergy Services in Rural and Regional Locations That Lack Specialty Services

Updates in school-based asthma management

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