Online Program

Improving chronic disease management using community-based participatory research in the chicago public schools

Wednesday, November 6, 2013 : 10:42 a.m. - 10:54 a.m.

Lilliana DeSantiago, MSW, Office of Student Health and Wellness, Chicago Public Schools, Chicago, IL
Ashley Dyer, MPH, Center for Healthcare Studies, Northwestern Institute for Public Health and Medicine, Chicago, IL
Victoria Rivkina, MPH, Center for Healthcare Studies, Northwestern University, Chicago, IL
Emily Zadikoff, MPH, Center for Healthcare Studies, Northwestern University, Chicago, IL
Ruchi Gupta, MD, MPH, Center for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, IL
Background: Chronic diseases are a serious and growing health concern for the Chicago Public Schools (CPS). It is estimated that 25% of the CPS student body is affected by asthma, food allergy, and or diabetes. CPS partnered with Northwestern University on a two-year research study called Improving Chronic Disease Verification and Medication Access in the Chicago Public Schools. Purpose: The study aims to determine the prevalence and variability of asthma, food allergy and diabetes among Chicago public school children and assess barriers to adherence to new chronic disease management policies. Significance: CPS has passed new progressive policies to increase the reporting and school-level management of asthma, food allergy and diabetes. However, implementation of these policies remains a challenge. To enhance chronic disease management it is imperative to know how many students are affected, and to break down barriers to policy compliance. Methodology: Community-based participatory research strategies were utilized to engage eight participating elementary schools and their health stakeholders. Both quantitative and qualitative data is being collected through student medical chart review, surveys, focus groups and cognitive interviews. Findings/Results: Data is being collected and analyzed to determine the prevalence of these chronic conditions among Chicago public schoolchildren. Results will be used to refine the policies and processes pertaining to the verification of chronic disease, access to medication in school and school-level management. Conclusions/Recommendations: Findings from the study will serve as a model for other large school districts looking to implement chronic disease management policies.

Learning Areas:

Chronic disease management and prevention
Public health or related organizational policy, standards, or other guidelines
Public health or related research

Learning Objectives:
Describe comprehensive district-wide chronic disease management policies Differentiate between reported and true prevalence Discuss barriers to school health policy implementation List the components of a successful community-based participatory research study in the school setting

Keyword(s): School Health, Participatory Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have worked on multiple funded grands focusing on the epidemiology of common school-based chronic diseases, specifically asthma and food allergy. Among my scientific interests has been the development of strategies to strengthen school health systems.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5139.0: Asthma Management in Schools