Identifying barriers to chronic disease reporting in Chicago Public Schools: a mixed-methods approach

BMC Public Health

Ruchi S Gupta³  Stephanie A Whyte²  Blair Harvey-Gintoft⁴  Lilliana D Cardenas⁵  David E Tapke¹  Victoria Rivkina² 

[1] Department of Pediatrics, Rush University Medical Center, 1653 W. Congress Parkway, Suite 770, Chicago, IL 60612, USA;Office of Student Health and Wellness, Chicago Public Schools, 42 West Madison Street, Garden Level, Chicago, IL 60602, USA;Center for Community Health, Northwestern University, Feinberg School of Medicine, 750 North Lake Shore Drive, Suite 670, Chicago, IL 60611, USA;Public Health Institute of Metropolitan Chicago (PHIMC), 180 North Michigan Avenue, Suite 1200, Chicago, IL 60601, USA;Office of Tobacco and Chronic Disease Prevention, Maricopa County Department of Public Health, 4041 North Central Avenue, Suite 1400, Phoenix, AZ 85012, USA

关键词: Barriers;    Reporting;    Parents;    Schools nurses;    Chronic disease;    Food allergy;    Asthma;   

Others  :  1122856
DOI  :  10.1186/1471-2458-14-1250

 received in 2014-08-27, accepted in 2014-12-02,  发布年份 2014

【 摘 要 】

Background

Chronic disease among school-aged children is a public health concern, particularly for asthma and food allergy. In Chicago Public Schools (CPS), rates of asthma and food allergy among students are underreported. The aim of this study was to determine the barriers to chronic disease reporting as experienced by CPS parents and school nurses.

Methods

A mixed-methods approach included focus groups and key informant interviews with parents and school nurses, and a cross-sectional survey was completed by parents. Qualitative data analysis was performed and survey data were analyzed to determine the significant demographic and knowledge variables associated with successfully completing the reporting process.

Results

The three main barriers identified were 1) a lack of parental process knowledge; 2) limited communication from schools; and 3) insufficient availability of school nurses. Parents were significantly more likely to successfully complete the reporting process if they knew about special accommodations for chronic diseases, understood the need for physician verification, and/or knew the school nurse.

Conclusions

These findings suggest that increasing parental knowledge of the reporting process will allow schools to better identify and manage their students’ chronic conditions. A parent-focused intervention informed by these results has been completed.

【 授权许可】

   
2014 Rivkina et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

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