The Journal of asthma : official journal of the Association for the Care of Asthma · 2026
To the RESCUE: program fidelity and experiences of an Illinois stock inhaler program.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Hardy Paige, Volerman Anna, Knitter Alexandra, Salem Erica, Martinez Chris, Soto Naomi, Weigley Sam, Gerald Lynn B, Pappalardo Andrea A
Аннотация
OBJECTIVE: The Resources for Schools Encountering Unexpected Asthma Emergencies-Illinois (RESCUE-IL) program-which provides stock inhalers, materials, and training-expanded to all Illinois public schools in its second year. A survey evaluated fidelity to emergency protocols and implementation experiences over the 2024-2025 school year as part of a larger program evaluation.
METHODS: The 69-item survey was available to school staff (e.g. nurses, administrators, others) registered in the RESCUE-IL portal over February-March 2025. Questions were either respondent-specific (33 questions) or school-specific for up to three schools (12 questions per school).
RESULTS: A total of 327 respondents representing 483 schools completed the survey (response rate = 20.6%). Nearly all (96.3%) reported satisfaction with RESCUE-IL over the second implementation year. While 93.9% felt the emergency protocol was effective, fewer were comfortable with the protocol-directed four puffs for mild-moderate distress (61.2%) or with eight puffs for severe distress (49.2%). Most (96.0%) preferred to start with two puffs and give more if necessary. Additionally, 76.2% of respondents preferred to follow a student's Asthma Action Plan (AAP) when available over the provided emergency protocol, contrary to RESCUE rules. Furthermore, 40.9% of schools who had used a stock inhaler and 23.7% of schools who had not (p = 0.05) expressed concerns about student overreliance on stock inhalers.
CONCLUSIONS: Respondents were satisfied with the program overall but had low comfort with dosages over two puffs outlined in the RESCUE-IL protocol, likely due to discrepancies with student AAPs, requiring further individual and group training. Increasing uptake of current AAP recommendations is a priority.
METHODS: The 69-item survey was available to school staff (e.g. nurses, administrators, others) registered in the RESCUE-IL portal over February-March 2025. Questions were either respondent-specific (33 questions) or school-specific for up to three schools (12 questions per school).
RESULTS: A total of 327 respondents representing 483 schools completed the survey (response rate = 20.6%). Nearly all (96.3%) reported satisfaction with RESCUE-IL over the second implementation year. While 93.9% felt the emergency protocol was effective, fewer were comfortable with the protocol-directed four puffs for mild-moderate distress (61.2%) or with eight puffs for severe distress (49.2%). Most (96.0%) preferred to start with two puffs and give more if necessary. Additionally, 76.2% of respondents preferred to follow a student's Asthma Action Plan (AAP) when available over the provided emergency protocol, contrary to RESCUE rules. Furthermore, 40.9% of schools who had used a stock inhaler and 23.7% of schools who had not (p = 0.05) expressed concerns about student overreliance on stock inhalers.
CONCLUSIONS: Respondents were satisfied with the program overall but had low comfort with dosages over two puffs outlined in the RESCUE-IL protocol, likely due to discrepancies with student AAPs, requiring further individual and group training. Increasing uptake of current AAP recommendations is a priority.